PHYSICAL THERAPY RULES AND REGULATIONS

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Code of Colorado Regulations › 700 Department of Regulatory Agencies › 732 Division of Professions and Occupations - State Physical Therapy Board › 4 CCR 732-1

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DEPARTMENT OF REGULATORY AGENCIES

State Physical Therapy Board

PHYSICAL THERAPY RULES AND REGULATIONS

4 CCR 732-1

[Editor’s Notes follow the text of the rules at the end of this CCR Document.]

_________________________________________________________________________

1.1

AUTHORITY

These regulations are adopted pursuant to the authority in sections 12-20-204 and 12-285-106(2)(b),

C.R.S., and are intended to be consistent with the requirements of the State Administrative Procedures

Act, section 24-4-101 et seq. (the “APA”), C.R.S., the Physical Therapy Practice Act, sections 12-285-101

et seq. (the “Practice Act”), C.R.S.

1.2

SCOPE AND PURPOSE

These regulations shall govern the process to become a licensed physical therapist and a certified

physical therapist assistant and the physical therapist practice in Colorado.

1.3

APPLICABILITY

The provisions of this section shall be applicable to the practice of physical therapy by physical therapists,

physical therapist assistants, and student physical therapists in Colorado.

1.4

GENERAL RULE PROVISIONS

Definitions

This Rule is promulgated pursuant to sections 12-20-204, 12-285-106(2)(b), and 12-285-116(1), C.R.S.,

regarding supervision of persons not licensed as a physical therapist, and to clarify the types/levels of

supervision utilized throughout the Physical Therapy Practice Act and these Board Rules.

“General supervision” means the physical therapist is not required to be on site for direction and

supervision, but must be available at least by telecommunications.

“Direct supervision” means the physical therapist is physically present in the same location or the

physical therapist is virtually present synchronously through secure telehealth communications

during a telehealth visit.

“Immediate supervision” means the physical therapist is physically present and immediately

available in the same physical location or the physical therapist is virtually present synchronously

through secure telehealth communications during a telehealth visit.

cation or the

physical therapist is virtually present synchronously through secure telehealth communications

during a telehealth visit.

“Immediate supervision” means the physical therapist is physically present and immediately

available in the same physical location or the physical therapist is virtually present synchronously

through secure telehealth communications during a telehealth visit.

Licensure and Certification Requirements: Credit for Military Experience

This Rule is promulgated pursuant to sections 12-20-202, 12-20-204, and 12-285-106(2)(b), C.R.S., to

outline the conditions and procedures governing the evaluation of an applicant’s military training and

experience.

Code of Colorado Regulations

Secretary of State

State of Colorado

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Education, training, or service gained in military services outlined in section 12-20-202(4), C.R.S., that is

to be accepted and applied towards receiving either a physical therapist license or a physical therapist

assistant certification must be substantially equivalent, as determined by the Board, to the qualifications

otherwise applicable at the time of the receipt of the application. It is the applicant’s responsibility to

provide timely and complete evidence of the education, training and/or service gained in the military for

review and consideration. Satisfactory evidence of such education, training or service will be assessed on

a case-by-case basis.

Recognized Accrediting Agency

This Rule is promulgated pursuant to sections 12-20-204, 12-285-104(1), 12-285-106(2)(b), 12-285-110,

12-285-113, 12-285-117, 12-285-205, and 12-285-207, C.R.S., to designate a nationally recognized

accrediting agency for accrediting physical therapist and physical therapist assistant programs.

The Commission on Accreditation in Physical Therapy Education (CAPTE) is recognized as the

accrediting agency for accrediting both physical therapist and physical therapist assistant programs.

12-285-110,

12-285-113, 12-285-117, 12-285-205, and 12-285-207, C.R.S., to designate a nationally recognized

accrediting agency for accrediting physical therapist and physical therapist assistant programs.

The Commission on Accreditation in Physical Therapy Education (CAPTE) is recognized as the

accrediting agency for accrediting both physical therapist and physical therapist assistant programs.

Approved Examinations for Licensing

This Rule is promulgated pursuant to sections 12-20-204, 12-285-106(2)(b), 12-285-110, 12-285-112, 12-

285-113, 12-285-205, and 12-285-207, C.R.S., to designate a nationally-recognized examination

approved by the Board.

The examination developed by the Federation of State Boards of Physical Therapy (FSBPT)

entitled the National Physical Therapy Examination (NPTE) for physical therapists is approved as

the required examination in the licensure process. An applicant must achieve a passing score as

determined by FSBPT in order to be eligible for licensure as a physical therapist.

The examination developed by FSBPT entitled the National Physical Therapy Examination

(NPTE) for physical therapist assistants is approved as the required examination in the

certification process. An applicant must achieve a passing score as determined by FSBPT in

order to be eligible for certification as a physical therapist assistant.

Declaratory Orders

This Rule is promulgated pursuant to sections 12-20-204, 12-285-106(2)(b), and 24-4-105(11), C.R.S., to

establish procedures for the handling of requests for declaratory orders filed pursuant to the Colorado

Administrative Procedures Act.

Any person or entity may petition the Board for a declaratory order to terminate controversies or

remove uncertainties as to the applicability of any statutory provision or of any rule or order of the

Board.

The Board will determine, at its discretion and without notice to petitioner, whether to rule upon

such petition

tory orders filed pursuant to the Colorado

Administrative Procedures Act.

Any person or entity may petition the Board for a declaratory order to terminate controversies or

remove uncertainties as to the applicability of any statutory provision or of any rule or order of the

Board.

The Board will determine, at its discretion and without notice to petitioner, whether to rule upon

such petition. If the Board determines that it will not rule upon such a petition, the Board shall

promptly notify the petitioner of its action and state the reasons for such decision.

In determining whether to rule upon a petition filed pursuant to this Rule, the Board will consider

the following matters, among others:

Whether a ruling on the petition will terminate a controversy or remove uncertainties as to

the applicability to petitioner of any statutory provisions or rule or order of the Board;

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Whether the petition involves any subject, question or issue that is the subject of a formal

or informal matter or investigation currently pending before the Board or a court involving

one or more petitioners;

Whether the petition involves any subject, question or issue that is the subject of a formal

or informal matter or investigation currently pending before the Board or a court but not

involving any petitioner;

Whether the petition seeks a ruling on a moot or hypothetical question or will result in an

advisory ruling or opinion; and

Whether the petitioner has some other adequate legal remedy, other than an action for

declaratory relief pursuant to CRCP 57, which will terminate the controversy or remove

any uncertainty as to the applicability to the petitioner of the statute, rule, or order in

question.

Any petition filed pursuant to this Rule shall set forth the following:

The name and address of the petitioner and whether the petitioner is licensed or certified

pursuant to Title 12, Article 285, C.R.S.

eclaratory relief pursuant to CRCP 57, which will terminate the controversy or remove

any uncertainty as to the applicability to the petitioner of the statute, rule, or order in

question.

Any petition filed pursuant to this Rule shall set forth the following:

The name and address of the petitioner and whether the petitioner is licensed or certified

pursuant to Title 12, Article 285, C.R.S.

The statute, rule, or order to which the petition relates.

A concise statement of all of the facts necessary to show the nature of the controversy or

uncertainty and the manner in which the statute, rule, or order in question applies or

potentially applies to the petitioner.

If the Board determines that it will rule on the petition, the following procedures shall apply:

The Board may rule upon the petition based solely upon the facts presented in the

petition. In such a case:

(1)

Any ruling of the Board will apply only to the extent of the facts presented in the

petition and any amendment to the petition.

(2)

The Board may order the petitioner to file a written brief, memorandum, or

statement of position.

(3)

The Board may set the petition, upon due notice to petitioner, for a non-

evidentiary hearing.

(4)

The Board may dispose of the petition on the sole basis of the matters set forth in

the petition.

(5)

The Board may request the petitioner to submit additional facts in writing. In such

event, such additional facts will be considered as an amendment to the petition.

dum, or

statement of position.

(3)

The Board may set the petition, upon due notice to petitioner, for a non-

evidentiary hearing.

(4)

The Board may dispose of the petition on the sole basis of the matters set forth in

the petition.

(5)

The Board may request the petitioner to submit additional facts in writing. In such

event, such additional facts will be considered as an amendment to the petition.

(6)

The Board may take administrative notice of facts pursuant to the Colorado

Administrative Procedures Act at section 24-4-105(8), C.R.S., and may utilize its

experience, technical competence, and specialized knowledge in the disposition

of the petition.

