Unofficial version. This rtf is posted as a public courtesy online and is for private use only. The authenticated pdf is the official version. Those who intend to use the contents for resale or profit shall contact the Administrative Rules Division to pay Commercial Use fees under A.R.S. § 39-121.03 and 1 A.A.C. 1, R1-1-113.
TITLE 4. PROFESSIONS AND OCCUPATIONS
CHAPTER 24. BOARD OF PHYSICAL THERAPY
4 A.A.C. 24
Supplement Information
Supp. 25-3
Rules codified between July 1, 2025 through September 30, 2025 are underlined in this Chapter’s table of contents.

For questions, contact:
Name:	Judy Chepeus
Title:	Executive Director
Telephone:	(602) 271-7365
Email:	judy.chepeus@ptboard.az.gov
Board:	Board of Physical Therapy	
Address:	1740 W. Adams St., Suite 2450
	Phoenix, AZ 85007
Website:	www.ptboard.az.gov
PREFACE
Under Arizona law, the Department of State, Office of the Secretary of State (Office), Administrative Rules Division, accepts state agency rule notice and other legal filings and is the publisher of Arizona rules. The Office of the Secretary of State does not interpret or enforce rules in the Administrative Code. Questions about rules should be directed to the state agency responsible for the promulgation of the rule.

Scott Cancelosi, Director
ADMINISTRATIVE RULES DIVISION

RULES
The definition for a rule is provided for under A.R.S. § 41-1001. “‘Rule’ means an agency statement of general applicability that implements, interprets, or prescribes law or policy, or describes the procedures or practice requirements of an agency.”
THE ADMINISTRATIVE CODE
The Arizona Administrative Code is where the official rules of the state of Arizona are published. The Code is the official codification of rules that govern state agencies, boards, and commissions.
The Code is separated by subject into Titles. Titles are divided into Chapters. A Chapter includes state agency rules. Rules in Chapters are divided into Articles, then Sections. The “R” stands for “rule” with a sequential numbering and lettering outline separated into subsections.
Rules are codified quarterly in the Code. Supplement release dates are printed on the footers of each Chapter.
First Quarter: January 1 - March 31
Second Quarter: April 1 - June 30
Third Quarter: July 1 - September 30
Fourth Quarter: October 1 - December 31
For example, the first supplement for the first quarter of 2025 is cited as Supp. 25-1. Supplements are traditionally released three to four weeks after the end of the quarter because filings are accepted until the last day of the quarter.
Please note: The Office publishes by Chapter, not by individual rule Section. Therefore there might be only a few Sections codified in each Chapter released in a supplement. The Office links to these codified Sections in the Table of Contents of this Chapter.
RULE HISTORY
Refer to the HISTORICAL NOTE at the end of each Section for the effective date of a rule. The note also includes the Register volume and page number in which the notice was published (A.A.R.) and beginning in supplement 21-4, the date the notice was published in the Register.
AUTHENTICATION OF PDF CODE CHAPTERS
The Office began to authenticate Chapters of the Code in Supp. 18-1 to comply with A.R.S. §§ 41-1012(B) and A.R.S. § 41-5505.
A certification verifies the authenticity of each Code Chapter posted as it is released by the Office of the Secretary of State. The authenticated pdf of the Code includes an integrity mark with a certificate ID. Users should check the validity of the signature, especially if the pdf has been downloaded. If the digital signature is invalid it means the document’s content has been compromised.
HOW TO USE THE CODE
Rules may be in effect before a supplement is released by the Office. Therefore, the user should refer to issues of the Arizona Administrative Register for recent updates to rule Sections.
ARIZONA REVISED STATUTE REFERENCES
The Arizona Revised Statutes (A.R.S.) are available online at the Legislature’s website, www.azleg.gov. An agency’s authority note to make rules is often included at the beginning of a Chapter. Other Arizona statutes may be referenced in rule under the A.R.S. acronym.
SESSION LAW REFERENCES
Arizona Session Law references in a Chapter can be found at the Secretary of State’s website, www.azsos.gov under Services-> Legislative Filings.
EXEMPTIONS FROM THE APA
It is not uncommon for an agency to be exempt from the steps outlined in the rulemaking process as specified in the Arizona Administrative Procedures Act, also known as the APA (Arizona Revised Statutes, Title 41, Chapter 6, Articles 1 through 10). Other agencies may be given an exemption to certain provisions of the Act.
An agency’s exemption is written in law by the Arizona State Legislature or under a referendum or initiative passed into law by Arizona voters.
When an agency files an exempt rulemaking package with our Office it specifies the law exemption in what is called the preamble of rulemaking. The preamble is published in the Register online at www.azsos.gov/rules, click on the Administrative Register link.
Editor’s notes at the beginning of a Chapter provide information about rulemaking Sections made by exempt rulemaking. Exempt rulemaking notes are also included in the historical note at the end of a rulemaking Section.
The Office makes a distinction to certain exemptions because some rules are made without receiving input from stakeholders or the public. Other exemptions may require an agency to propose exempt rules at a public hearing.
PERSONAL USE/COMMERCIAL USE
This Chapter is posted as a public courtesy online, and is for private use only. Those who wish to use the contents for resale or profit should contact the Office about Commercial Use fees. For information on commercial use fees review A.R.S. § 39-121.03 and 1 A.A.C. 1, R1-1-113.
Rhonda Paschal, rules managing editor, assisted with the editing of this Chapter.
TITLE 4. PROFESSIONS AND OCCUPATIONS
CHAPTER 24. BOARD OF PHYSICAL THERAPY
Authority: A.R.S. § 32-2002 et seq.
Supp. 25-3
CHAPTER TABLE OF CONTENTS
ARTICLE 1. GENERAL PROVISIONS
Article 1 consisting of Sections R4-24-101 through R4-24-109 adopted effective June 3, 1982 (Supp. 82-3).
Former Article 1 consisting of Sections R4-24-01 through R4-24-06 repealed effective June 3, 1982 (Supp. 82-3).
Section
R4-24-101.	Definitions 	2
R4‑24‑102.	Expired 	3
R4-24-103.	Board Officers 	3
R4‑24‑104.	Confidential Information and Records 	3
R4‑24‑105.	Expired 	3
R4‑24‑106.	Repealed 	4
R4-24-107.	Fees 	4
R4-24-108.	Repealed 	4
R4-24-109.	Renumbered 	4
ARTICLE 2. LICENSING PROVISIONS
Article 2 consisting of Sections R4-24-201 through R4-24-203 adopted effective June 3, 1982 (Supp. 82-3).
Former Article 2 consisting of Sections R4-24-16 through R4-24-26 repealed effective June 3, 1982 (Supp. 82-3).
Section
R4-24-201.	Application for a Physical Therapist License 	4
R4‑24‑202.	Reinstatement of License; Reapplication 	5
R4-24-203.	Foreign-educated Applicant Requirements 	5
R4-24-204.	Supervised Clinical Practice 	6
R4‑24‑205.	Examination Scores 	7
R4-24-206.	Renumbered 	7
R4-24-207.	Application for a Physical Therapist Assistant License 		7
R4-24-208.	License Renewal; Change in Contact Information 		8
R4-24-209.	Time Frames for Board Approvals 	8
Table 1.	Time Frames (in days)  	9
R4-24-210.	Business Entity Registration; Display of Registration Certificate
 		9
R4-24-211.	Renewal of Business Entity Registration
 	9
R4-24-212.	Regulation of a Business Entity
 	10
R4-24-213.	Business Entity Participation
 	10
Exhibit 1.	Repealed 	10
	ARTICLE 3. PRACTICE OF PHYSICAL THERAPY
Article 3 consisting of Sections R4-24-301 and R4-24-302 adopted effective April 10, 1986 (Supp. 86-2).
Former Article 3 consisting of Sections R4-24-301 through R4-24-303 repealed effective April 10, 1986 (Supp. 86-2).
Section
R4‑24‑301.	Lawful Practice 	10
R4-24-302.	Use of Titles 	10
R4‑24‑303.	Patient Care Management 	11
R4-24-304.	Adequate Patient Records 	11
R4-24-305.	Complaints and Investigations 	12
R4-24-306.	Hearings 	13
R4-24-307.	Subpoenas 	13
R4-24-308.	Rehearing or Review of Board Decisions 	13
R4-24-309.	Disciplinary Actions 	14
R4-24-310.	Substance Abuse Recovery Program 	14
R4-24-311.	Display of License; Disclosure 	14
R4-24-312.	Mandatory Reporting Requirement 	14
R4-24-313. 	Professional Standards of Care and Training and Education Qualifications for Delivery of Dry Needling Skilled Intervention 		15
Appendix A.	Repealed 	15
Appendix B.	Repealed 	15
ARTICLE 4. CONTINUING COMPETENCE
Article 4, consisting of Sections R4-24-401 through R4-24-403, adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2).
Section
R4‑24‑401.	Continuing Competence Requirements for Renewal 		15
R4‑24‑402.	Continuing Competence Activities 	16
R4‑24‑403.	Activities Not Eligible for Continuing Competence Credit 		17
ARTICLE 5. PUBLIC PARTICIPATION PROCEDURES
Article 5, consisting of Sections R4-24-501 through R4-24-506, adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2).
Section
R4‑24‑501.	Expired 	17
R4‑24‑502.	Petition for Rulemaking; Review of Agency Practice or Substantive Policy Statement; Objection to a Section Based Upon Economic, Small Business, or Consumer Impact 		17
R4‑24‑503.	Expired 	18
R4‑24‑504.	Expired 	18
R4‑24‑505.	Expired 	18
R4‑24‑506.	Written Criticism of Rule 	18
ARTICLE 1. GENERAL PROVISIONS
R4-24-101.	Definitions
In addition to the definitions in A.R.S. §§ 32-2001 and 32-2053, in this Chapter:
1.	“Accredited” means accredited by a nationally recognized accreditation organization.
