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Missouri Physical Therapy FAQs

We combined the Missouri statutes, board rules, and position statements to create a guide on key compliance issues for PTs and PTAs.  Members have full access to the material and can email us with questions regarding any billing or compliance issue for no additional charge, please consider joining today if you need additional assistance.


Scope of Practice

    • How is physical therapy defined in Missouri?
    • What is included in the practice of physical therapy?
    • What is specifically excluded from the practice?
    • Are there any special trainings or requirements?


Referral Requirements

    • Is a referral required to provide physical therapy services?
    • Exceptions to the referral requirement?
    • Which providers can issue the referral?
    • When does a PT have to refer a patient to a physician?

Delegation and Supervision

    • What are that different levels of supervision?
    • Which services can only be performed by a licensed PT?
    • What are the responsibilities of the PT when delegating?
    • What is the ratio between the supervising PT and assistive personnel?


    • Which services are PTAs allowed to perform?
    • Are there specific services that PTAs are prohibited from practicing?
    • What level of supervision is required?
    • When does the supervising PT need to reevaluate/reassess a patient?
    • Does the supervising PT need to co-sign documentation created by the PTA?
    • What is the ratio between supervising PTs and PTAs?
    • How do PTAs need to be identified in a clinical setting?


    • What tasks can an aide perform?
    • What tasks are aides expressly prohibited from performing?
    • What are the responsibilities of the PT/PTA when delegating to an aide?
    • What level of supervision is required?
    • What is the ratio between supervising PTs and aides?
    • How do aides need to be identified in a clinical setting?

Position Statements and Forms

Continuing Education

    • How many CE hours are required during a reporting period?
    • Can CE credits be carried over into the next reporting period?
    • Are there any specific courses that must be taken?
    • What types of activities can be used for the continuing education requirements?
    • What type of approval is needed for the courses?
    • What are the reporting requirements?
    • Waivers and audits

Students and Graduates

    • Can students practice in a clinical setting?
    • What level of supervision is required for student PTs and PTAs?
    • How must students identify themselves in a clinical setting?
    • What type of license/permit must new graduates receive before practicing?
    • Which tasks can be delegated to a new graduate?
    • What type of supervision is required for a temporary permit holder?
    • How long is the temporary permit valid?

Out-of-State PTs and PTAs

    • Can I practice in state if I am licensed in another state?
    • What is the process for getting reciprocity in state?


    • What must be included in the patient record?
    • What are the PT’s documentation responsibilities?


    • How can I use “Dr” in my title?
    • Required designation for PTs in a clinical setting
    • Are there any specific requirements for posting notifications or licenses?
    • When does a PT have to notify the board of any information changes?

Unprofessional Conduct

    • When am I obligated to report to the board?
    • Conduct that may result in disciplinary action
    • Is there a law/rule against fee-splitting?

Missouri Physical Therapy Board Fees

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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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