If the Board rules upon the petition without a hearing, it shall promptly notify the petitioner

of its decision.

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The Board may, at its discretion, set the petition for hearing, upon due notice to

petitioner, for the purpose of obtaining additional facts or information or to determine the

truth of any facts set forth in the petition or to hear oral argument on the petition. The

hearing notice to the petitioner shall set forth, to the extent known, the factual or other

matters that the Board intends to inquire.

For the purpose of such a hearing, to the extent necessary, the petitioner shall have the

burden of proving all the facts stated in the petition; all of the facts necessary to show the

nature of the controversy or uncertainty; and the manner in which the statute, rule, or

order in question applies or potentially applies to the petitioner and any other facts the

petitioner desires the Board to consider.

The parties to any proceeding pursuant to this Rule shall be the Board and the petitioner. Any

other person may seek leave of the Board to intervene in such a proceeding, and leave to

intervene will be granted at the sole discretion of the Board. A petition to intervene shall set forth

the same matters as are required by section (4) of this Rule

cts the

petitioner desires the Board to consider.

The parties to any proceeding pursuant to this Rule shall be the Board and the petitioner. Any

other person may seek leave of the Board to intervene in such a proceeding, and leave to

intervene will be granted at the sole discretion of the Board. A petition to intervene shall set forth

the same matters as are required by section (4) of this Rule. Any reference to a “petitioner” in this

Rule also refers to any person who has been granted leave to intervene by the Board.

Any declaratory order or other order disposing of a petition pursuant to this Rule shall constitute

agency action subject to judicial review pursuant to the Colorado Administrative Procedures Act

at section 24-4-106, C.R.S.

Reporting Criminal Convictions, Judgments, and Administrative Proceedings

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b) C.R.S., to delineate the

procedures a licensee or a certificate holder must adhere to when an act enumerated in sections 12-285-

120, 12-285-123(2), 12-285-211, or 12-285-213(2), C.R.S., has occurred.

A licensee or certificate holder must inform the Board within thirty days of any of the following

events:

The conviction of a felony under the laws of any state or of the United States, or of any

level of crime related to the practice of physical therapy. A guilty verdict, a plea of guilty, a

plea of nolo contendere, or the imposition of a deferred sentence accepted by the court is

considered a conviction.

A disciplinary action imposed by another jurisdiction that licenses, certifies, or registers

physical therapists or physical therapist assistants including, but not limited to, a citation,

sanction, probation, civil penalty, or a denial, suspension, revocation, or modification of a

license, certification, or registration, whether it is imposed by consent decree, order, or in

some other manner, for any cause other than failure to pay a license, certification, or

registration fee by the due date.

therapists or physical therapist assistants including, but not limited to, a citation,

sanction, probation, civil penalty, or a denial, suspension, revocation, or modification of a

license, certification, or registration, whether it is imposed by consent decree, order, or in

some other manner, for any cause other than failure to pay a license, certification, or

registration fee by the due date.

Revocation or suspension by another state board, municipality, federal or state agency of

any health services related license, certification, or registration, other than a license,

certification, or registration as a physical therapist or physical therapist assistant.

A licensee or certificate holder must inform the Board within ninety days of any final judgment as

set forth in section 12-285-120(1)(o), C.R.S.

The notice to the Board must include the following information:

If the event is an action by a governmental agency:

(1)

The name of the agency;

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(2)

Its jurisdiction;

(3)

The case name;

(4)

The docket, proceeding, or case number by which the event is designated; and

(5)

A copy of the consent decree, order, or decision.

If the event is a conviction of a crime described above:

(1)

The court;

(2)

Its jurisdiction;

(3)

The case name;

(4)

The case number;

(5)

A description of the matter or a copy of the indictment or charges;

(6)

Any plea or verdict accepted or entered by the court; and

(7)

A copy of the imposition of sentence related to the conviction and the completion

of all terms of the sentence.

If the event concerns a civil action or arbitration proceeding:

(1)

The court or arbitrator;

(2)

The jurisdiction;

(3)

The case name;

(4)

The case number;

(5)

A description of the matter or a copy of the complaint or demand for arbitration;

and

ccepted or entered by the court; and

(7)

A copy of the imposition of sentence related to the conviction and the completion

of all terms of the sentence.

If the event concerns a civil action or arbitration proceeding:

(1)

The court or arbitrator;

(2)

The jurisdiction;

(3)

The case name;

(4)

The case number;

(5)

A description of the matter or a copy of the complaint or demand for arbitration;

and

(6)

A copy of the verdict, the court decision or arbitration award, or, if settled, the

settlement agreement and court’s order of dismissal.

The licensee or certificate holder notifying the Board may submit a written statement with

the notice to be included with the licensee’s or certificate holder’s records.

Reporting a Physical Illness, Physical Condition, or Behavioral or Mental Health Disorder

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to clarify the

notification requirements of sections 12-30-108, 12-285-125 and 12-285-215, C.R.S.

A licensed physical therapist or certified physical therapist assistant must notify the Board if the

individual suffers from any of the following:

A long-term (more than ninety days) physical illness/condition that renders the licensee or

certificate holder unable, or limits the individual’s ability, to practice physical therapy with

reasonable skill and patient safety; or

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al therapist assistant must notify the Board if the

individual suffers from any of the following:

A long-term (more than ninety days) physical illness/condition that renders the licensee or

certificate holder unable, or limits the individual’s ability, to practice physical therapy with

reasonable skill and patient safety; or

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A behavioral or mental health disorder that renders the licensee or certificate holder

unable, or limits the individual’s ability, to practice physical therapy with reasonable skill

and patient safety.

The physical therapist or physical therapist assistant must notify the Board in writing of the

physical illness, physical condition, or behavioral or mental health disorder within thirty days from

the date it impacts the individual’s ability to perform physical therapy services with reasonable

skill and safety; and submit, within sixty days, the individual’s current strategy for practice

modification, limitation, or restriction with consideration of the illness or condition to ensure safe

patient care and the individual’s safety, and a letter from his/her treating medical or mental health

individual describing:

The diagnosis and a description of the physical illness, physical condition, or behavioral

or mental health disorder;

The date that the physical illness, physical condition, or behavioral or mental health

disorder was first diagnosed;

Treatment plan;

The impact on the licensee’s or certificate holder’s ability to practice safely based on the

individual’s review of a job description for a physical therapist or physical therapist

assistant; and

Any applicable modifications, limitations, or restrictions to the individual’s practice.

llness, physical condition, or behavioral or mental health

disorder was first diagnosed;

Treatment plan;

The impact on the licensee’s or certificate holder’s ability to practice safely based on the

individual’s review of a job description for a physical therapist or physical therapist

assistant; and

Any applicable modifications, limitations, or restrictions to the individual’s practice.

Pursuant to sections 12-30-108(1)(b), 12-285-124 and 12-285-214, C.R.S., the Board may

require the licensee or certificate holder to submit to an examination to evaluate the extent of the

physical illness, physical condition, or behavioral or mental health disorder and its impact on the

individual’s ability to practice with reasonable skill and safety.

Pursuant to sections 12-30-108, 12-285-125 and 12-285-215, C.R.S., the Board may enter into a

non-disciplinary confidential agreement with the physical therapist or physical therapist assistant

in which the individual agrees to limit the individual’s practice based on any restriction(s) imposed

by the physical illness, physical condition, or behavioral or mental health disorder, as determined

by the Board. A licensee or certificate holder subject to discipline for habitually abusing or

excessively using or abusing alcohol, a habit-forming drug, or a controlled substance is not

eligible to enter into a confidential agreement.

1.5

PHYSICAL THERAPIST LICENSURE RULES

Supervision and/or Direction of Persons Not Licensed as a Physical Therapist

This Rule is promulgated pursuant to sections 12-20-204, 12-185-106(2)(b), and 12-285-116(1), C.R.S.,

to clarify supervision and/or direction provisions for persons not licensed as a physical therapist, which

include a physical therapist assistant, certified nurse aide, provisional physical therapist, physical therapy

aide, athletic trainer, massage therapist, student physical therapist, or student physical therapist

assistant

ant to sections 12-20-204, 12-185-106(2)(b), and 12-285-116(1), C.R.S.,

to clarify supervision and/or direction provisions for persons not licensed as a physical therapist, which

include a physical therapist assistant, certified nurse aide, provisional physical therapist, physical therapy

aide, athletic trainer, massage therapist, student physical therapist, or student physical therapist

assistant. A therapist of record must be established if physical therapy services are being provided by any

of the persons not licensed as a physical therapist listed above. A physical therapist who performs an

initial examination and evaluation, and develops an appropriate plan of care, shall be the therapist of

record for that patient, unless that physical therapist transfers the responsibility to another licensed

physical therapist, or a provisional physical therapist under supervision of a physical therapist or a student

physical therapist under supervision of a clinical instructor actively licensed by the State of Colorado as a

physical therapist, experienced and skilled enough to take on such responsibility through documentation

in the patient records, including the transfer of the procedures and responsibilities provided in this Rule.