2.	“Accredited educational program” means a physical therapist or physical therapist assistant educational program that is accredited by:
a.	The Commission on Accreditation of Physical Therapy Education, or
b.	An agency recognized as qualified to accredit physical therapist or physical therapist assistant programs by either the U.S. Department of Education or the Council on Higher Education Accreditation at the time of the applicant’s graduation.
3.	“Administratively suspend,” as used in A.R.S. § 32-2027, means a non-disciplinary action in which the Board places a license issued under A.R.S. Title 32, Chapter 19 and this Chapter on suspended status because the license was not renewed timely.
4.	“Applicant” means an individual or business entity seeking an initial or renewal license, initial or renewal registration, interim permit, or reinstatement from the Board.
5.	“Applicant packet” means the forms and additional information the Board requires to be submitted by an applicant or on the applicant’s behalf.
6.	“Campus” means a facility and immediately adjacent buildings.
7.	“Clinical performance instrument” means a tool used to assess an individual’s knowledge, skills, and attitudes for readiness to work as a physical therapist or physical therapist assistant, as applicable, that is accepted by the Board and listed on its website.
8.	“College Board” means an association composed of schools, colleges, universities, and other educational organizations across the United States that is responsible for the development of assessment tests that are used to provide college credit or for college placement.
9.	“College level examination program” means services offered by the College Board for an individual to demonstrate college-level achievement by taking an examination approved by the College Board.
10.	“Compliance period” means the two-year license renewal cycle that ends August 31 of even‑numbered years.
11.	“Continuing competence” means maintaining the professional skill, knowledge, and ability of a physical therapist or physical therapist assistant by successfully completing scholarly and professional activities related to physical therapy.
12.	“Course” means an organized subject matter in which instruction is offered within a specified period of time.
13.	“Course evaluation tool” means the Coursework Evaluation Tool for Foreign Educated Physical Therapists who Graduated after June 30, 2009, Fifth Edition, 2004 (effective July 1, 2009), published by the Federation of State Boards of Physical Therapy, 124 West Street, South Alexandria, VA, 22314, incorporated by reference and on file with the Board. This incorporation by reference contains no future editions or amendments.
14.	“Credential evaluation” means a written assessment of a foreign-educated applicant’s general and professional educational course work.
15.	“Credential evaluation agency” means an organization that evaluates a foreign-educated applicant’s education and provides recommendations to the Board about whether the applicant’s education is substantially equivalent to physical therapy education provided in an accredited educational program.
16.	“Days” means calendar days.
17.	“Endorsement” means a procedure for granting an Arizona license to an applicant already licensed as a physical therapist or physical therapist assistant in another jurisdiction of the United States.
18.	“ETS” means Educational Testing Service, an organization that provides educational learning and assessment services, including the Test of English as a Foreign Language Program.
19.	“Facility” means a building where:
a.	A physical therapist is engaged in the practice of physical therapy; 
b.	An applicant or licensee is engaged in a supervised clinical practice; or
c.	A physical therapist assistant performs physical therapy-related tasks delegated by an onsite supervisor.
20.	“Foreign‑educated applicant” means an individual who graduated from a physical therapist educational program outside the United States, Puerto Rico, District of Columbia, or a U.S. territory.
21.	“Functional limitation” means restriction of the ability to perform a physical action, activity, or task in an efficient, typically expected, or competent manner.
22.	“Hour” means 60 minutes.
23.	“iBT” means internet-based TOEFL.
24.	“National disciplinary database” means the disciplinary database of the U.S. Department of Health and Human Services’ Health Integrity and Protection Data Base, which contains previous or current disciplinary actions taken against a physical therapist or physical therapist assistant by state licensing agencies.
25.	“National examination” means an examination produced by the Federation of State Boards of Physical Therapy or an examination produced by the American Physical Therapy Association.
26.	“On call,” as used in the definition of “general supervision” prescribed under A.R.S. § 32-2001, means a supervising physical therapist is able to go to the location at which and on the same day that a physical therapist assistant provides a selected treatment intervention if the physical therapist, after consultation with the physical therapist assistant, determines that going to the location is in the best interest of the patient.
27.	“Onsite supervisor” means a physical therapist who provides onsite supervision as defined in A.R.S. § 32-2001.
28.	“Physical therapy services” means any of the actions stated in the definition of practice of physical therapy in A.R.S. § 32-2001.
29.	“Qualified translator” means an individual, other than an applicant, who is:
a.	An officer or employee of an official translation bureau or government agency,
b.	A professor or instructor who teaches a translated language in an accredited college or university in the United States,
c.	An American consul in the country where the translated document is issued or another individual designated by the American consul in the country where the translated document is issued, or
d.	A consul general or diplomatic representative of the United States or individual designated by the consul general or diplomatic representative.
30.	“Readily available,” as used in the definition of “general supervision” prescribed under A.R.S. § 32-2001, means a supervising physical therapist is able to respond within 15 minutes to a communication from a physical therapist assistant providing a selected treatment intervention under general supervision.
31.	“Recognized standards of ethics” means the Code of Ethics for the Physical Therapist (amended August 12, 2020) and the accompanying Guide for Professional Conduct (amended March 2019 and the Standards of Ethical Conduct for the PTA (amended August 2020) of the American Physical Therapy Association, 3030 Potomac Avenue, Suite 100, Alexandria, VA 22305-3085, which are incorporated by reference and on file with the Board. This incorporation includes no later editions or amendments.
32.	“Supervised clinical practice” means a physical therapist is engaged in the practice of physical therapy or a physical therapist assistant is engaged in work as a physical therapist assistant after being issued an interim permit by the Board.
33.	“Supervising physical therapist” means a physical therapist licensed under this Chapter who provides onsite or general supervision to licensed physical therapist assistants or onsite supervision to other assistive personnel, interim permit holders, student physical therapists, and student physical therapist assistants.
34.	“Suspend” means a disciplinary action in which the Board places a license or registration in a status that restricts the holder of the license or registration from practicing as a physical therapist, working as a physical therapist assistant, or offering physical therapy services.
35.	“TOEFL” means test of English as a foreign language.
36.	“Week” means the period beginning on Sunday at 12:00 a.m. and ending the following Saturday at 11:59 p.m.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended effective April 10, 1986 (Supp. 86-2). Amended effective May 7, 1990 (Supp. 90-2). Amended effective March 14, 1996 (Supp. 96-1). Amended by final rulemaking at 5 A.A.R. 2988, effective August 12, 1999 (Supp. 99-3). Amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 9 A.A.R. 307, effective January 13, 2003 (Supp. 03-1). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 13 A.A.R. 1640, effective June 30, 2007 (Supp. 07-2). Amended by final rulemaking at 15 A.A.R. 1788, effective December 5, 2009 (Supp. 09-4). Amended by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4‑24‑102.	Expired
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Former Section R4-24-102 repealed, former Section R4-24-103 renumbered and amended as Section R4-24-102 effective April 10, 1986 (Supp. 86-2). Former Section R4-24-102 renumbered to R4-24-103; new Section R4-24-102 adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3).
R4-24-103.	Board Officers
The Board shall elect a president, vice-president, and secretary at its first regular Board meeting each year.
1.	The president shall preside at all Board meetings.
2.	When the president is unable to preside at a Board meeting, the vice-president shall preside.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Former Section R4-24-103 renumbered and amended as Section R4-24-102, former Section R4-24-104 renumbered and amended as Section R4-24-103 effective April 10, 1986 (Supp. 86-2). Former Section R4-24-103 renumbered to Section R4-24-204 effective May 7, 1990 (Supp. 90-2). New Section R4-24-103 renumbered from R4-24-102 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2).
R4‑24‑104.	Confidential Information and Records
The following information or a record containing this information is confidential and is not provided to the public by the Board:
1.	An applicant’s or licensee’s:
a.	Social Security number;
b.	Home address or home telephone number unless the applicant or licensee designates the information for disclosure under A.R.S. § 32-3226;
c.	Credential evaluation report, education transcript, grades, or examination scores;
d.	National physical therapist or physical therapist assistant examination score;
e.	Diagnosis and treatment records; and
2.	According to A.R.S. § 32-2045, information or a document related to investigations by the Board until the information or document becomes a public record or as required by law.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Former Section R4-24-104 renumbered and amended as Section R4-24-103 effective April 10, 1986 (Supp. 86-2). New Section R4-24-104 adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4‑24‑105.	Expired
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended subsection (B) effective April 10, 1986 (Supp. 86-2). Amended effective May 7, 1990 (Supp. 90-2). Amended effective March 14, 1996 (Supp. 96-1). Section repealed; new Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3).
R4‑24‑106.	Repealed
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended subsection (A) effective April 10, 1986 (Supp. 86-2). Amended effective May 7, 1990 (Supp. 90-2). Amended effective March 14, 1996 (Supp. 96-1). Section repealed; new Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section repealed by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2).
R4-24-107.	Fees
A.	Under the authority provided by A.R.S. §§ 32-2029, 32-2030, 32-2032, and 32-2053 the Board establishes and shall collect the following fees:
1.	For a physical therapist:
a.	Application for an original license if the applicant applies on or after September 1 in an even-numbered year and no later than August 31 in an odd-numbered year, $260;
b.	Application for an original license if the applicant applies on or after September 1 in an odd-numbered year and no later than August 31 in an even-numbered year, $190;
c.	Renewal of an active license, $160;
d. 	Renewal of an inactive license, $80; and
e.	Reinstatement of an administratively suspended license, $100 plus the renewal fee	.
2.	For a physical therapist assistant:
a.	Application for an original license if the applicant applies on or after September 1 in an even-numbered year and no later than August 31 in an odd-numbered year, $160;
b.	Application for an original license if the applicant applies on or after September 1 in an odd-numbered year and no later than August 31 in an even-numbered year, $120;
c.	Renewal of an active license, $55;
d. 	Renewal of an inactive license, $27.50; and
e.	Reinstatement of an administratively suspended license, $50 plus the renewal fee	.
3.	For a business entity:
a.	Application for an original registration, $50;
b.	Renewal, $50; and
c.	Late fee, $25	.
