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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.

Scope of Practice

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

Direct Access and Referrals 

  • When can a PT treat a patient without a referral?
  • Patient consent to be treated without a referral
  • Which providers can issue the referral?
  • Methods of referral

Supervision and Delegation

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

Assistants

  • What services are PTAs allowed to perform?
  • Are there specific services that PTAs are prohibited from practicing?
  • What type of supervision is required?
  • Does the supervising physical therapist need to co-sign documentation created by the PTA?
  • Is a reevaluation or reassessment required?
  • What is the ratio between supervising PTs and PTAs?
  • Required designation for assistants

Aides

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

Documentation 

  • What must be included in the patient record?
  • What are the PT’s documentation responsibilities?
  • When is a reevaluation/reassessment required?
  • Discharge Summary

Designations and Notifications

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


Continuing Education

  • How many continuing education 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 

Telehealth

  • Licensure
  • Technology
  • Standard of Care
  • Informed Consent
  • Confidentiality

Graduate and Student Practice

  • Can students practice in a clinical setting?
  • What kind of supervision is required for student PTs and PTAs?
  • How must students identify themselves?
  • What type of license/permit must new graduates receive before practicing?
  • Eligibility
  • What kind of supervision is required?
  • Duration of the temporary license

Out-of-State PTs and PTAs

  • Situations where an out-of-state PT/PTA can practice in Texas

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

Educational and Early Intervention Settings

  • Services which may require a physician’s referral
  • Evaluation and reevaluation
  • Role of the PT in Early Childhood Intervention settings
  • Services which require a referral
  • Evaluation and reevaluation

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


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