While all 50 states, the District of Columbia and the U.S. Virgin Islands, provide some form of direct access to physical therapist services, the specific provisions and limitations differ across jurisdictions.
The following map and key outline the level of direct access in each jurisdiction. For a detailed overview of the language (if any) regarding direct access in each state's practice act, please refer to the summary starting on page 2. Please note that the data below is current as of July 2025.