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Delegation of duties is determined by the education and training of the individual being delegated

responsibilities as allowed pursuant to Article 285 of Title 12, C.R.S., and these Board Rules. If a

task cannot be delegated, then a physical therapist must personally attend to the task in-person

and not through a patient chart review.

A physical therapist shall determine if the individual not licensed as a physical therapist

who is being delegated responsibility has the appropriate education, training, and/or

experience to perform duties as allowed by statute and/or rule.

oard Rules. If a

task cannot be delegated, then a physical therapist must personally attend to the task in-person

and not through a patient chart review.

A physical therapist shall determine if the individual not licensed as a physical therapist

who is being delegated responsibility has the appropriate education, training, and/or

experience to perform duties as allowed by statute and/or rule.

A physical therapist shall rely on the individual’s expertise and clinical reasoning when

determining the most appropriate utilization of a person not licensed as a physical

therapist to provide for the delivery of service that is safe, effective, and efficient.

A physical therapist must personally perform and cannot delegate to a person not

licensed as a physical therapist the initial clinical contact, interpretation of referrals, initial

examinations and evaluations, diagnosis and prognosis, development and modification of

plans of care, determination of discharge criteria, and supervision of physical therapy

services rendered to the patient/client, except for a provisional physical therapist under

supervision of a physical therapist or a student physical therapist under supervision of a

clinical instructor actively licensed as a physical therapist, experienced and skilled

enough to take on such responsibility.

A physical therapist shall not delegate sharp wound debridement to a person not licensed

as a physical therapist, except to a provisional physical therapist under supervision of a

physical therapist or a student physical therapist under supervision of a clinical instructor

actively licensed as a physical therapist, experienced and skilled enough to take on such

responsibility, but may delegate non-selective wound debridement and limited selective

debridement (such as mechanical, autolytic, enzymatic, and maggot) to a physical

therapist assistant or student physical therapist assistant under the supervision of a

clinical instructor actively certified as a physical therapist assistant.

a physical therapist, experienced and skilled enough to take on such

responsibility, but may delegate non-selective wound debridement and limited selective

debridement (such as mechanical, autolytic, enzymatic, and maggot) to a physical

therapist assistant or student physical therapist assistant under the supervision of a

clinical instructor actively certified as a physical therapist assistant.

A physical therapist is responsible for providing adequate or proper supervision and/or direction

to a person not licensed as a physical therapist pursuant to section 12-285-120(1)(e), C.R.S.

A physical therapist may supervise up to four individuals at one time who are not physical

therapists to assist in the physical therapist’s clinical practice. This limit does not include

student physical therapists and student physical therapist assistants supervised by a

physical therapist for educational purposes.

A physical therapist shall regularly evaluate and observe the performance of any person

under the individual’s supervision and/or direction to ensure that all physical therapy

services rendered meet the standard of care for delegation to be continued.

Pursuant to the definitions provided in Rule 1.4(A), a physical therapist shall provide:

General supervision to a physical therapist assistant. However, pursuant to section 12-

285-116(2), C.R.S., direct supervision is required if the physical therapist assistant is

administering topical and aerosol medications when they are consistent within the scope

of physical therapy practice and when any such medication is prescribed by a licensed

health care practitioner who is authorized to prescribe such medication. A prescription or

order shall be required for each such administration within a plan of care.

General supervision to a certified nurse aide in a home health care setting, as part of a

physical therapist plan of care.

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dication is prescribed by a licensed

health care practitioner who is authorized to prescribe such medication. A prescription or

order shall be required for each such administration within a plan of care.

General supervision to a certified nurse aide in a home health care setting, as part of a

physical therapist plan of care.

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Direct supervision to a provisional physical therapist. In addition, the supervising physical

therapist must perform records review and co-signature of notes.

Direct supervision to a physical therapy aide.

Direct supervision to an athletic trainer providing athletic training within a physical

therapist plan of care.

Direct supervision to a massage therapist providing massage therapy within a physical

therapist plan of care.

Immediate supervision to a student physical therapist or a student physical therapist

assistant.

Supervision of Physical Therapist Assistants and Physical Therapy Aides

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to specify

supervisory provisions required by section 12-285-116(1), C.R.S., for physical therapist assistants

certified in accordance with section 12-285-204, C.R.S., and physical therapy aides. This Rule applies to

all physical therapists who utilize physical therapist assistants and/or aides in their practice. The physical

therapist shall establish a patient relationship with the client prior to any delegation that has been deemed

as allowable and appropriate pursuant to Article 285, Title 12, C.R.S., and Board Rules.

Physical Therapist Assistants

For the purposes of these Rules, physical therapists may supervise physical therapist

assistants performing physical therapy services as defined in section 12-285-104(6),

C.R.S., and pursuant to Rule 1.4(A) and Rule 1.5(A) as determined by the physical

therapist of record, except for interventions or services that are otherwise prohibited by

law.

nd Board Rules.

Physical Therapist Assistants

For the purposes of these Rules, physical therapists may supervise physical therapist

assistants performing physical therapy services as defined in section 12-285-104(6),

C.R.S., and pursuant to Rule 1.4(A) and Rule 1.5(A) as determined by the physical

therapist of record, except for interventions or services that are otherwise prohibited by

law.

(1)

Physical therapist assistants may perform non-selective wound debridement, and

limited selective debridement (such as mechanical, autolytic, enzymatic, and

maggot), but may not perform sharp wound debridement.

(2)

Physical therapist assistants may not perform dry needling.

(3)

Physical therapist assistants may not perform joint mobilization, unless the

supervising physical therapist has determined that the physical therapist

assistant has the necessary degree of education, training and skill for safe

patient care. Entry-level education is inadequate; additional formal continuing

education (psychomotor and didactic) is required to perform joint mobilization.

Thrust, high-velocity techniques are not within the scope of the physical therapist

assistants’ practice.

(4)

Physical therapist assistants may not perform or assist a physical therapist in

providing physical therapy of animals.

The following condition must be met before a physical therapist can utilize a physical

therapist assistant: a physical therapist must be designated and recorded in the

patient/client records as responsible for supervising the care and interventions provided

by the physical therapist assistant. The designated physical therapist must consistently

provide for the planning, evaluating, and supervising of all care rendered to the

patient/client.

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cal therapist must be designated and recorded in the

patient/client records as responsible for supervising the care and interventions provided

by the physical therapist assistant. The designated physical therapist must consistently

provide for the planning, evaluating, and supervising of all care rendered to the

patient/client.

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The physical therapist is responsible for the performance of all services performed by the

physical therapist assistant. This responsibility requires the physical therapist to assure

services are performed with a degree of care and skill appropriate to the physical

therapist assistant’s education and training.

The physical therapist assumes accountability for the acts delegated to or performed by a

physical therapist assistant. Before delegating performance of physical therapy services

to a physical therapist assistant working under general supervision, as defined in Rule

1.4(A)(1), the supervising physical therapist shall ensure that the physical therapist

assistant is qualified by education and training to perform the physical therapy services in

a safe, effective, and efficient manner.

A physical therapist assistant may not supervise other personnel in the provision of

physical therapy services to a patient.

A physical therapist assistant under the general supervision, as defined in Rule 1.4(A)(1),

of a physical therapist may act as a clinical instructor for a physical therapist assistant

student. However, immediate supervision, as defined in Rule 1.4(A)(3), of the student

physical therapist assistant by the physical therapist is required if the physical therapist

assistant student is providing physical therapy services.

Physical Therapy Aides

supervision, as defined in Rule 1.4(A)(1),

of a physical therapist may act as a clinical instructor for a physical therapist assistant

student. However, immediate supervision, as defined in Rule 1.4(A)(3), of the student

physical therapist assistant by the physical therapist is required if the physical therapist

assistant student is providing physical therapy services.

