Review application criteria, and information on participating in the Physical Therapy Licensure Compact.
PTs and PTAs who want a compact privilege in a participating state may apply to the Commission through the Commission's website. As of this update, compact privileges are available in Iowa, Mississippi, Missouri, New Hampshire, North Dakota, Oregon, and Tennessee, Texas, Utah.
The Commission currently charges a fee of $45 per state in which the
individual chooses to obtain compact privileges. An individual meeting
eligibility criteria can choose to obtain a compact privilege in as many
states as are participating in the compact. Additionally, each
participating state may choose to impose its own fee, separate from the
Commission's fee. Review state fees (.pdf). To purchase compact privileges in any of these states, visit ptcompact.org.
Privileges will be available in additional states in the near future. Review eligibility requirements and other topics related to compact privileges at http://ptcompact.org/resources-tools.
A compact privilege will be valid for the same period as the home state license, and will be renewed on the same cycle as the home state license. For example, if a home state license is valid January 1, 2018–December 31, 2020, and a compact privilege is obtained in a different PTLC state on June 30, 2018, the compact privilege and home state license will both be valid until December 31, 2020. This also means that if the compact privilege is obtained on December 30, 2020, it is still only valid until the expiration of the home state license on December 31, 2020, and the compact privilege will need to be renewed at that time.
Requirements for Participation
To obtain a compact privilege, a PT or PTA needs to:
- Hold a valid, current, unrestricted license in the home state (state of primary residence);
- Be free of any disciplinary action against a license or compact privilege for two years;
- Meet any jurisprudence requirements of the remote state; and
- Apply to the Commission for a compact privilege in a remote state and pay required fees.
If eligibility criteria isn't met, a PT or PTA may still be able to practice or work in a PTLC state.
The PTLC gives eligible PTs and PTAs the option of obtaining a compact privilege to practice or work in participating states, instead of going through a state's traditional licensure process when they already have a license in their state of primary residence. Individuals who don't meet the criteria for a compact privilege might still be eligible for a license in their PTLC-participating home state if they meet criteria for licensure in that state. Applications for licensure will continue to be managed and processed by individual states, not by the Compact Commission. Individuals who are eligible for a compact privilege may also choose instead to get a license in any state if they meet the criteria for licensure.
Maintaining Continuing Education/Competence Requirements
Individuals with compact privileges will not need to meet the specific continuing education/competence requirements in states where they hold those compact privileges. Rather, the licensee will only have to meet any continuing education/competence required for licensure renewal of the home state license.
Regulations that Govern PTLC
Rules of practice and scope of practice are determined by the state where the physical therapy service is delivered, just as they are now. If a PT or PTA delivers physical therapy in a remote state under a compact privilege, the rules of practice in the remote state apply. In the case of telehealth, the point of service delivery is generally determined by the physical location of the patient.