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North Dakota Physical Therapy FAQS

Welcome to our North Dakota Physical Therapy FAQs.  We've combined the state laws, board rules, and statements to create a clear guide on the rules that must be followed by PTs and PTAs. 


Continuing Education

    • How many CE hours are required during a reporting period?
    • How is credit hour defined?
    • How long is the reporting period?
    • When are CE hours due?
    • Can CE credits be carried over into the next reporting period?
    • Are there any specific course requirements?
    • What types of activities can be used for the CE requirements?
    • Are there limitations on the types of courses that can be taken?
    • What type of approval is needed for the courses?
    • What type of courses or activities are not allowed?
    • What are the reporting requirements?
    • How long must CE records be retained?
    • Request to waive CE requirements
    • What happens if I am audited?

Scope of Practice

    • How is the practice of Physical Therapy defined in North Dakota?
    • What is included in the practice of physical therapy?
    • Services specifically excluded from the scope of practice
    • Are there any specific procedures or modalities regulated by the board?


Referrals - Direct Access 

    • Is a referral required to provide PT services?
    • Does the PT need to be in communication with the referring provider?
    • When does a PT have to refer a patient to a physician?

Supervision and Delegation

    • Supervision Definitions
    • Which services can only be performed by a licensed PT?
    • What are the responsibilities of the PT when delegating?


    • Which services are PTAs allowed to practice?
    • Are there specific services that PTAs are prohibited from practicing?
    • What type of supervision is required?
    • Responsibilities of the PT before delegating to a PTA?
    • What are the PTA’s documentation responsibilities?
    • Does the supervising PT need to co-sign documentation created by the PTA?
    • What is the ratio between supervising PTs and PTAs?
    • Required designation for assistants


    • What can an aide do?
    • What is an aide expressly prohibited from doing?
    • What are the responsibilities of the PT when delegating to an aide?
    • What type of supervision is required?
    • What is the ratio between supervising PTs and aides?
    • Required designation for aides

PT/PTA Students and New Graduates

    • Can students practice in a clinical setting?
    • What kind of supervision is required for student PTs and PTAs?
    • How must students identify themselves?
    • What can new graduates do in practice?
    • Which tasks can be delegated to a new graduate?
    • What kind of supervision is required?
    • Documentation and co-signatures

Out-of-State PTs

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


    • What must be included in the patient record?
    • What are the PT’s documentation responsibilities?
    • What is required for an initial evaluation?
    • What is required on each treatment note?
    • When is a reevaluation/reassessment required?
    • What is required in the discharge summary?

Identification, Notification, and Disclosure

    • How can I use “Dr” in my title?
    • Designation of a physical therapist
    • 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?
    • What is consider unprofessional conduct?

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