B.	Under the authority provided by A.R.S. § 36-3606(A)(3), the Board establishes and shall collect a registration fee from an out-of-state health care provider of telehealth services: $100.
C.	The fees specified in subsections (A) and (B) are nonrefundable unless A.R.S. § 41-1077 applies.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended effective May 7, 1990 (Supp. 90-2). Section R4-24-107 renumbered to R4-24-306 by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section R4-24-107 renumbered from R4-24-206 by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 18 A.A.R. 1858, effective July 10, 2012 (Supp. 12-3). Amended by final exempt rulemaking at 27 A.A.R. 1105, with an immediate effective date of June 29, 2021 (Supp. 21-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-108.	Repealed
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Repealed effective May 7, 1990 (Supp. 90-2).
R4-24-109.	Renumbered
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended effective May 7, 1990 (Supp. 90-2). Amended effective March 14, 1996 (Supp. 96-1). Section R4-24-109 renumbered to R4-24-307 by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2).
ARTICLE 2. LICENSING PROVISIONS
R4-24-201.	Application for a Physical Therapist License
A.	An applicant for an original physical therapist license shall submit to the Board an application packet that includes:
1.	An electronic application form, which is available on the Board’s website;
2.	A headshot photograph of the applicant that was taken not more than six months before the date of the application; 
3.	A copy of documentation, as described under A.R.S. § 41-1080, of the applicant’s U.S. citizenship, alien status, legal residency, or lawful presence in the U.S.;
4.	A copy of the applicant’s valid fingerprint clearance card as required under A.R.S. § 32-2022; and
5.	The fee required in R4-24-107.
B.	In addition to the requirements in subsection (A), an applicant shall arrange to have the original source of the following information submit the information electronically to the Board:
1.	An official transcript or letter that shows the applicant completed all requirements of an accredited educational program, identifies the university or college where the applicant completed the accredited educational program, and contains the electronic signature of the registrar of the university or college,
2.	Verification of passing a national examination in physical therapy, and
3.	Verification of passing a jurisprudence examination.
C.	In addition to the requirements in subsections (A) and (B), an applicant for a physical therapist license by endorsement or universal recognition shall electronically submit to the Board:
1.	The name of the licensing or certifying agency of any jurisdiction in which the applicant is currently or has been previously licensed, certified, or granted a compact privilege, as defined at A.R.S. § 32-2053;
2.	A primary-source verification of each license, certificate, or compact privilege identified in subsection (C)(1) that includes all of the following:
a.	The name of the applicant;
b.	The license or certificate number and date of issuance;
c.	The current status of the license or certificate;
d.	The expiration date of the license or certificate; and
e.	A statement of whether any disciplinary action is pending or has ever been taken against the applicant and if so, an explanation.
D.	The Board shall deny a license to an applicant who fails to meet the requirements of this Section or A.R.S. Title 32, Chapter 19. An applicant denied a license may request a hearing under A.R.S. Title 41, Chapter 6, Article 10.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended subsection (C) and added subsection (D) effective April 10, 1986 (Supp. 86-2). Amended effective May 7, 1990 (Supp. 90-2). Amended effective March 14, 1996 (Supp. 96-1). Section repealed; new Section adopted by final rulemaking at 5 A.A.R. 2988, effective August 12, 1999 (Supp. 99-3). Amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008, (Supp. 08-3). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4‑24‑202.	Reinstatement of License; Reapplication
A.	Reinstatement. An applicant whose Arizona license is administratively suspended for no more than three consecutive years after the date on which the license was not renewed may apply for reinstatement of the license by submitting the application in R4-24-208 and the reinstatement fee and renewal fee required in R4-24-107.
B.	Reapplication. An Arizona license that is administratively suspended for more than three consecutive years after the date on which the license was not renewed expires as specified in A.R.S. § 32-2028(B) and may not be reinstated. The holder of an expired license may reapply for a license by submitting an application under R4-24-201, R4-24-203, or R4-23-207, as applicable, and the fee required in R4-24-107.
C.	If an applicant submits an application according to subsection (B), the Board shall require the applicant to demonstrate competency by doing one or more of the following:
1.	Practice physical therapy or work as a physical therapist assistant under an interim permit that allows the applicant to participate in a supervised clinical practice,
2.	Complete one or more courses relevant to the practice of physical therapy or the work of a physical therapist assistant,
3.	Complete continuing competence requirements for the period of the lapsed license, or
4.	Take and pass a jurisprudence examination or national examination.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended subsection (C) effective April 10, 1986 (Supp. 86-2). Amended effective May 7, 1990 (Supp. 90-2). Amended effective March 14, 1996 (Supp. 96-1). Former Section R4-24-202 renumbered to R4-24-204; new Section R4-24-202 adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Subsection (A) corrected at request of the Board, Office File No. M12-209, filed June 8, 2012 (Supp. 12-1). Amended by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-203.	Foreign-educated Applicant Requirements
A.	A foreign-educated applicant shall meet the requirements in A.R.S. § 32-2022(B) and the following:
1.	The applicant shall comply with the requirements in R4-24-201.
2.	The applicant shall ensure a document required by R4-24-201 or this subsection is:
a.	Submitted to the Board in English; or
b.	Accompanied by an original English translation by a qualified translator if the document is submitted to the Board in a language other than English and includes an affidavit of accuracy by the qualified translator affirming:
i.	The qualified translator has translated the entire document,
ii.	The qualified translator has not omitted anything from or added to the translation, and
iii.	The translation is true and accurate.
3.	To meet the requirements in A.R.S. § 32-2022(B)(4), the applicant shall state on the application form whether the applicant’s practice as a physical therapist was limited in the country where the professional education occurred. If the applicant’s practice was limited in the country where the professional education occurred, the applicant shall submit to the Board documentation of the limitation, or arrange to have documentation of limitation sent directly to the Board. The applicant shall ensure the documentation includes:
a.	The name, address, and telephone number of the entity that limited the applicant’s practice of physical therapy;
b.	An explanation of why the applicant’s practice as a physical therapist is limited; 
c.	A description of the nature of the limitation on the applicant’s practice of physical therapy; and
d.	If the limitation is based on citizenship requirements of the country in which the professional education was obtained, a legal reference for the limitation in the laws of the country in which the professional education was obtained, a copy of the referenced laws, and an English translation of the laws that meets the standards in subsection (A)(2)(b).
4.	If English is not the native language of the foreign-educated applicant, to meet the requirements in A.R.S. § 32-2022(B)(6), the applicant shall take and pass either of the following tests no more than 18 months before the date on which the application submitted under R4-24-201 is administratively complete and ensure the test scores are sent directly to the Board by the testing entity:
a.	The TOEFL. An applicant who takes the TOEFL passes with the following:
i.	A score of 560 or more if a paper-based test or a score of 220 or more if a computer-based test;
ii.	Test of Spoken English with a score of 50 or more; and
iii.	Test of Written English with a score of 4.5 or more; or
b.	The iBT. An applicant who takes the iBT passes with an overall test score of a minimum of 100 and a:
i.	Writing section with a minimum score of 25,
ii.	Speaking section with a minimum score of 25,
iii.	Reading section with a minimum score of 25, and
iv.	Listening section with a minimum score of 25.
5.	To demonstrate that the applicant meets uniform criteria for educational requirements according to A.R.S. § 32-2022(E)(3), the applicant shall undergo a credential evaluation to determine that the applicant meets the requirements in the course evaluation tool and arrange to have a credential evaluation report, prepared within 18 months from the date of the application, sent directly to the Board by the credential evaluation agency.
6.	To meet the requirements in A.R.S. § 32- 2022(B)(4), the applicant shall obtain a work visa to reside and seek employment in the United States issued by the United States Citizenship and Immigration Services and submit a copy of the work visa to the Board.
B.	After receiving a credential evaluation report from a credential evaluation agency, the Board:
1.	If the credential evaluation report does not establish that the education obtained by the foreign-educated applicant is substantially equivalent to the education required of a physical therapist in an accredited education program, may require the applicant to complete:
a.	One or more university or college courses and obtain a grade of C or better in each course;
b.	A college level examination program; or
c.	One or more continuing competence courses; and
2.	Shall issue, within the time frames stated in Table 1, an interim permit to complete a supervised clinical practice to the applicant if:
a.	The applicant was required to meet one or more of the requirements in subsection (B)(1) and completes the requirements; or
b.	The credential evaluation report establishes that the education obtained by the foreign-educated applicant is substantially equivalent to the education required of a physical therapist in an accredited education program; and
c.	The applicant has passed the national examination and jurisprudence examination; and
d.	The applicant meets the requirements in A.R.S. Title 32, Chapter 19 and R4-24-201.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Amended subsection (B) effective April 10, 1986 (Supp. 86-2). Amended effective March 14, 1996 (Supp. 96-1). Section repealed; new Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008, (Supp. 08-3). Amended by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-204.	Supervised Clinical Practice
A.	An interim permit holder shall complete a supervised clinical practice under onsite supervision. The supervised clinical practice shall consist of at least 500 hours.
B.	Before an individual is issued an interim permit, the individual shall submit to the Board:
1.	A written request for Board approval of the facility where supervised clinical practice will take place that includes:
a.	The name, address, and telephone number of the facility; and
b.	A description of the physical therapy services provided at the facility; and
2.	The name of the individual who holds an unrestricted license to practice physical therapy in this state and agrees to provide onsite supervision of the individual.
C.	The Board shall approve or deny a request made under subsection (B)(1):
1.	After assessing whether the facility provides the opportunity for an interim permit holder to attain the knowledge, skills, and attitudes to be evaluated according to an approved clinical performance instrument; and
2.	According to the time frames in Table 1.
D.	An onsite supervisor shall:
1.	Observe the interim permit holder during the supervised clinical practice and:
a.	Rate the interim permit holder’s performance, at both the mid-point and completion of the clinical practice, on each of the clinical performance criteria in the clinical performance instrument used, including the dates and hours the onsite supervisor provided onsite supervision;
b.	Recommend following the mid-point rating whether the interim permit holder be allowed to continue the clinical practice and changes needed, if any, to ensure successful completion of the clinical practice; and
c.	Recommend following the completion rating whether the interim permit holder be licensed or required to complete further supervised clinical practice; and
2.	Submit the ratings from the clinical performance instrument used to the Board as follows:
a.	No later than the 55th day of the clinical practice for the mid-point rating, and
b.	No later than 30 days after the end of the supervised clinical practice for the completion rating.