Physical Therapy Aides

All individuals not licensed as a physical therapist, not licensed as a provisional physical

therapist, not certified as a physical therapist assistant, not authorized to practice as a

student physical therapist or physical therapist assistant, and not otherwise regulated as

a health care professional, shall be considered an aide for the purposes of this Rule.

A physical therapy aide may participate in limited designated tasks, as assigned by a

physical therapist. The supervising physical therapist must participate in patient care on

each date of service when a physical therapy aide is involved in care. Supervision must

also occur in compliance with Rule 1.4(A) and Rule 1.5(A).

As to recordkeeping, a physical therapy aide may participate only in basic data recording

in the medical record.

Wound care/debridement, dry needling, administration of medications, joint mobilization,

and treatment on animals shall not be delegated to a physical therapy aide. The

supervising physical therapist shall ensure that the physical therapy aide is qualified by

education and training to participate in limited designated tasks as assigned by the

physical therapist.

cording

in the medical record.

Wound care/debridement, dry needling, administration of medications, joint mobilization,

and treatment on animals shall not be delegated to a physical therapy aide. The

supervising physical therapist shall ensure that the physical therapy aide is qualified by

education and training to participate in limited designated tasks as assigned by the

physical therapist.

Authorized Practice of Physical Therapy by a Person Not Licensed In Colorado

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to clarify the

following conditions under which a physical therapist not licensed in Colorado may practice for a

temporary period of time pursuant to section 12-285-117(1)(e), C.R.S., which allows the practice of

physical therapy in Colorado for no more than four consecutive weeks or more than once in any twelve-

month period by a physical therapist licensed, certified, or registered in another state or country when

providing services in the absence of a physical therapist licensed in Colorado. This provision is not

available for a person applying for a license in Colorado whose application is pending review and

potential approval. Additional requirements for eligibility including the following:

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The entity wishing to employ or engage the services of a visiting, physical therapist who is not

otherwise licensed in Colorado must notify the Board at least one week prior to the start date and

must document the need for employing or engaging the services of a visiting physical therapist.

The visiting physical therapist must possess a current and active license, certification, or

registration in good standing in another state or country and provide a copy of the license,

certification, or registration to the Board at least one week prior to practicing in Colorado.

the start date and

must document the need for employing or engaging the services of a visiting physical therapist.

The visiting physical therapist must possess a current and active license, certification, or

registration in good standing in another state or country and provide a copy of the license,

certification, or registration to the Board at least one week prior to practicing in Colorado.

The visiting physical therapist must have been engaged in the active, clinical practice of physical

therapy for two of the last five years in order to be eligible.

Licensure by Examination for Physical Therapists

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to delineate the

requirements for licensure by examination for physical therapists pursuant to section 12-285-110, C.R.S.

An applicant is required to demonstrate that they have successfully completed a physical therapy

program that is either:

Accredited by a nationally recognized accrediting agency pursuant to Rule 1.4(C); or

Substantially equivalent pursuant to Rule 1.5(E).

If applying to take the National Physical Therapy Examination (NPTE), an applicant:

Must have successfully completed a physical therapy program or be eligible to graduate

within ninety days of a program pursuant to section (1) of this Rule; and

Must apply through the Federation of State Boards of Physical Therapy (FSBPT).

An applicant for licensure by examination must graduate from a physical therapy program

pursuant to section (1) of this Rule and pass the NPTE within the two years immediately

preceding the date of the application.

An applicant who is unable to meet the requirements under section (3) of this Rule may request

to demonstrate competency by any other means. The Board shall consider such a request on a

case-by-case basis. The decision to approve such a request shall be at the sole discretion of the

Board

(1) of this Rule and pass the NPTE within the two years immediately

preceding the date of the application.

An applicant who is unable to meet the requirements under section (3) of this Rule may request

to demonstrate competency by any other means. The Board shall consider such a request on a

case-by-case basis. The decision to approve such a request shall be at the sole discretion of the

Board. In considering whether to approve such a request, the Board shall consider public safety,

the particular circumstances and hardships faced by the applicant, and such other factors as the

Board deems appropriate. If the Board grants a license under this section (4), the Board may

subject said license to such lawful conditions as the Board finds are necessary to protect the

public.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

Licensing of a Physical Therapist applicant who is educated by a program that is not

accredited by the Commission on Accreditation in Physical Therapy Education or a comparable

organization as determined by the board

The purpose of this Rule is to establish procedures for determining whether an internationally educated

physical therapist applicant who has graduated from a non-accredited program has substantially

equivalent education and training as required pursuant to section 12-285-113(1)(a), C.R.S.

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organization as determined by the board

The purpose of this Rule is to establish procedures for determining whether an internationally educated

physical therapist applicant who has graduated from a non-accredited program has substantially

equivalent education and training as required pursuant to section 12-285-113(1)(a), C.R.S.

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An internationally educated applicant who has graduated from a non-accredited program must

have education and training in physical therapy substantially equivalent to the entry-level

education and training required at accredited physical therapy programs in the United States in

effect at the time of the applicant’s graduation. This includes an assessment of the applicant’s

general and professional education, as well as training in wound care and debridement.

Applicants who wish to have their general and professional education considered “substantially

equivalent” in order to take the National Physical Therapy Examination (NPTE) through Colorado

and qualify for licensure shall submit their credentials to the Foreign Credentialing Commission of

Physical Therapy (FCCPT). The applicant must submit a credentials evaluation utilizing the

version of the Coursework Evaluation Tool for Foreign-Educated Physical Therapists developed

by the Federation of State Boards of Physical Therapy (FSBPT) that applies to the applicant’s

year of graduation in order to evaluate the applicant’s credentials against the requirements at

accredited physical therapy programs in place at the time of the applicant’s graduation. The

Board will not accept a credentials evaluation from an organization not listed in this Rule.

An internationally educated applicant who has graduated from a non-accredited program and

already passed the NPTE may submit a credentials evaluation from a credentialing agency other

than FCCPT provided that:

accredited physical therapy programs in place at the time of the applicant’s graduation. The

Board will not accept a credentials evaluation from an organization not listed in this Rule.

An internationally educated applicant who has graduated from a non-accredited program and

already passed the NPTE may submit a credentials evaluation from a credentialing agency other

than FCCPT provided that:

The credentialing agency utilized the version of the Coursework Evaluation Tool for

Foreign-Educated Physical Therapists developed by FSBPT that applies to the

applicant’s year of graduation in order to evaluate the applicant’s credentials against the

requirements at accredited physical therapy programs in place at the time of the

applicant’s graduation, and

The applicant has been licensed in good standing and actively engaged in clinical

practice as a licensed physical therapist in the United States for two out of the five years

immediately preceding their application for licensure.

All expenses associated with the credential evaluation are the responsibility of the applicant.

Failure to have a credentials evaluation pursuant to the terms of this Rule will result in the Board

denying the application.

In the event an internationally educated applicant’s general education is found to be deficient, the

applicant may take and pass subject examinations from the College-Level Examination Program

(CLEP) to overcome the deficiency in general education.

In the event an internationally educated applicant’s professional education is found to be

deficient, the applicant shall either:

Successfully complete a Board-approved plan to overcome deficiencies; or

Overcome the deficiency by obtaining a master or doctorate degree at an accredited

physical therapy program.

Degrees obtained in a transitional program are not equivalent to a professional entry-level

physical therapy degree and will not be accepted for initial licensure.

o be

deficient, the applicant shall either:

Successfully complete a Board-approved plan to overcome deficiencies; or

Overcome the deficiency by obtaining a master or doctorate degree at an accredited

physical therapy program.

Degrees obtained in a transitional program are not equivalent to a professional entry-level

physical therapy degree and will not be accepted for initial licensure.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

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Licensure by Endorsement for Physical Therapists

This Rule is promulgated pursuant to sections 12-20-202(3), 12-20-204, and 12-285-106(2)(b), C.R.S., to

delineate the requirements for licensure by endorsement for physical therapists pursuant to the

Occupational Credential Portability Program under sections 12-20-202(3) and 12-285-112, C.R.S.

The Board may decline to issue a license to an applicant for licensure by endorsement pursuant

to the Occupational Credential Portability Program if the Board demonstrates by a preponderance

of evidence, after notice and opportunity for a hearing, that the applicant:

Lacks the requisite substantially equivalent education, experience, or credentials to

practice physical therapy; or

Has committed an act that would be grounds for disciplinary action under the law

governing the practice of physical therapy.

