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Texas Physical Therapy

Welcome to our Texas 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.

Texas Medicaid Coverage of Physical and Occupational Therapy

Texas Physical Therapy Forum


Continuing Education

  • How many continuing education hours are required during a reporting period?
  • How is credit hour defined?
  • How long is the reporting period?
  • Due Date
  • Can CE credits be carried over into the next reporting period?
  • Are there any specific requirements for continuing education?
  • What types of activities can be used for the continuing education requirements?
  • 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 continuing education records be retained?
  • Can I apply for a hardship waiver?
  • What happens if the board audits me?
  • CE Requirements for License Restoration

Scope of Practice

  • How is the practice of Physical Therapy defined in Texas?
  • What is included in the practice of physical therapy?
  • Services specifically excluded from the scope of practice
  • Does Texas allow PTs to practice dry needling?
  • Does Texas allow PTs to practice electromyography?
  • Does Texas allow PTs to practice wound care?
  • Does Texas allow PTs to apply topical medicals?

Direct Access and Referrals 

  • Is a referral required to provide PT services?
  • Exceptions to the referral requirement? Change September 2019
  • Limitation on the number of days that a PT may treat a patient without a referral
  • Patient disclosure
  • Emergencies
  • Additional Exemptions
  • Which providers can issue the referral?
  • How may the referral by transmitted?


  • Requirements to provide PT through telehealth
  • Standard of Care
  • Informed Consent
  • Confidentiality
  • Role of a PTA

Supervision and Delegation

  • Supervision Definitions
  • What are the professional responsibilities of the physical therapist?


  • Which services are PTAs allowed to practice?
  • Can a PTA screen patients?
  • Can a PTA modify the plan of care?
  • Are there specific services that PTAs are prohibited from practicing?
  • What type of supervision is required?
  • What are the assistant’s documentation responsibilities?
  • Does the supervising physical therapist 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?


  • What must be included in the patient record?
  • What are the physical therapist’s documentation responsibilities?
  • Development and implementation of the plan of care
  • When is a reevaluation/reassessment required?
  • What must the reevaluation include?
  • Discharge Summary

Facilities (Facility Registration no longer required) 

Designations and Notifications

  • How can I use “Dr” in my title?
  • Are there any specific requirements for posting notifications or licenses?
  • Consumer Information Sign

Temporary Permit

  • Who is eligible for a temporary permit?
  • What is required for the application?
  • What type of supervision is required for a temporary permit holder?
  • How long is the temporary permit valid for?

License by Endorsement

  • Who is eligible for a license by endorsement?
  • What is required for the application?
  • Licensure for a Military Service Member
  • Provisional Licensure

Out-of-State PTs and PTAs

  • Can I practice in Texas if I am licensed in another state?

Retired or Inactive Status

    • Requirements for Initiation of Retired Status
    • Requirements for Renewal of Retired Status
    • Requirements for Reinstatement of Active Status
    • Designation
    • Requirements for Initiation of Inactive Status
    • Requirements for Renewal of Inactive Status
    • Requirements for Reinstatement of Active Status

Unprofessional Conduct 

  • Practice in manner detrimental to public health and welfare
  • When am I obligated to report to the board?
  • Additional grounds for discipline
  • Gross negligence

Educational Settings

  • Responsibilities of the PT
  • Consultations
  • Physician’s Referral
  • Evaluations

Early Childhood Intervention Settings

  • Responsibilities of the PT
  • Referrals
  • Evaluations

Board Fees

Texas Medicaid and Workers' Comp Fee Schedules

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