E.	After the Board receives the mid-point rating from the clinical performance instrument, the Board shall review the rating and recommendation of the onsite supervisor and decide whether to allow the interim permit holder to continue the clinical practice or recommend changes in the clinical practice to the onsite supervisor.
F. 	After the Board receives the completion rating from the clinical performance instrument, the Board:
1.	May require the interim permit holder to complete additional onsite supervision under the interim permit if the additional onsite supervision does not cause the interim permit holder to exceed six months from the date the interim permit was issued and:
a.	The onsite supervisor does not approve one or more of the skills from the clinical performance instrument;
b.	The onsite supervisor recommends that the interim permit holder complete further supervised clinical practice; or
c.	The Board determines that the interim permit holder has not met the requirements in A.R.S. Title 32, Chapter 19 and this Chapter.
2.	If the interim permit holder meets all of the requirements in A.R.S. Title 32, Chapter 19 and this Chapter, shall issue a license.
3.	If the interim permit holder does not meet all of the requirements in A.R.S. Title 32, Chapter 19 and this Chapter, shall deny a license.
G.	An applicant who has been denied a license may request a hearing under A.R.S. Title 41, Chapter 6, Article 10.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Former Section R4-24-103 renumbered and amended as Section R4-24-102, former Section R4-24-104 renumbered and amended as Section R4-24-103 effective April 10, 1986 (Supp. 86-2). Former Section R4-24-204 renumbered to R4-24-205, new Section R4-24-204 renumbered from Section R4-24-103 and amended effective May 7, 1990 (Supp. 90-2). Amended effective march 14, 1996 (Supp. 96-1). Former Section R4-24-204 renumbered to R4-24-206; new Section R4-24-204 renumbered from R4-24-202 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 9 A.A.R. 307, effective January 13, 2003 (Supp. 03-1). Former Section R4-24-204 renumbered to R4-24-205; new Section R4-24-204 made by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 14 A.A.R. 376, effective March 8, 2008 (Supp. 08-1). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008, (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4‑24‑205.	Examination Scores
A.	To be licensed as a physical therapist or physical therapist assistant, an applicant shall obtain:
1.	A scaled score of 600 or more, based on a scale ranging from 200 to 800 on a national examination for physical therapists or physical therapist assistants, as applicable, taken on or after March 14, 1996; or
2.	A raw score that is no fewer than 1.50 standard deviations below the national average for a national examination for physical therapists or physical therapist assistants, as applicable, taken before March 14, 1996.
B.	In addition to the requirements in subsection (A), to be licensed as a physical therapist or physical therapist assistant, an applicant shall obtain a scaled score of 600 or more based on a scale ranging from 200 to 800 on a jurisprudence examination.
Historical Note
Adopted effective April 10, 1986 (Supp. 86-2). Former Section R4-24-205 renumbered to R4-24-206, new Section R4-24-205 renumbered from Section R4-24-204 and amended effective May 7, 1990 (Supp. 90-2). Section repealed; new Section adopted by final rulemaking at 5 A.A.R. 2988, effective August 12, 1999 (Supp. 99-3). Former Section R4-24-205 renumbered to R4-24-207; new Section R4-24-205 adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Former Section R4-24-205 repealed; new Section R4-24-205 renumbered from R4-24-204 and amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-206.	Renumbered
Historical Note
Section R4-24-205 adopted effective April 10, 1986 (Supp. 86-2). Section R4-24-206 renumbered from Section R4-24-205 and amended effective May 7, 1990 (Supp. 90-2). Amended by final rulemaking at 5 A.A.R. 2988, effective August 12, 1999 (Supp. 99-3). Former Section R4-24-206 repealed; new Section R4-24-206 renumbered from R4-24-204 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 11 A.A.R. 5465, effective February 4, 2006 (Supp. 05-4). Section R4-24-206 renumbered to R4-24-107 by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006
(Supp. 06-2).
R4-24-207.	Application for a Physical Therapist Assistant License
A.	An applicant for an original physical therapist assistant license shall submit to the Board an application packet that includes:
1.	An electronic application form, which is available on the Board’s website;
2.	A headshot photograph of the applicant that was taken not more than six months before the date of the application;
3.	A copy of documentation, as described under A.R.S. § 41-1080, of the applicant’s U.S. citizenship, alien status, legal residency, or lawful presence in the U.S.; 
4.	A copy of the applicant’s valid fingerprint clearance card as required under A.R.S. § 32-2022; and
5.	The fee required in R4-24-107.
B.	In addition to the requirements in subsection (A), an applicant shall arrange to have the primary source of the following information submit the information electronically to the Board:
1.	An official transcript or letter showing the applicant completed all requirements of an accredited educational program that identifies the school or college where the applicant completed the accredited educational program and contains the electronic signature of the registrar of the school or college;
2.	Verification of passing a national examination for physical therapist assistants; and
3.	Verification of passing a jurisprudence examination.
C.	In addition to the requirements in subsections (A) and (B), an applicant for a physical therapist assistant license by endorsement or universal recognition shall electronically submit to the Board:
1.	The name of the licensing or certifying agency of any jurisdiction in which the applicant is currently or has been previously licensed, certified, or granted a compact privilege, as defined at A.R.S. § 32-2053; and
2.	A primary-source verification of any license, certificate or compact privilege identified under subsection (C)(1) that includes all of the following:
a.	The name of the applicant;
b.	The license or certificate number and date of issuance;
c.	The current status of the license or certificate;
d.	The expiration date of the license or certificate; and
e.	A statement of whether any disciplinary action is pending or has ever been taken against the applicant and if so, an explanation.
D.	The Board shall deny a license to an applicant who fails to meet the requirements of this Section or A.R.S. Title 32, Chapter 19. A person denied a license may request a hearing under A.R.S. Title 41, Chapter 6, Article 10.
Historical Note
New Section adopted by final rulemaking at 5 A.A.R. 2988, effective August 12, 1999 (Supp. 99-3). Former Section R4-24-207 renumbered to R4-24-209; new Section R4-24-207 renumbered from R4-24-205 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 14 A.A.R. 376, effective March 8, 2008 (Supp. 08-1). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008, (Supp. 08-3). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-208.	License Renewal; Change in Contact Information
A.	A licensee shall submit an electronic renewal application packet to the Board on or before August 31 of an even-numbered year that includes:
1.	An electronic renewal application form, which is available on the Board’s website, and information for the compliance period immediately preceding the renewal application;
2.	If the documentation previously submitted under R4-24-201(A)(3) or R4-24-207(A)(3) did not establish citizenship in the United States or was not a non-expiring work authorization, documentation specified under A.R.S. § 41-1080 that the presence of the licensee in the United States continues to be authorized under federal law; and 
3.	The fee required by the Board in R4-24-107.
B.	Failure of the Board to inform a licensee of license expiration does not excuse the licensee’s non-renewal or untimely renewal.
C.	The Board shall:
1.	Approve or deny the application within the time frames in R4-24-209 and Table 1, and
2.	Deny the application of an applicant who does not meet the requirements in A.R.S. § 32-2001 et seq. or this Chapter.
D.	A licensee denied renewal of a license may request a hearing under A.R.S. Title 41, Chapter 6, Article 10.
E.	A licensee shall update electronically any change in the licensee’s name, home, business, or email address, or home or business telephone number no later than 30 days after the date of the change.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 14 A.A.R. 376, effective March 8, 2008 (Supp. 08-1). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008, (Supp. 08-3). Amended by final rulemaking at 18 A.A.R. 1858, effective July 10, 2012 (Supp. 12-3). Amended by final exempt rulemaking at 21 A.A.R. 924, effective July 1, 2015 (Supp. 15-2). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-209.	Time Frames for Board Approvals
A.	The overall time frame described in A.R.S. § 41-1072(2) for each type of approval granted by the Board is listed in Table 1. The applicant and the Executive Director of the Board may agree in writing to extend the substantive review time frame by no more than 25 percent of the overall time frame.
B.	The administrative completeness review time frame described in A.R.S. § 41-1072(1) for each type of approval granted by the Board is listed in Table 1.
1.	The administrative completeness review time frame begins:
a.	When the Board receives an application packet for an initial or renewal license or registration of a business entity or
b.	When the Board receives a request for approval of a facility.
2.	If the application packet is incomplete, the Board shall send to the applicant a written notice specifying the missing document or incomplete information.
a.	The administrative completeness review time frame and the overall time frame are suspended from the postmark date of the notice until the date the Board receives a complete application packet from the applicant.
b.	An applicant who disagrees with the Board’s statement of deficiencies may request a hearing as provided in A.R.S. § 32-2023.
3.	If an application packet is complete, the Board shall send a written notice of administrative completeness to the applicant.
4.	If the Board grants a license or approval during the time provided to assess administrative completeness, the Board shall not issue a separate written notice of administrative completeness.
C.	The substantive review time frame described in A.R.S. § 41-1072(3) is listed in Table 1 and begins on the postmark date of the notice of administrative completeness.
1.	During the substantive review time frame, the Board may make one comprehensive written request for additional information or documentation. The time frame for the Board to complete the substantive review is suspended from the postmark date of the comprehensive written request for additional information or documentation until the Board receives the additional information or documentation.
2.	The Board shall send a written notice of approval to an applicant who meets the qualifications in A.R.S. §§ 32-2001 through 32-2027 and this Chapter.
3.	The Board shall send a written notice of denial to an applicant who fails to meet the qualifications in A.R.S. §§ 32-2001 through 32-2027 and this Chapter.