In accordance with section 12-20-202(3)(d), C.R.S., the Board has established the following

criteria for determining whether an applicant possesses experience and credentials that are

substantially equivalent to section 12-285-110, C.R.S

practice physical therapy; or

Has committed an act that would be grounds for disciplinary action under the law

governing the practice of physical therapy.

In accordance with section 12-20-202(3)(d), C.R.S., the Board has established the following

criteria for determining whether an applicant possesses experience and credentials that are

substantially equivalent to section 12-285-110, C.R.S. An applicant who possesses a current and

unrestricted license, in good standing, to practice physical therapy under the laws of another

jurisdiction may apply for licensure by endorsement.

All of the following factors must be attested to at the time of application for Colorado licensure by

endorsement in order for the applicant to establish that their experience and credentials are

substantially equivalent to the requirements of section 12-285-110, C.R.S.:

The applicant has graduated from an accredited physical therapy program or graduated

from a physical therapy program that the Board has determined to be substantially

equivalent;

The applicant has passed the National Physical Therapy Examination (NPTE);

The applicant must attest that they:

(1)

Have reported to the Board any injunction entered against the individual and any

injunctive action pending against the individual on any license.

(2)

Have reported any malpractice judgment, settlement, or claim, and any pending

action or claim.

(3)

Have reported any pending complaint, investigation, or disciplinary proceeding

before the licensing, grievance, or disciplinary Board of any jurisdiction in which a

license, registration or certification to practice physical therapy is held and where

the complaint, investigation, or proceeding concerns the practice of physical

therapy.

(4)

Have reported any applicable felony conviction(s).

(5)

Have reported to the Board any prior disciplinary action by another jurisdiction

before the licensing, grievance, or disciplinary Board of any jurisdiction in which a

license, registration or certification to practice physical therapy is held and where

the complaint, investigation, or proceeding concerns the practice of physical

therapy.

(4)

Have reported any applicable felony conviction(s).

(5)

Have reported to the Board any prior disciplinary action by another jurisdiction

(6)

Have not committed any other acts that would be grounds for disciplinary action

under section 12-285-120, C.R.S.

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Applicants for endorsement must submit verification from each jurisdiction, federal agency, or

military service branch in or through which applicant has even been licensed, registered, certified,

or enrolled. Applicants must submit proof that the applicant has held for at least one year a

current and valid license, certification, registration, or enrollment under a jurisdiction with a scope

of practice that is substantially similar to the scope of practice of physical therapy as specified in

section 12-285-101, et. seq., C.R.S. The verification can be retrieved by the applicant from the

jurisdiction’s or agency’s website as long as the following information is included and can be

verified if necessary:

Date license was originally issued;

Date of license expiration, if applicable; and

Disciplinary history, if applicable.

If the complete information is not available from the jurisdiction’s or agency’s website then the

Verification of License Form must be completed by the jurisdiction or agency.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

y’s website then the

Verification of License Form must be completed by the jurisdiction or agency.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

Reinstatement or Reactivation of an Expired or Inactive Physical Therapist License

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to establish the

qualifications and procedures for applicants seeking reinstatement of an expired physical therapist license

or reactivation of an inactive physical therapist license pursuant to sections 12-20-202, 12-285-114 and

12-285-115, C.R.S.

An applicant seeking reinstatement or reactivation of a physical therapist license shall complete a

reinstatement or reactivation application and pay a fee as established by the Director.

If the license has been expired or inactive for two years or less, then applicant must attest to one

of the following:

Completing continuing professional competency pursuant to section 12-285-119, C.R.S.,

and Rule 1.5(L) for the two years immediately preceding the date the application is

received; or

Passing the National Physical Therapy Examination (NPTE) within two years before the

date of application.

If the license has been expired or inactive for more than two years, then an applicant must

demonstrate “competency to practice” pursuant to section 12-20-202(2)(c)(II)(A)-(E), C.R.S. An

applicant may also request to demonstrate competency by any other means pursuant to section

12-20-202(2)(c)(II)(F), C.R.S. The Board shall consider such a request on a case-by-case basis.

The decision to approve such a request shall be at the sole discretion of the Board

two years, then an applicant must

demonstrate “competency to practice” pursuant to section 12-20-202(2)(c)(II)(A)-(E), C.R.S. An

applicant may also request to demonstrate competency by any other means pursuant to section

12-20-202(2)(c)(II)(F), C.R.S. The Board shall consider such a request on a case-by-case basis.

The decision to approve such a request shall be at the sole discretion of the Board. In considering

whether to approve such a request, the Board shall consider public safety, the particular

circumstances and hardships faced by the applicant, and such other factors as the Board deems

appropriate. If the Board grants a license under this paragraph, the Board may subject said

license to such lawful conditions as the Board finds are necessary to protect the public.

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An applicant for reinstatement or reactivation who has actively practiced in Colorado on an

expired or inactive license in violation of section 12-285-109, C.R.S., is subject to denial of

application, disciplinary action, and/or other penalties as authorized in the Physical Therapy

Practice Act at section 12-285-101, et seq., C.R.S., and in accordance with section 12-20-202, et

seq., C.R.S.

Use of Titles Restricted

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to clarify the use

of titles and educational degrees pursuant to section 12-285-107, C.R.S.

Obtaining a physical therapy license does not automatically entitle or confer upon the licensee the

right to use the title “Dr.” or “Doctor”.

A licensed physical therapist can use the title “Doctor” or “Dr.” only when such licensee has, in

fact, been awarded a physical therapy doctorate degree (D.P.T.), or another academic or clinical

doctorate degree (e.g., Ph.D., Sc.D.) from an accredited program by a nationally recognized

accrediting agency as required pursuant to section 6-1-707, C.R.S., pertaining to the use of titles

and degrees.

licensed physical therapist can use the title “Doctor” or “Dr.” only when such licensee has, in

fact, been awarded a physical therapy doctorate degree (D.P.T.), or another academic or clinical

doctorate degree (e.g., Ph.D., Sc.D.) from an accredited program by a nationally recognized

accrediting agency as required pursuant to section 6-1-707, C.R.S., pertaining to the use of titles

and degrees.

A physical therapist holding a doctorate degree may include the title “Doctor” or “Dr.” only when

accompanied by the words of the conferred degree following his/her legal name and after the title

“P.T.”, for example: “Dr. Jane/John Doe, P.T., D.P.T.” or “Dr. Jane/John Doe, P.T., Ph.D.”

A physical therapist not holding a physical therapy doctorate or transitional doctorate degree may

not use the title D.P.T.

Requirements for Physical Therapists to Perform Physical Therapy of Animals

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to implement the

requirements of sections 12-285-106(2)(b)(II) and 12-285-116(4), C.R.S., regarding the authority of

physical therapists to treat animals.

A physical therapist must have the knowledge, skill, ability, and documented competency to

perform an act that is within the scope of practice for physical therapists.

The Division of Professions and Occupations shall maintain a data base of all physical therapists

that are qualified pursuant to this Rule to practice physical therapy of animals in this state.

All physical therapists that choose to practice physical therapy of animals shall provide the Board

with such therapist’s name, current address, education, and qualifications to perform physical

therapy of animals for inclusion in the data base referenced in section (2) of this Rule. Information

in the data base shall be open to public inspection at all times. Forms for physical therapists to

provide such information shall be provided by the Board.

al therapy of animals shall provide the Board

with such therapist’s name, current address, education, and qualifications to perform physical

therapy of animals for inclusion in the data base referenced in section (2) of this Rule. Information

in the data base shall be open to public inspection at all times. Forms for physical therapists to

provide such information shall be provided by the Board.

A physical therapist that desires to perform physical therapy of animals must comply with the

following educational requirements:

Minimum of eighty contact hours over and above entry-level human physical therapy

program course work for non-human animals, to include:

(1)

FOUNDATION/CLINICAL SCIENCES

(a)

Gross and applied non-human animal anatomy/physiology;

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(b)

Wound healing and response of tissues to disuse and remobilization in

the non-human animal;

(c)

Animal behavior;

(d)

Animal restraint; and

(e)

Zoonotic and infectious diseases.

(2)

EXAMINATION/EVALUATION/PROGNOSIS/PT DIAGNOSIS

(a)

Medical and surgical management of orthopedic, neurological, critically

injured, geriatric, arthritic, and obese non-human animals; and

(b)

Gait and other movement analyses.

