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Ohio Physical Therapy Supervision and Delegation


"Direct supervision" means the physical therapist or physical therapist assistant is in the same building and available to immediately respond to the needs of the patient. The physical therapist or physical therapist assistant shall have direct contact with the patient during each visit.

Which services can only be performed by a licensed physical therapist?

The physical therapist performs the following, none of which may be delegated:

    • Interpreting available information concerning the referral;
    • Providing the initial evaluation;
    • Developing the plan of care, including the short term and long term goals;
    • Identifying and documenting precautions, special problems, contraindications, anticipated progress, and plans for reevaluation;
    • Selecting and delegating only appropriate tasks in the plan of care;
    • Designating or establishing channels of written and oral communication;
    • Assessing the competence of the physical therapist assistant, other licensed personnel, and unlicensed personnel to perform assigned tasks;
    • Directing and supervising the physical therapist assistant, other licensed personnel, and unlicensed personnel in delegated tasks; and
    • Reevaluating and adjusting the plan of care, when necessary, and performing the final evaluation, determining discharge, and establishing the follow-up plan.

What are the responsibilities of the PT when delegating?

Delegation in physical therapy is the sole responsibility of the physical therapist.

The responsibility for physical therapy care rendered by the physical therapist assistant, and other licensed personnel rests with the supervising physical therapist.


Ohio Admin. Code ยง 4755-27-03

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