D.	The Board shall consider an application withdrawn if within 360 days from the application submission date the applicant fails to:
1.	Supply the missing information requested under subsection (B)(2) or (C)(1); or
2.	Take the national physical therapist examination or national physical therapist assistant examination.
E.	If the last day of a time frame falls on a Saturday, Sunday, or an official state holiday, the Board shall consider the next business day the last day.
Historical Note
New Section R4-24-209 renumbered from R4-24-207 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
Table 1.	Time Frames (in days) 
Type of Applicant	Type of Approval	Statutory
Authority	Overall
Time Frame	Administrative 
Completeness 
Time Frame	Substantive Review
Time Frame	
Original License
(R4-24-201 or R4-24-207) or 
Registration as an Out-of-state Health Care Provider of Telehealth Services
(A.R.S. § 36-3606)	License
Registration	A.R.S. §§ 32-2022;
 32-2023; 36-3606	75	30	45	
Physical Therapist or Physical Therapist Assistant License by Endorsement or Universal Recognition
(R4-24-201; R4-24-207)	License by
Endorsement or Universal Recognition	A.R.S. §§ 32-2022; 32-2023; 32-2026; 32-4302 	75	30	45	
Foreign-educated
(R4-24-203)	License	A.R.S. §§ 32-2022; 32-2025	75	45	30	
Renewal of license
(R4-24-208)	License 	A.R.S. § 32-2027	30	15	15	
Foreign-educated and
Supervised Clinical Practice
(R4-24-203, R4-24-204)	Interim Permit and Approval of Facility	A.R.S. § 32-2025	60	30	30	
Reinstatement
(R4-24-202)	Reinstatement of License 	A.R.S. § 32-2028	30	15	15	
Initial Registration of a Business Entity
(R4-24-210)	Registration	A.R.S. § 32-2030	30	15	15	
Renewal of Registration of a Business Entity
(R4-24-211)	Registration	A.R.S. § 32-2030(D)	15	7	8	

Historical Note
Table 1 adopted by final rulemaking at 5 A.A.R. 2988, effective August 12, 1999 (Supp. 99-3). Amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2). Amended by final rulemaking at 15 A.A.R. 1788, effective December 5, 2009 (Supp. 09-4). Amended by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final exempt rulemaking at 27 A.A.R. 1105, with an immediate effective date of June 29, 2021 (Supp. 21-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-210.	Business Entity Registration; Display of Registration Certificate
A.	A business entity that offers physical therapy services to the public and is not exempt from registration under A.R.S. § 32-2030(H) shall separately register with the Board each location from which physical therapy services are offered in Arizona.
B.	A business entity shall not offer physical therapy services at a location in Arizona until that location is registered with the Board.
C.	To register with the Board an Arizona location at which physical therapy services are offered, a business entity shall submit to the Board an electronic application packet that includes the following:
1.	An application form, which is available on the Board’s website; and
2.	The application fee required under R4-24-107.
D.	For each location registered, a business entity shall display, in a location accessible to public view, the:
1.	Registration certificate and current renewal verification of the business entity,
2.	License and current renewal verification of every physical therapist who provides physical therapy services at the location, and
3.	Certificate and current renewal verification of every physical therapy assistant who works at the location.

Historical Note
New Section made by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-211.	Renewal of Business Entity Registration
A.	The registration of a business entity expires for each location registered on August 31 of every odd-numbered year.
B.	A business entity shall separately renew the registration of each location from which the business entity offers physical therapy services in Arizona.
C.	To renew the registration of an Arizona location from which physical therapy services are offered, a business entity shall submit to the Board an electronic application form, which is available on the Board’s website and the renewal fee specified at R4-24-107.
D.	A business entity that timely complies with subsection (C) may continue to offer physical therapy services from the location for which application is made until the Board grants or denies the renewed registration.
E.	A business entity that fails to comply timely with subsection (C) shall immediately stop offering physical therapy services from the location for which application is not made. To be authorized to offer physical therapy services again from that location, the business entity shall comply with R4-24-210 and pay both the application and late fee specified in R4-24-107.

Historical Note
New Section made by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-212.	Regulation of a Business Entity
A.	A business entity may submit a complaint under A.R.S. § 32-2030 or 32-2045(D) by complying with R4-24-305.
B.	The Board shall investigate and act on a complaint, whether submitted by or against a business entity, in a manner consistent with R4-24-305, R4-24-306, R4-24-307, R4-24-308, and R4-24-309.
C.	As provided under A.R.S. § 32-2047, a business entity that violates a requirement of A.R.S. § 32-2030 is subject to disciplinary action by the Board.

Historical Note
New Section made by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1).
R4-24-213.	Business Entity Participation
A registered business entity may provide assistance and advice to the Board relating to the regulation of business entities by:
1.	Participating in the rulemaking process in a manner described under A.R.S. Title 41, Chapter 6, Article 3;
2.	Submitting a petition under A.R.S. § 41-1033 and R4-24-502;
3.	Submitting an appeal under A.R.S. § 41-1056.01 and R4-24-502;
4.	Submitting a written criticism under R4-24-506; and
5.	Attending a Board meeting.
Historical Note
New Section made by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1).
Exhibit 1.	Repealed
Historical Note
Exhibit 1 adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Exhibit 1 repealed by final rulemaking at 12 A.A.R. 2401, effective August 5, 2006 (Supp. 06-2).
	ARTICLE 3. PRACTICE OF PHYSICAL THERAPY
R4‑24‑301.	Lawful Practice
A.	A physical therapist shall provide the referring practitioner, if any, with information from the patient assessment, diagnosis, and plan of care. Within one week after a patient is initially evaluated, the physical therapist shall provide this information:
1.	In writing and place a copy of the written notice in the patient’s record, or
2.	Orally and place a contemporaneously made note of the verbal communication in the patient’s record.
B.	A physical therapist shall maintain the confidentiality of patient records as required by federal and state law.
C. 	On written request by a patient or the patient’s health care decision maker, a physical therapist shall provide access to or a copy of the patient’s medical or payment record in accordance with A.R.S. § 12-2293.
D.	A physical therapist shall obtain a patient’s consent before examination and treatment and document the consent in the patient’s record.
E.	A physical therapist shall respect a patient’s right to make decisions regarding examination and the recommended plan of care including the patient’s decision regarding consent, modification of the plan of care, or refusal of examination or treatment. To assist the patient in making these decisions, the physical therapist shall:
1.	Communicate to the patient:
a.	Examination findings,
b.	Evaluation of the findings, and
c.	Diagnosis and prognosis,
2.	Collaborate with the patient to establish the goals of treatment and the plan of care, and
3.	Inform the patient that the patient is free to select another physical therapy provider.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Former Section R4-24-301 repealed, new Section R4-24-301 adopted effective April 10, 1986 (Supp. 86-2). Amended effective March 14, 1996 (Supp. 96-1). Section repealed; new Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 15 A.A.R. 1788, effective December 5, 2009 (Supp. 09-4).
R4-24-302.	Use of Titles
A.	As required under A.R.S. § 32-2042, a licensed physical therapist shall use the designation “PT” immediately following the licensee’s name or signature to denote licensure. A licensed physical therapist shall not use the designations “RPT” or “LPT” in connection with the physical therapist’s name or place of business.
B.	As required under A.R.S. § 32-2042, a physical therapist assistant shall use the designation “PTA” immediately following the physical therapist assistant’s name to denote licensure.
C.	In addition to and immediately following the designation specified in subsection (A) or (B), as applicable, a physical therapist or physical therapist assistant may list academic degrees earned and professional specialty certifications held.
D.	As required under A.R.S. § 32-2042, a physical therapist or physical therapist assistant who is on retired status shall use “(retired)” or “(ret.)” immediately after the designation required under subsection (A) or (C), as applicable.
Historical Note
Adopted effective June 1, 1982 (Supp. 82-3). Former Section R4-24-302 repealed, new Section R4-24-302 adopted effective April 10, 1986 (Supp. 86-2). Amended effective March 14, 1996 (Supp. 96-1). Section repealed; new Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 18 A.A.R. 1858, effective July 10, 2012 (Supp. 12-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4‑24‑303.	Patient Care Management
A.	A physical therapist is responsible for the scope of patient management in the practice of physical therapy as defined by A.R.S. § 32-2001. For each patient, the physical therapist shall:
1.	Perform and document an initial evaluation;
2.	Perform and document periodic reevaluation;
3.	Document a discharge summary and the patient’s response to the course of treatment at discharge;
4.	Ensure the patient’s physical therapy record is complete and accurate; and
5.	Ensure services reported for billing, whether billed directly to the patient or through a third party, are accurate and consistent with information in the patient’s physical therapy record.
B.	On each date of service, a physical therapist shall:
1.	Perform and document each therapeutic intervention that requires the expertise of a physical therapist; and
2.	Determine, based on a patient’s acuity and treatment plan, whether it is appropriate to use assistive personnel to perform a selected treatment intervention or physical therapy task for the patient.
C.	A physical therapist shall not supervise more than three assistive personnel at any time. If a physical therapist supervises three assistive personnel, the physical therapist shall ensure:
1.	At least one of the assistive personnel is a physical therapist assistant,
2.	No more than two of the assistive personnel are physical therapist assistants performing selected treatment interventions under general supervision, and
3.	Assistive personnel other than a physical therapist assistant perform a physical therapy task only under the onsite supervision of a physical therapist.
D.	Before delegating performance of a selected treatment intervention to a physical therapist assistant working under general supervision, the supervising physical therapist shall ensure the physical therapist assistant:
1.	Is licensed under this Chapter, and
2.	Has completed at least 2,000 hours of experience as a physical therapist assistant working with patients under onsite supervision.
E.	Before delegating performance of a selected physical therapy intervention or physical therapy task to assistive personnel working under general or onsite supervision, the supervising physical therapist shall ensure the assistive personnel is qualified by education or training to perform the selected physical therapy intervention or physical therapy task in a safe, effective, and efficient manner.