(3)

INTERVENTION/PLAN OF CARE/OUTCOME

(a)

Therapeutic exercise applied to non-human animals;

(b)

Therapeutic modalities; and

(c)

Outcome assessment and documentation.

(4)

CLINICAL EXPERIENCE

ALUATION/PROGNOSIS/PT DIAGNOSIS

(a)

Medical and surgical management of orthopedic, neurological, critically

injured, geriatric, arthritic, and obese non-human animals; and

(b)

Gait and other movement analyses.

(3)

INTERVENTION/PLAN OF CARE/OUTCOME

(a)

Therapeutic exercise applied to non-human animals;

(b)

Therapeutic modalities; and

(c)

Outcome assessment and documentation.

(4)

CLINICAL EXPERIENCE

(a)

Documented successful completion of a minimum of 120 hours under the

supervision of a licensed physical therapist listed in the data base

maintained by the Division of Professions and Occupations to perform

physical therapy of animals or a licensed veterinarian.

Prior to performing physical therapy of an animal, the physical therapist shall obtain veterinary

medical clearance of the animal by a Colorado-licensed veterinarian and must document such

clearance in the animal patient’s record.

Veterinary medical clearance means:

The veterinarian has previously examined the animal patient and has provided a

differential diagnosis, if appropriate; and

The veterinarian has cleared the animal for physical therapy.

It is expected that the physical therapist and the veterinarian will continue professional

collaboration as necessary for the well-being of the animal patient.

Once veterinary medical clearance has been received; the physical therapist is responsible for

developing the plan of care for the animal patient’s physical therapy.

The animal patient’s record must include the verbal or written veterinary medical clearance. If

verbal clearance is received, the physical therapist must document the verbal clearance in the

animal patient’s record, including the name of the veterinarian, date, and time clearance was

received.

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mal patient’s physical therapy.

The animal patient’s record must include the verbal or written veterinary medical clearance. If

verbal clearance is received, the physical therapist must document the verbal clearance in the

animal patient’s record, including the name of the veterinarian, date, and time clearance was

received.

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10.

Complaints against physical therapists alleging a violation related to animal physical therapy will

be forwarded to the State Board of Veterinary Medicine for its review and advisory

recommendation to the State Physical Therapy Board. The State Physical Therapy Board retains

the final authority by statute for decisions related to discipline of any physical therapist.

Requirements for Physical Therapists to Perform Dry Needling

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to establish

requirements for a physical therapist to perform dry needling in accordance with section 12-285-116(5),

C.R.S.

Dry needling is a physical intervention that uses a filiform needle to stimulate trigger points,

diagnose and treat neuromuscular pain and functional movement deficits; is based upon Western

medical concepts; requires an examination and diagnosis; and treats specific anatomic structures

selected according to physical signs.

The performance of dry needling in accordance with this Rule is not the performance of

acupuncture as defined in section 12-200-103, C.R.S., and is not a violation of section 12-200-

108, C.R.S.

In order to perform dry needling, a physical therapist must have the knowledge, skill, ability, and

documented competency to perform dry needling.

To be deemed competent to perform dry needling, a physical therapist must successfully

complete a formalized course of study provided by a qualified licensed healthcare provider that:

Includes a minimum of fifty hours of education of which forty hours must be in-person

education

, a physical therapist must have the knowledge, skill, ability, and

documented competency to perform dry needling.

To be deemed competent to perform dry needling, a physical therapist must successfully

complete a formalized course of study provided by a qualified licensed healthcare provider that:

Includes a minimum of fifty hours of education of which forty hours must be in-person

education. The education may be broken up into more than one part. A physical therapist

is permitted the limited practice of dry needling once the physical therapist has completed

thirty hours, as long as such practice is confined to the scope of the education already

successfully completed. All parts of this education must be successfully completed within

four years.

Includes specific knowledge and psychomotor objectives;

Includes clinical decision-making;

Includes written and psychomotor assessment of knowledge and skills.

The formalized course of study set forth in section (4) of this Rule may be completed during the

physical therapist’s entry level education. To apply this education to the requirements in section

(4) of this Rule, the remaining parts of the education must be successfully completed within four

years of the date of original licensure.

If the physical therapist has not completed at least fifty hours of dry needling training within four

years, then the licensee must stop performing dry needling at any level until the licensee has

completed at least fifty hours.

A physical therapist who meets the requirements set forth in section (4) of this Rule must

maintain documentation regarding the successful completion of these requirements and shall

provide the documentation upon request by the Board.

Dry needling in areas where there is a risk of pneumothorax or where neurovascular compromise

could be life-threatening, shall be included after the licensee has been formally educated and has

had the opportunity to practice in lower risk areas.

le must

maintain documentation regarding the successful completion of these requirements and shall

provide the documentation upon request by the Board.

Dry needling in areas where there is a risk of pneumothorax or where neurovascular compromise

could be life-threatening, shall be included after the licensee has been formally educated and has

had the opportunity to practice in lower risk areas.

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Physical therapists performing dry needling in their practice must have written informed consent

signed by each patient for whom dry needling is provided. A copy of the signed consent form

shall be available to the patient upon request. The written informed consent must include risks

and benefits of dry needling, including the risk of pneumothorax, neurovascular compromise, and

infection.

10.

When dry needling is performed, documentation must include a description of the technique,

tissues treated, and post treatment assessment.

11.

Dry needling shall not be delegated and must be directly performed by a qualified, physical

therapist including needle removal and post treatment assessment.

12.

Dry needling must be performed in a manner consistent with generally accepted standards of

practice, including clean needle technique, use of gloves, and safe needle and biohazardous

waste disposal.

13.

Physical therapists who were qualified to perform dry needling under previous versions of this

Rule remain qualified as of the effective date of this Rule.

Inactive License Status for Physical Therapists

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to outline

the conditions and procedures governing inactive licensure status pursuant to section 12-285-

115, C.R.S.

A physical therapist with an inactive license must not engage in any act or conduct that

constitutes the practice of physical therapy while the physical therapist’s license is inactive.

apists

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to outline

the conditions and procedures governing inactive licensure status pursuant to section 12-285-

115, C.R.S.

A physical therapist with an inactive license must not engage in any act or conduct that

constitutes the practice of physical therapy while the physical therapist’s license is inactive.

A physical therapist with an inactive license is exempt from the professional liability insurance

requirements of section 12-285-118, C.R.S.

A physical therapist with an inactive license is exempt from the continuing professional

competency requirements of section 12-285-119, C.R.S., and Rule 1.5(L).

A physical therapist may apply for reactivation of an inactive license by successfully meeting the

requirements of Rule 1.5(G).

Continuing Professional Competency Requirements for Licensure Renewal

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to establish a

continuing professional competency program pursuant to section 12-285-119, C.R.S., wherein a physical

therapist shall maintain and demonstrate continuing professional competency in order to renew a license

to practice physical therapy in the state of Colorado.

Furthermore, pursuant to section 12-285-119(2), C.R.S., records of assessment or other documentation

developed or submitted in connection with the continuing professional competency program are

confidential and not subject to inspection by the public or discovery in connection with a civil action

against a physical therapist. A person or the Board shall not use the records or documents unless used

by the Board to determine whether a physical therapist is maintaining continuing professional competency

to engage in the profession.

Definitions

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ct to inspection by the public or discovery in connection with a civil action

against a physical therapist. A person or the Board shall not use the records or documents unless used

by the Board to determine whether a physical therapist is maintaining continuing professional competency

to engage in the profession.

Definitions

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Continuing Professional Competency: The ongoing ability of a physical therapist to learn,

integrate, and apply the knowledge, skills, and judgment to practice as a physical

therapist according to generally accepted standards and professional ethical standards.

Continuing Professional Development (CPD): The Board program through which a

licensee can satisfy the continuing professional competency requirements in order to

renew, reinstate, or reactivate a license.

Deemed Status: A method to satisfy continuing professional competency requirements. A

licensee who satisfies the continuing professional competency requirements of a

Colorado state agency or department, an accrediting body recognized by the Board, or

an entity approved by the Board pursuant to section 12-285-119(1)(c), C.R.S., may

qualify under this method in lieu of completing the Board’s CPD program.

Learning Plan: A Board approved form on which a licensee documents their goals and

plans of learning that were developed from the licensee’s Self-Assessment Tool (SAT).

The plan can be amended/updated as needed during the renewal period.

