Upcoming Webinars 


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.

Log in

Log in

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?


  • 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


  • 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


  • 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 


  • 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

Powered by Wild Apricot Membership Software