F.	A physical therapist who provides general supervision for a physical therapist assistant shall:
1.	Be licensed under this Chapter;
2.	Respond to a communication from the physical therapist assistant within 15 minutes;
3.	Go to the location at which and on the same day that the physical therapist assistant provides a selected treatment intervention if the physical therapist, after consultation with the physical therapist assistant, determines that going to the location is in the best interest of the patient; and
4.	Perform a reevaluation and provide each therapeutic intervention for the patient that is done on the day of the reevaluation every fourth treatment visit or every 30 days, whichever occurs first.
G.	A physical therapist assistant who provides a selected treatment intervention under general supervision shall document in the patient record:
1.	The name and license number of the supervising physical therapist;
2.	The name of the patient to whom the selected treatment intervention is provided;
3.	The date on which the selected treatment intervention is provided;
4.	The selected treatment intervention provided; and
5.	Whether the physical therapist assistant consulted with the supervising physical therapist during the course of the selected treatment intervention and if so, the subject of the consultation and any decision made.
Historical Note
Adopted effective June 3, 1982 (Supp. 82-3). Repealed effective April 10, 1986 (Supp. 86-2). New Section R-24-303 adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 13 A.A.R. 1640, effective June 30, 2007 (Supp. 07-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-304.	Adequate Patient Records
A.	A physical therapist shall ensure a patient record meets the following minimum standards:
1.	Each entry in the patient record is:
a.	Legible,
b.	Accurately dated, and
c.	Signed with the name and legal designation of the individual making the entry;
2.	If an electronic signature is used to sign an entry, the electronic signature is secure;
3.	The patient record contains sufficient information to:
a.	Identify the patient on each page of the patient record,
b.	Justify the therapeutic intervention,
c.	Document results of the therapeutic intervention,
d.	Indicate advice or cautionary warnings provided to the patient,
e.	Enable another physical therapist to assume the patient’s care at any point in the course of therapeutic intervention, and
f.	Describe the patient’s medical history.
4.	If an individual other than a physical therapist or physical therapist assistant makes an entry into the patient record, the supervising physical therapist co-signs the entry;
5.	If it is determined that erroneous information is entered into the patient record:
a.	The error is corrected in a manner that allows the erroneous information to remain legible, and
b.	The individual making the correction dates and initials the correct information; and
6.	For each date of service there is an accurate record of the physical therapy services provided and billed.
B.	Initial evaluation. As required by A.R.S. § 32-2043(F)(1), a physical therapist shall perform the initial evaluation of a patient. The physical therapist who performs an initial evaluation shall make an entry that meets the standards in subsection (A) in the patient record and document:
1.	The patient’s reason for seeking physical therapy services;
2.	The patient’s relevant medical diagnoses or conditions;
3.	The patient’s current functional status;
4.	The patient’s signs and symptoms;
5.	Objective data from tests or measurements;
6.	The physical therapist’s interpretation of the results of the examination;
7.	Clinical rationale for therapeutic intervention;
8.	A plan of care that includes the proposed therapeutic intervention, measurable goals, and frequency and duration of therapeutic intervention; and
9.	The patient’s prognosis.
C.	Therapeutic-intervention notes. For each date that a therapeutic intervention is provided to a patient, the individual who provides the therapeutic intervention shall make an entry that meets the standards in subsection (A) in the patient record and document:
1.	The patient’s current functional status;
2.	The patient’s subjective report of current status or response to therapeutic intervention;
3.	The therapeutic intervention provided or appropriately supervised;
4.	Objective data from tests or measures, if collected;
5.	Instructions provided to the patient, if any; and
6.	Any change in the plan of care required under subsection (B)(8).
D.	Re-evaluation. As required by A.R.S. § 32-2043(F)(2), a physical therapist shall perform a re-evaluation when a patient fails to progress as expected, progresses sufficiently to warrant a change in the plan of care, or in accordance with R4-24-303(F)(4). A physical therapist who performs a re-evaluation shall make an entry that meets the standards in subsection (A) in the patient record and document:
1.	The patient’s subjective report of current status or response to therapeutic intervention;
2.	Assessment of the patient’s progress;
3.	The patient’s current functional status;
4.	Objective data from tests or measures, if collected;
5.	Rationale for continuing therapeutic intervention; and
6.	Any change in the plan of care required under subsection (B)(8).
E.	Discharge summary. As required by A.R.S. § 32-2043(F)(3), a physical therapist shall document the conclusion of care in a patient’s record regardless of the reason that care is concluded.
1.	If care is provided in an acute-care hospital, the entry made under subsection (C) on the last date that a therapeutic intervention is provided constitutes documentation of the conclusion of care if the entry is made by a physical therapist.
2.	If care is not provided in an acute-care hospital or if a physical therapist does not make the entry under subsection (C) on the last date that a therapeutic intervention is provided, a physical therapist shall make an entry that meets the standards in subsection (A) in the patient record and document:
a.	The date on which therapeutic intervention terminated;
b.	The reason that therapeutic intervention terminated;
c.	Inclusive dates for the episode of care being terminated;
d.	The total number of days on which therapeutic intervention was provided during the episode of care;
e.	The patient’s current functional status;
f.	The patient’s progress toward achieving the goals in the plan of care required under subsection (B)(8); and
g.	The recommended discharge plan.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). R4-24-304 renumbered to R4-24-305; new Section R4-24-304 made by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-305.	Complaints and Investigations
A.	A complainant shall ensure that a complaint filed with the Board is about:
1.	An individual licensed under this Chapter; 
2.	A business entity registered with the Board; or
3.	An individual believed to be engaged in unlawful practice as described in A.R.S. § 32-2048.
B.	If the Board determines under A.R.S. § 32-2045(A)(2) that there is reason to believe an individual or business entity may have violated A.R.S. Title 32, Chapter 19, or this Chapter, the Board shall prepare a complaint and serve the complaint as described in subsection (D)(2).
C.	Complaint requirements. A complainant shall:
1.	Submit the complaint to the Board in writing; and
2.	Provide the following information:
a.	Name of licensee, business entity, or other individual who is the subject of complaint;
b.	Name and address of complainant;
c.	Nature of the complaint;
d.	Details of the complaint with pertinent dates and activities;
e.	Whether the complainant has contacted any other organization regarding the complaint; and
f.	Whether complainant has contacted the licensee, business entity, or other individual concerning the complaint, and if so, the response, if any.
D.	Within 90 days after receiving a complaint, the Board shall ensure the complaint is reviewed to determine whether the complaint is within the Board’s jurisdiction, and:
1. 	If the complaint is not within the Board’s jurisdiction, dismiss the complaint and provide written notice of the dismissal to the complainant; or
2. 	If the complaint is within the Board’s jurisdiction, serve a copy of the complaint on the individual or business entity complained against and provide the individual or business entity complained against with 30 days to respond and admit, deny, or further explain each allegation in the complaint.
E.	If a complaint is within the Board’s jurisdiction, the Board shall ensure an investigation regarding the matters alleged in the complaint is conducted.
F.	After expiration of the 30 days provided under subsection (D)(2), the Board shall review the complaint, response, and investigation results and take action as prescribed under A.R.S. §§ 32-2045(B) or 32-2046. 
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). R4-24-305 renumbered to R4-24-306; new Section R4-24-305 renumbered from R4-24-304 and amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-306.	Hearings
A.	To facilitate investigation of a complaint, the Board may conduct an informal hearing. The Board shall send written notice of an informal hearing to the person who is the subject of the complaint, by personal service or certified mail, return receipt requested, at least 30 days before the informal hearing.
B.	The Board shall ensure that the written notice of informal hearing contains the following information:
1.	The time, date, and place of the informal hearing;
2.	An explanation of the informal nature of the proceedings;
3.	The person’s right to appear with or without legal counsel;
4.	A statement of the allegations and issues involved with a citation to relevant statutes and rules;
5.	The person’s right to a formal hearing under A.R.S. Title 41, Chapter 6, Article 10 instead of the informal hearing;
6.	The person’s right to request a copy of information the Board will use in making its determination; and
7.	Notice that the Board may take disciplinary action as a result of the informal hearing if it finds the person violated A.R.S. Title 32, Chapter 19, or this Chapter;
C.	The Board shall ensure an informal hearing proceeds as follows:
1.	Introduction of the respondent and, if applicable, legal counsel for the respondent;
2.	Introduction of the Board members, staff, and Assistant Attorney General present;
3.	Swearing in of the respondent and witnesses;
4.	Brief summary of the allegations and purpose of the informal hearing;
5.	Optional opening comment by the respondent;
6.	Questioning of the respondent by the Board and questioning of witnesses by the Board and the respondent;
7.	Optional additional comments by the respondent; and
8.	Deliberation and deciding the case by the Board.
Historical Note
New Section R4-24-306 renumbered from R4-24-107 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). R4-24-306 renumbered to R4-24-307; new Section R4-24-306 renumbered from R4-24-305 and amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-307.	Subpoenas
A.	A party desiring issuance of a subpoena to compel the appearance of a witness or the production of documents or other evidence at a hearing shall file a written request with the Board that includes the following information:
1.	The caption and docket number of the matter;
2.	A list or description of any documents or other evidence sought;
3.	The name and business address of the custodian of the documents or other evidence sought;
4.	The name and business or residential address of all persons to be subpoenaed;
5.	A brief statement of the reason the evidence is relevant to the matter;
6.	The date, time, and place to appear or produce documents or other evidence; and
7.	The name, address, and telephone number of the party, or the party’s attorney, requesting the subpoena.
B.	The party requesting a subpoena be issued shall ensure that the subpoena is served in the manner prescribed by the Arizona Rules of Civil Procedure and pay all costs involved in serving the subpoena.
C.	A party or the person served with a subpoena who objects to the subpoena, in whole or in part, may file a written objection with the Board within five days after service of the subpoena or at the beginning of the hearing if the subpoena is served fewer than five days before the hearing.
D.	The Board shall quash or modify a subpoena if:
1.	It is unreasonable or oppressive,
2.	It requests information that is confidential or privileged, or
3.	The desired testimony or evidence can be obtained by an alternative method.
Historical Note
New Section R4-24-307 renumbered from R4-24-109 and amended by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). R4-24-307 renumbered to R4-24-308; new Section R4-24-307 renumbered from R4-24-306 and amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3).