Military Exemption: A method to satisfy continuing professional competency

requirements. A licensee who has been approved for this exemption will not be required

to meet continuing professional competency requirements during the renewal period in

which they were approved by the Division of Professions and Occupations.

(SAT).

The plan can be amended/updated as needed during the renewal period.

Military Exemption: A method to satisfy continuing professional competency

requirements. A licensee who has been approved for this exemption will not be required

to meet continuing professional competency requirements during the renewal period in

which they were approved by the Division of Professions and Occupations.

Professional Development Activities (PDA): learning activities undertaken to increase the

licensee’s knowledge and skill or hone existing knowledge and skill for the purpose of

continuing professional development.

Self-Assessment Tool (SAT): a practice tool in which a licensee can reflect upon a

licensee’s knowledge and skills pertaining to the foundational areas of physical therapy

practice taking into account the licensee’s current level and area of practice.

Continuing Professional Competency Requirements

Effective after the 2020 license renewal, or upon the completion of the first renewal of a

license thereafter, the licensee shall demonstrate continuing professional competency in

order to renew a license by:

(1)

Participation in the Continuing Professional Development (CPD) program;

(2)

Completion of the requirements for deemed status as defined in sections (1)(c)

and (4) of this Rule; or

(3)

Completion of the requirements for Military Exemption as defined in sections

(1)(e) and (5) of this Rule.

A licensee shall attest at the time of the renewal of a license to their compliance with

continuing professional competency requirements.

Continuing Professional Development Program

The Continuing Professional Development (CPD) program entails the following:

(1)

The licensee shall complete the Self-Assessment Tool (SAT) once per two-year

renewal period. A licensee shall use the Board approved form.

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(2)

The licensee shall complete the Learning Plan once per two-year renewal period

using the Board approved form.

inuing Professional Development (CPD) program entails the following:

(1)

The licensee shall complete the Self-Assessment Tool (SAT) once per two-year

renewal period. A licensee shall use the Board approved form.

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(2)

The licensee shall complete the Learning Plan once per two-year renewal period

using the Board approved form.

(3)

Accrual of thirty hours of Professional Development Activities (PDA) per two-year

renewal period.

Professional Development Activities (PDA)

(1)

Professional Development Activities (PDA) must be relevant to the licensee’s

practice as a physical therapist and pertinent to the licensee’s Learning Plan. The

Board will not pre-approve specific courses or providers. The licensee shall

determine which activities and topics will meet their Learning Plan, and select an

appropriate provider.

(2)

One contact hour equals one credit hour of Professional Development Activities

(PDA).

(3)

Professional Development Activities List. Activities are organized into the

following two categories:

(a)

Educational Coursework, Fellowships, or Residencies; or

(b)

Other Professional Development Activities:

(i)

Formalized Assessments;

(ii)

Presentations, Research, and Publications;

(iii)

Mentoring or Supervision;

(iv)

Independent or Group Study or In-Service; and

(v)

Volunteer Service.

(4)

Hours will be accepted if the activity is included in the Board’s Professional

Development Activities List. The Board may accept or reject activities submitted

for consideration that are not identified on its list.

(5)

Professional Development Activities will only apply for one two-year renewal

period.

(6)

A minimum of twenty of the thirty required hours must be in the Educational

Coursework, Fellowships, or Residencies category.

Audit of Compliance. The following documentation is required for an audit of compliance

of a licensee’s Continuing Professional Development:

that are not identified on its list.

(5)

Professional Development Activities will only apply for one two-year renewal

period.

(6)

A minimum of twenty of the thirty required hours must be in the Educational

Coursework, Fellowships, or Residencies category.

Audit of Compliance. The following documentation is required for an audit of compliance

of a licensee’s Continuing Professional Development:

(1)

The Learning Plan that is signed and executed which contains the licensee’s

goals in the form and manner as approved by the Board.

(2)

Documentation of thirty hours of Professional Development Activities in

compliance with the State Physical Therapy Board’s Professional Development

Activities List for documentation requirements for PDAs.

Deemed Status. The following criteria must be met in order to claim this status:

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In order to renew a license, a licensee shall attest to their Deemed Status.

To qualify, the licensee must be in full compliance with the requirements of the state

agency or department during the entire two-year renewal period of the physical

therapist’s license and on track to successfully complete that program or have

successfully completed it.

Licensees claiming Deemed Status are subject to an audit of compliance. To satisfy an

audit of compliance, the licensee shall submit appropriate evidence of participation in a

qualifying program through submission of:

(1)

Proof from the Colorado state agency or department or contractual entity

verifying that the licensee is in compliance with its continuing professional

competency program; and

(2)

A letter from the licensee’s employer certifying dates of employment for the entire

two-year license renewal period, without any break; or

riate evidence of participation in a

qualifying program through submission of:

(1)

Proof from the Colorado state agency or department or contractual entity

verifying that the licensee is in compliance with its continuing professional

competency program; and

(2)

A letter from the licensee’s employer certifying dates of employment for the entire

two-year license renewal period, without any break; or

(3)

Other documentation approved by the Board which reflects the licensee’s

compliance with a program of continuing professional competency.

Military Exemption. Pursuant to section 12-20-302, C.R.S., licensees who have been called to

federally funded active duty for more than 120 days for the purpose of serving in a war,

emergency, or contingency may request an exemption from the continuing professional

competency requirements for the renewal, reinstatement, or reactivation of a license for the two-

year renewal period that falls within the period of service or within six months following the

completion of service.

Military exemptions must be approved by the Division of Professions and Occupations.

Licensees seeking a military exemption shall submit a request in writing with evidence

that the licensee’s military service meets the criteria established in section 12-20-302,

C.R.S.

After being granted a military exemption, in order to complete the renewal process, a

licensee shall attest to their military exemption.

Records Retention. A licensee shall retain documentation demonstrating their compliance for two

complete two-year renewal periods.

Non-Compliance. Falsifying an attestation or other documentation regarding the licensee’s

compliance with continuing professional competency requirements constitutes the falsification of

information in an application and may be grounds for discipline pursuant to sections 12-285-

120(1)(k) and (r), C.R.S.

Reinstatement and Reactivation

eir compliance for two

complete two-year renewal periods.

Non-Compliance. Falsifying an attestation or other documentation regarding the licensee’s

compliance with continuing professional competency requirements constitutes the falsification of

information in an application and may be grounds for discipline pursuant to sections 12-285-

120(1)(k) and (r), C.R.S.

Reinstatement and Reactivation. A licensee seeking to reinstate or reactivate a license which has

been expired or inactivated for two years or less shall meet the competency requirements

outlined in Rule 1.5(G)(2).

Provisional Physical Therapist License

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to establish the

qualifications and procedures for applicants seeking a provisional license to practice as a physical

therapist pursuant to section 12-285-111, C.R.S. Refer to Rule 1.5(A) for applicable supervision

requirements.

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If the individual passes the NPTE after the license was issued, then the provisional license will

expire no later than the 120 days after the date it was issued, or a regular license to practice as a

physical therapist is issued to the licensee.

A provisional physical therapist shall purchase and maintain professional liability insurance, or be

insured under a supervising physical therapist, for the amounts specified in section 12-285-

118(1), C.R.S., unless the provisional physical therapist is exempted pursuant to section 12-285-

118(3), C.R.S.

Medication Review, Integration, and Understanding

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-104(6)(H), C.R.S., to clarify the role

of a physical therapist in medication review, integration and understanding.

A physical therapist may discuss the benefits, risks and potential adverse effects of prescribed

and over the counter medications that may affect the patient/client’s functional outcomes.

1.6

PHYSICAL THERAPIST ASSISTANT RULES

romulgated pursuant to sections 12-20-204 and 12-285-104(6)(H), C.R.S., to clarify the role

of a physical therapist in medication review, integration and understanding.

A physical therapist may discuss the benefits, risks and potential adverse effects of prescribed

and over the counter medications that may affect the patient/client’s functional outcomes.

1.6

PHYSICAL THERAPIST ASSISTANT RULES

Supervision Required for Physical Therapist Assistant Practice

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to clarify

supervision parameters pursuant to section 12-285-203(2), C.R.S.

Physical therapist assistants (“P.T.A.”) shall not provide physical therapy services unless the physical

therapist assistant works under the general supervision, as defined in Rule 1.4(A)(1), of a licensed

physical therapist.

Supervision of Others by Physical Therapist Assistants Prohibited

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S.

A physical therapist assistant may not supervise other personnel in the provision of physical

therapy services to a patient.

