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Wisconsin PT Locum Tenens License

A person who holds a valid license to practice physical therapy issued by another licensing jurisdiction of the United States may apply to the board for a locum tenens license to practice physical therapy and shall submit to the board all of the following:

    • A completed and verified application form.
    • A letter of recommendation from a physician or supervisor or present employer stating the applicant’s professional capabilities.
    • A verified photostatic copy of a license to practice physical therapy issued to the applicant by another licensing jurisdiction of the United States.
    • A letter from a physical therapist licensed in this state requesting the applicant’s services, or a letter from an organization or facility in this state requesting the applicant’s services.
    • The required fees.

The application and documentary evidence submitted by the applicant shall be reviewed by a member of the board, and upon the finding of the member that the applicant is qualified, the board, acting through the member, may issue a locum tenens license to practice physical therapy to the applicant.

The holder of a locum tenens license to practice physical therapy may practice physical therapy providing the practice is confined to the geographical area for which the license is issued.

Expiration

Except as otherwise ordered by the board, a locum tenens license to practice physical therapy shall expire ninety (90) days from the date of its issuance. For cause shown to its satisfaction, the board may issue a locum tenens license for a period not to exceed 12 months. The locum tenens license is not renewable.

Citation

Wis. Admin. Code Trans. PT 4.01

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