R4-24-308.	Rehearing or Review of Board Decisions
A.	The Board shall provide for a rehearing and review of its decisions under A.R.S. Title 41, Chapter 6, Article 10.
B.	Except as provided in subsection (I), a party is required to file a motion for rehearing or review of a decision of the Board to exhaust the party’s administrative remedies.
C.	A party may amend a motion for rehearing or review at any time before the Board rules on the motion.
D.	The Board may grant a rehearing or review for any of the following reasons materially affecting a party’s rights:
1.	Irregularity in the proceedings of the Board or any order or abuse of discretion that deprived the moving party of a fair hearing;
2.	Misconduct of the Board, its staff, or an administrative law judge;
3.	Accident or surprise that could not have been prevented by ordinary prudence;
4.	Newly discovered material evidence that could not, with reasonable diligence, have been discovered and produced at the hearing;
5.	Excessive or insufficient penalty;
6.	Error in the admission or rejection of evidence or other errors of law occurring at the hearing or during the progress of the proceedings; and
7.	The findings of fact or decision is not justified by the evidence or is contrary to law.
E.	The Board may affirm or modify a decision or grant a rehearing or review to any or all of the parties on all or part of the issues for any of the reasons listed in subsection (D). An order modifying a decision or granting a rehearing or review shall specify with particularity the grounds for the order. If a rehearing or review is granted, the rehearing or review shall cover only the matters specified in the order.
F.	No later than 30 days after making a decision and after giving the parties notice and an opportunity to be heard, the Board may order a rehearing or review on its own initiative for any of the reasons listed in subsection (D). The Board may grant a motion for rehearing or review, timely served, for a reason not stated in the motion. An order granting a rehearing or review shall specify with particularity the grounds on which the rehearing or review is granted.
G.	When a motion for rehearing or review is based upon affidavits, the affidavits shall be served with the motion. An opposing party may, within 15 days after service, serve opposing affidavits. This period may be extended for not more than 20 days by the Board by written stipulation of the parties or a Board finding that the extension will further justice and cause no harm to any party. The Board may permit reply affidavits.
H.	If a rehearing is granted, the Board shall hold the rehearing within 60 days after the issue date on the order granting the rehearing.
I.	If the Board makes a specific finding that immediate effectiveness of a particular decision is necessary for preservation of the public health, safety, or welfare and that rehearing or review is impracticable, unnecessary, or contrary to public interest, the decision may be issued as a final decision without an opportunity for rehearing or review. If an application for judicial review of the decision is made, it shall be made under A.R.S. § 12-901 et seq.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). R4-24-308 renumbered to R4-24-309; new Section R4-24-308 renumbered from R4-24-307 and amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 18 A.A.R. 1858, effective July 10, 2012 (Supp. 12-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-309.	Disciplinary Actions
A.	As required by A.R.S. § 39-121.01, a record of Board disciplinary actions, including a decree of censure, is a public record open to public inspection.
B.	If the Board decides to restrict a license, the Board shall ensure that the restriction and any required corrective action address the conduct that led to the restriction and protect the public. If the Board decides to require that an individual with a restricted license be supervised during the period of restriction, the Board shall appoint an unrestricted licensee to provide the supervision.
C.	A physical therapist or physical therapist assistant whose license is suspended, revoked, or voluntarily surrendered shall return the license to the Board within 10 days after receipt of the Board’s final order.
D.	At the end of a period of license restriction, the Board shall terminate the restriction only if the licensee submits to the Board evidence of having completed all required corrective actions and complied with all terms of the restriction. If the Board believes it will help the Board determine whether to terminate a restriction, the licensee shall appear before the Board.
E.	An applicant who had a previous license revoked by the Board shall appear before the Board before the Board acts on the application.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). R4-24-309 renumbered to R4-24-310; new Section R4-24-309 renumbered from R4-24-308 and amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-310.	Substance Abuse Recovery Program
A.	Under A.R.S. § 32-2044(8), practicing as a physical therapist or working as a physical therapist assistant while mentally or physically impaired is grounds for disciplinary action.
B.	The Board shall allow an impaired licensee to enter into a substance abuse recovery program rather than conduct a disciplinary proceeding if:
1.	The impaired licensee is qualified under A.R.S. § 32-2050(2),
2.	The Board believes the proposed program will assist the impaired licensee to recover, and
3.	The impaired licensee enters into the written agreement required under A.R.S. § 32-2050(3) and (4).
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3). New Section R4-24-310 renumbered from R4-24-309 and amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-311.	Display of License; Disclosure
A.	A licensee shall display a copy or provide documentation of the license and current renewal verification as specified in A.R.S. § 32-2051(G).
B.	Upon request, a licensee shall inform a member of the public how to file a complaint by providing the address and telephone number of the Board office and a statement that a complaint against a licensee should be directed to the Board.
C.	Before conducting an evaluation or initiating physical therapy, a licensed physical therapist shall disclose to a patient when a referring practitioner is deriving direct or indirect compensation from the referral. The licensed physical therapist shall ensure the disclosure is in writing and states “Under A.R.S. § 32-2051(C), I am required by law to inform you in writing that your referring physician [or specify if different from a physician] derives either direct or indirect compensation related to your physical therapy.”
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-312.	Mandatory Reporting Requirement
A.	As required by A.R.S. § 32-3208, an applicant or licensee who is charged with a misdemeanor involving conduct that may affect patient safety or a felony shall provide written notice of the charge to the Board within 10 working days after the charge is filed.
B.	An applicant or licensee may request a list of reportable misdemeanors from the Board.
Historical Note
New Section made by final rulemaking at 14 A.A.R. 3418, effective October 4, 2008 (Supp. 08-3). Amended by final rulemaking at 18 A.A.R. 1858, effective July 10, 2012 (Supp. 12-3). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4-24-313. 	Professional Standards of Care and Training and Education Qualifications for Delivery of Dry Needling Skilled Intervention
A.	Under A.R.S. § 32-2044(25), a physical therapist shall meet the qualifications established in subsection (C) before providing the skilled intervention “dry needling”, as defined in A.R.S. § 32-2001(4).
B.	A physical therapist offering to provide or providing “dry needling” intervention shall provide to the Board documented proof of compliance with the qualifications listed in subsection (C) within 30 days after completing the course content in subsection (C) or within 30 days of initial licensure as a physical therapist in Arizona.
C.	The Board has determined that only a “dry needling” course that meets the following standards provides the training and education necessary to qualify an individual to provide dry needling in Arizona:
1.	The course is approved by one or more of the following entities before the course or courses is completed by the physical therapist.
a.	Commission on Accreditation in Physical Therapy Education,
b.	American Physical Therapy Association, 
c.	State Chapters of the American Physical Therapy Association, 
d.	Specialty Groups of the American Physical Therapy Association, or
e.	The Federation of State Boards of Physical Therapy.
2.	The course includes the following components:
a.	Sterile needle procedures consistent with the standards of one of the following:
i.	The U.S. Centers For Disease Control and Prevention, or
ii.	The U.S. Occupational Safety and Health Administration
b.	Anatomical review,
c.	Blood-borne pathogens, and
d.	Contraindications and indications for “dry needling.
3.	The course requires participants to pass both a written and practical examination before completing the course.
4.	The course requires at least 24 hours of education.
5.	All practical aspects of the course, including the practical examination, are performed under supervision.
D.	A physical therapist who performs dry needling shall:
1.	Not delegate performing dry needling to assistive personnel.
2.	Obtain consent for treatment for the “dry needling” intervention as required under R4-24-301.
3.	Document the “dry needling” intervention in accordance with R4-24-304.
Historical Note
New Section made by exempt rulemaking at 21 A.A.R. 924, effective July 1, 2015 (Supp. 15-2). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
Appendix A.	Repealed
Historical Note
Appendix A adopted effective June 3, 1982 (Supp. 82-3). Amended effective April 10, 1986 (Supp. 86-2). Repealed effective May 7, 1990 (Supp. 90-2)
Appendix B.	Repealed
Historical Note
Appendix B adopted effective June 3, 1982 (Supp. 82-3). Amended effective April 10, 1986 (Supp. 86-2). Repealed effective May 7, 1990 (Supp. 90-2).
ARTICLE 4. CONTINUING COMPETENCE
R4‑24‑401.	Continuing Competence Requirements for Renewal
A.	Except as provided in subsection (G), a licensed physical therapist shall earn 20 contact hours of continuing competence for each compliance period to be eligible for license renewal.
1.	The licensed physical therapist shall earn at least 10 contact hours from Category A continuing competence activities. No more than five of the required contact hours from Category A may be obtained from nonclinical course work.
2.	No more than 10 contact hours may be earned by the licensed physical therapist during any compliance period from Categories B and C continuing competence activities. No more than five contact hours from categories B and C may be obtained from nonclinical course work.
3.	If the licensed physical therapist’s initial license is for one year or less, the licensed physical therapist shall earn 10 contact hours from Category A continuing competence activities during the initial compliance period. No more than five of the required contact hours from Category A may be obtained from nonclinical course work.
B.	Except as provided in subsection (G), a licensed physical therapist assistant shall earn 10 contact hours of continuing competence for each compliance period to be eligible for license renewal.
1.	The licensed physical therapist assistant shall earn at least six contact hours from Category A continuing competence activities. No more than three of the required contact hours from Category A may be obtained from nonclinical course work.
2.	No more than four contact hours may be earned by the licensed physical therapist assistant during any compliance period from Categories B and C continuing competence activities. No more than two contact hours from Categories B and C may be obtained from nonclinical course work.
3.	If the licensed physical therapist assistant’s initial license is for one year or less, the licensed physical therapist assistant shall earn six contact hours from Category A continuing competence activities during the initial compliance period. No more than three of the required contact hours from Category A may be obtained from nonclinical course work.
