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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Oregon PT Plan of Care

Prior to initiation of treatment, a physical therapy plan of care for the patient shall be determined by a physical therapist. As appropriate, a plan of care may include the IFSP, or, in a school setting, a plan of care may include the IEP for a student, or other designated plan of care.


Only a physical therapist may develop a plan of care. A physical therapist shall not delegate the development of the plan of care to a physical therapist assistant or to an aide.

A physical therapist shall identify appropriate treatment tasks to be delegated to a physical therapist assistant or aide.


Only a physical therapist may modify a plan of care. However, a physical therapist assistant may make recommendations to the physical therapist in regards to revision of the plan of care for a patient for whom the physical therapist assistant has been providing treatment.

A physical therapist shall make modifications to the plan of care any time there are significant changes in the patient’s condition or status that would affect the physical therapy goals.


The permanent record of the plan of care shall include:

    • Objectively measurable treatment goals that incorporate the patient’s goals;
    • Proposed treatment to accomplish the goals; and
    • Proposed frequency and duration of treatment or number of visits.

The permanent record of the plan of care shall be authenticated and dated by the physical therapist who developed the plan.


OAR 848-040-0135

OAR 848-040-0140

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