C.	A licensee shall not receive contact hour credit for repetitions of the same activity.
D.	The continuing competence compliance period for a licensee begins on September 1 following the issuance of an initial or renewal license and ends on August 31 of even‑numbered years.
E.	A licensee shall not carry over contact hours from one compliance period to another.
F.	An applicant for renewal shall submit a signed statement to the Board with the renewal application stating whether continuing competence requirements have been fulfilled for the current compliance period.
G.	The Board may, at its discretion, waive continuing competence requirements on an individual basis for reasons of extreme hardship such as illness, disability, active service in the military, or other extraordinary circumstance as determined by the Board. A licensee who seeks a waiver of the continuing competence requirements shall provide to the Board, in writing, the specific reasons for requesting the waiver and additional information the Board may request in support of the waiver.
H.	A licensee is subject to Board auditing for continuing competence compliance.
1.	Selection for audit shall be random and notice of audit sent within 60 calendar days following the renewal deadline.
2.	Within 30 days of receipt of a notice of audit, a licensee shall submit evidence to the Board that shows compliance with the requirements of continuing competence. Documentation of a continuing competence activity shall include:
a.	The date, place, course title, sponsor, schedule, and presenter;
b.	The number of contact hours received for the activity; and
c.	Proof of completion, such as an abstract, certificate of attendance, sign‑in log, or other certification of completion.
I.	A licensee shall retain evidence of participation in a continuing competence activity for two compliance periods after participation.
J.	The Board shall notify a licensee who has been audited whether the licensee is in compliance with continuing competence requirements. The Board shall provide the notice electronically or by certified mail within 30 working days following the determination by the Board.
K.	The Board shall provide six months from the date of the notice under subsection (J) for a licensee found not in compliance with continuing competence requirements to satisfy the continuing competence requirements. A licensee may request a hearing to contest the Board’s decision under A.R.S. Title 41, Chapter 6, Article 10.
L.	Penalties for failure to comply with continuing competence requirements may be imposed by the Board under A.R.S § 32‑2047 following a hearing conducted under A.R.S. Title 41, Chapter 6, Article 10.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
R4‑24‑402.	Continuing Competence Activities
A.	Category A continuing competence activities shall be approved by:
1.	An accredited medical, health care, or physical therapy program;
2.	A state or national medical, health care, or physical therapy association, or a component of the association; or
3.	A national medical, health care, or physical therapy specialty society.
B.	Category A continuing competence activities include:
1.	A physical therapy continuing education course designed to provide necessary understanding of current research, clinical skills, administration, or education related to the practice of physical therapy. Calculation of contact hours is determined by dividing the total minutes of instruction by 60. Breaks shall not be included as part of instructional time;
2.	Coursework towards granting or renewal of a physical therapy clinical specialty certification approved by the Board. Each 60 minutes of instruction equals one contact hour;
3.	Coursework in a physical therapy clinical residency program. Each 60 minutes of instruction equals one contact hour; and
4.	Coursework in a postgraduate physical therapy education from an accredited college or university. Each 60 minutes of instruction equals one contact hour.
C.	Category B continuing competence activities include:
1.	Study group: Maximum five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	A study group is a structured meeting designed for the study of a clinical physical therapy topic dealing with current research, clinical skills, procedures, or treatment related to the practice of physical therapy.
b.	A study group shall have a minimum of three participants and two hours of participation to equal one contact hour.
2.	Self instruction: Maximum five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	Self instruction is a structured course of study relating to one clinical physical therapy topic dealing with current research, clinical skills, procedures, or treatment related to the practice of physical therapy. Self instruction may be directed by a correspondence course, video, internet, or satellite program. 
b.	Each 60 minutes of self instruction equals one contact hour.
3.	Inservice education: Maximum five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	Inservice education is attendance at a presentation pertaining to current research, clinical skills, procedures, or treatment related to the practice of physical therapy or relating to patient welfare or safety, including CPR certification.
b.	Each 60 minutes of inservice education equals one contact hour.
D.	Category C modes of continuing competence include:
1.	Physical therapy practice management coursework: Maximum of five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	Physical therapy practice management course work is course work concerning physical therapy administration, professional responsibility, ethical obligations, or legal requirements applicable to physical therapy practice settings.
b.	If the course is graded, a licensee shall receive a “pass” in a pass/fail course or a minimum of a C in a graded course to receive credit.
c.	Each 60 minutes of practice management coursework equals one contact hour.
2.	Teaching or lecturing: Maximum five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	Teaching or lecturing is the presentation of an original educational program dealing with current research, clinical skills, procedures, treatment, or practice management related to the practice of physical therapy principally for health care professionals. Credit may be earned for teaching when the presentation is accompanied by written materials prepared, augmented, or updated by the presenter including course objectives and program content.
b.	One 60 minute instructional period equals 2.5 contact hours.
c.	Credit shall be given only once for a presentation within a compliance period.
3.	Publication: Maximum five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	Publication includes writing for professional publication, platform, or poster presentation abstracts that have direct application to the practice of physical therapy. Credit may be earned for publication of material that is a minimum of 1500 words in length and published by a recognized third‑party publisher of physical therapy material.
b.	Each article published in a refereed journal, book chapter, or book equals five contact hours for physical therapists and two contact hours for physical therapist assistants. Articles published in non‑refereed journals, magazines, newsletters, or periodicals equal two contact hours for physical therapists and one contact hour for physical therapist assistants.
4.	Clinical instruction: Maximum five contact hours for physical therapists and two contact hours for physical therapist assistants.
a.	Clinical instruction involves assisting a student physical therapist or physical therapist assistant or a physical therapist resident or fellow acquire clinical skills required of a physical therapist or physical therapist assistant.
b.	An individual to whom clinical instruction is provided shall be enrolled in:
i.	A physical therapist or physical therapist assistant program accredited by the Commission on Accreditation of Physical Therapy Education; or
ii.	A physical therapist residency or fellowship program approved by the American Physical Therapy Association.
c.	The program referenced under subsection (D)(4)(b) shall provide the enrolled individual with proof of completing the hours of clinical instruction.
d.	Each 120 hours of clinical instruction equals one contact hour.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Subsection (C)(1)(b) reference to “no change” removed and replaced with correct codified language, refer to 25 A.A.R. 404 and 6 A.A.R. 2399; Section amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025(Supp. 25-3).
R4‑24‑403.	Activities Not Eligible for Continuing Competence Credit
A licensee shall not receive continuing competence credit for the following activities:
1.	A regularly scheduled educational opportunity provided within an institution, such as rounds or case conferences;
2.	A staff meeting;
3.	A publication or presentation by the licensee to a lay or nonprofessional group; and
4.	Routine teaching of personnel, students, or staff as part of a job requirement.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 25 A.A.R. 404, effective April 6, 2019 (Supp. 19-1). Amended by final rulemaking at 31 A.A.R. 2377 (July 18, 2025), effective August 30, 2025 (Supp. 25-3).
ARTICLE 5. PUBLIC PARTICIPATION PROCEDURES
R4‑24‑501.	Expired
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3).
R4‑24‑502.	Petition for Rulemaking; Review of Agency Practice or Substantive Policy Statement; Objection to a Section Based Upon Economic, Small Business, or Consumer Impact
A petition to adopt, amend, or repeal a Section or to review an existing agency practice or substantive policy statement that the petitioner alleges to constitute a rule under A.R.S. § 41‑1033 or to object to a Section in accordance with A.R.S. § 41‑1056.01 shall be filed with the Board as prescribed in this Section. Each petition shall contain:
1.	The name and current address of the petitioner;
2.	For adoption of a new Section, specific language of the proposed new Section;
3.	For amendment of a current Section, citation for the applicable Arizona Administrative Code Section number and heading of the current Section and the specific language of the current Section with language to be deleted stricken and new language underlined;
4.	For the repeal of a current Section, citation for the applicable A.A.C. Section number and heading of the Section proposed for repeal;
5.	The reasons a Section should be adopted, amended, or repealed, and if in reference to an existing Section, why the Section is inadequate, unreasonable, unduly burdensome, or otherwise not acceptable. The petitioner may provide additional supporting information, including:
a.	Statistical data or other justification, with clear reference to an attached exhibit;
b.	Identification of what person or segment of the public would be affected and how the person or segment would be affected; and
c.	If the petitioner is a public agency, a summary of a relevant issue raised in any public hearing, or as a written comment offered by the public;
6.	For a review of an existing Board practice or substantive policy statement alleged to constitute a rule, the reason the existing Board practice or substantive policy statement constitutes a rule and the proposed action requested of the Board;
7.	For an objection to a Section based upon the economic, small business, or consumer impact, evidence that:
a.	The actual economic, small business, or consumer impact significantly exceeded the impact estimated in the economic, small business, and consumer impact statement submitted during the making of the Section; 
b.	The actual economic, small business, or consumer impact was not estimated in the economic, small business, and consumer impact statement submitted during the making of the Section and that actual impact imposes a significant burden on a person subject to the Section; or
c.	The agency did not select the alternative that imposes the least burden and costs to persons regulated by the Section, including paperwork and other compliance costs, necessary to achieve the underlying regulatory objective; and
8.	The signature of the person submitting the petition.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Amended by final rulemaking at 18 A.A.R. 1858, effective July 10, 2012 (Supp. 12-3).
R4‑24‑503.	Expired
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3).
R4‑24‑504.	Expired
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3).
R4‑24‑505.	Expired
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2). Section expired under A.R.S. § 41-1056(E) at 10 A.A.R. 3897, effective July 31, 2004 (Supp. 04-3).
R4‑24‑506.	Written Criticism of Rule
A.	Any person may file a written criticism of an existing rule with the Board.
B.	The criticism shall clearly identify the rule and specify why the existing rule is inadequate, unduly burdensome, unreasonable, or otherwise improper.
C.	The Board shall acknowledge receipt of a criticism within 15 days and shall place the criticism in the official record for review by the Board under A.R.S. § 41‑1056.
Historical Note
New Section adopted by final rulemaking at 6 A.A.R. 2399, effective June 9, 2000 (Supp. 00-2).