A physical therapist assistant under the general supervision, as defined in Rule 1.4(A)(1), of a

physical therapist may act as a clinical instructor for a physical therapist assistant student.

However, immediate supervision, as defined in Rule 1.4(A)(3), of the student physical therapist

assistant remains with the physical therapist if the physical therapist assistant student is providing

physical therapy services.

Certification by Examination for Physical Therapist Assistants

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to delineate the

requirements for certification by examination for physical therapist assistants pursuant to section 12-285-

205, C.R.S.

An applicant is required to demonstrate that the applicant has successfully completed a physical

therapy program pursuant to Rule 1.5(D) or a physical therapist assistant program that is either:

ed pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to delineate the

requirements for certification by examination for physical therapist assistants pursuant to section 12-285-

205, C.R.S.

An applicant is required to demonstrate that the applicant has successfully completed a physical

therapy program pursuant to Rule 1.5(D) or a physical therapist assistant program that is either:

Accredited by a nationally recognized accrediting agency pursuant to Rule 1.4(C); or

Substantially equivalent pursuant to Rule 1.6(D).

If applying to take the National Physical Therapy Examination (NPTE), an applicant:

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Must have successfully completed a physical therapy or physical therapist assistant

program, or be eligible to graduate within ninety days of a program pursuant to section

(1) of this Rule; and

Must apply through the Federation of State Boards of Physical Therapy (FSBPT).

An applicant for certification by examination must graduate from a physical therapy or physical

therapist assistant program pursuant to section (1) of this Rule and pass the NPTE within the two

years immediately preceding the date of the application.

An applicant who is unable to meet the requirements under section (3) of this Rule may request

to demonstrate competency by any other means. The Board shall consider such a request on a

case-by-case basis. The decision to approve such a request shall be at the sole discretion of the

Board. In considering whether to approve such a request, the Board shall consider public safety,

the particular circumstances and hardships faced by the applicant, and such other factors as the

Board deems appropriate. If the Board grants a certification under this section (4), the Board may

subject said certification to such lawful conditions as the Board finds are necessary to protect the

public.

rd. In considering whether to approve such a request, the Board shall consider public safety,

the particular circumstances and hardships faced by the applicant, and such other factors as the

Board deems appropriate. If the Board grants a certification under this section (4), the Board may

subject said certification to such lawful conditions as the Board finds are necessary to protect the

public.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

Certification of a Physical Therapist Assistant applicant who is educated by a program

that is not accredited by the Commission on Accreditation in Physical Therapy Education or a

comparable organization as determined by the board

This Rule is promulgated pursuant to sections 12-20-204 and 12-285-106(2)(b), C.R.S., to establish

procedures for determining whether an internationally educated physical therapist assistant applicant who

has graduated from a non-accredited program has substantially equivalent education and training as

required pursuant to section 12-285-207(1)(a), C.R.S

An internationally educated applicant who has graduated from a non-accredited program must

have education and training as a physical therapist assistant substantially equivalent to the entry-

level education and training required at accredited physical therapist assistant programs in the

United States in effect at the time of the applicant’s graduation. This includes but is not limited to

an assessment of the applicant’s foundational studies and applied and technical education, as

well as training in non-selective wound debridement and limited selective debridement (such as

mechanical, autolytic, enzymatic, and maggot). Internationally trained physical therapist

assistants may not perform sharp wound debridement.

of the applicant’s graduation. This includes but is not limited to

an assessment of the applicant’s foundational studies and applied and technical education, as

well as training in non-selective wound debridement and limited selective debridement (such as

mechanical, autolytic, enzymatic, and maggot). Internationally trained physical therapist

assistants may not perform sharp wound debridement.

Applicants who wish to have their foundational studies, and applied/technical education

considered “substantially equivalent” in order to take the National Physical Therapy Examination

(NPTE) through Colorado and qualify for certification shall submit their credentials to the Foreign

Credentialing Commission of Physical Therapy (FCCPT). The applicant must submit a credentials

evaluation utilizing the version of the Coursework Tool for Foreign Educated Physical Therapist

Assistants developed by the Federation of State Boards of Physical Therapy (FSBPT) that

applies to the applicant’s year of graduation in order to evaluate the applicant’s credentials

against the requirements at accredited physical therapist assistant programs in place at the time

of the applicant’s graduation. The Board will not accept a credentials evaluation from an

organization not listed in this Rule.

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An internationally educated applicant who has graduated from a non-accredited program and

already passed the NPTE may submit a credentials evaluation from a credentialing agency other

than FCCPT provided that:

The credentialing agency utilized the version of the Coursework Evaluation Tool for

Foreign-Educated Physical Therapists developed by FSBPT that applies to the

applicant’s year of graduation in order to evaluate the applicant’s credentials against the

requirements at accredited physical therapist assistant programs in place at the time of

the applicant’s graduation; and

n FCCPT provided that:

The credentialing agency utilized the version of the Coursework Evaluation Tool for

Foreign-Educated Physical Therapists developed by FSBPT that applies to the

applicant’s year of graduation in order to evaluate the applicant’s credentials against the

requirements at accredited physical therapist assistant programs in place at the time of

the applicant’s graduation; and

The applicant has been licensed, certified, or registered in good standing and actively

engaged in clinical practice as a physical therapist assistant in the United States for two

out of the five years immediately preceding his or her application for certification.

All expenses associated with the credentials evaluation are the responsibility of the applicant.

Failure to have a credentials evaluation pursuant to the terms of this Rule will result in the Board

denying the application.

In the event an internationally educated applicant’s foundational studies are found to be deficient,

the applicant may take and pass subject examinations from the College-Level Examination

Program (CLEP) to overcome the deficiency in general education.

In the event an internationally educated applicant’s applied and technical education is found to be

deficient, the applicant shall either:

Successfully complete a Board-approved plan to overcome deficiencies; or

Overcome the deficiency by obtaining an associate degree from an accredited physical

therapist assistant program.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

ficiency by obtaining an associate degree from an accredited physical

therapist assistant program.

An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

Certification by Endorsement for Physical Therapist Assistants

This Rule is promulgated pursuant to sections 12-20-202(3), 12-20-204, and 12-285-201(2), C.R.S., to

delineate the requirements for certification by endorsement for physical therapist assistants pursuant to

the Occupational Credential Portability Program under sections 12-20-202(3) and 12-285-206, C.R.S.

The Board may decline to issue a certificate to an applicant for certification by endorsement

pursuant to the Occupational Credential Portability Program if the Board demonstrates by a

preponderance of evidence, after notice and opportunity for a hearing, that the applicant:

Lacks the requisite substantially equivalent education, experience, or credentials to

practice as a physical therapist assistant; or

Has committed an act that would be grounds for disciplinary action under the law

governing the practice of physical therapist assistants.

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State Physical Therapy Board

In accordance with section 12-20-202(3)(d), C.R.S., the Board has established the following

criteria for determining whether an applicant possesses experience and credentials that are

substantially equivalent to section 12-285-205, C.R.S. An applicant who possesses a current and

unrestricted license, in good standing, to practice as a physical therapist assistant under the laws

of another jurisdiction may apply for certification by endorsement

.S., the Board has established the following

criteria for determining whether an applicant possesses experience and credentials that are

substantially equivalent to section 12-285-205, C.R.S. An applicant who possesses a current and

unrestricted license, in good standing, to practice as a physical therapist assistant under the laws

of another jurisdiction may apply for certification by endorsement.

All of the following must be attested to at the time of application for Colorado certification by

endorsement in order for the applicant to establish that their experience and credentials are

substantially equivalent to the requirements of section 12-285-205, C.R.S.:

The applicant has graduated from an accredited physical therapy or physical therapist

assistant program or graduated from a physical therapy or physical therapist assistant

program that the Board has determined to be substantially equivalent;

The applicant passed the National Physical Therapy Examination (NPTE);

The applicant must attest that they:

(1)

Have reported to the Board any injunction entered against her/him and any

injunctive action pending against her/him on any license.

(2)

Have reported any malpractice judgment, settlement, or claim, and any pending

action or claim.

(3)

Have reported any pending complaint, investigation, or disciplinary proceeding

before the licensing, grievance, or disciplinary Board of any jurisdiction in which a

license, registration or certification to practice as a physical therapist assistant is

held and where the complaint, investigation, or proceeding concerns the practice

as a physical therapist assistant.

(4)

Have reported any applicable felony conviction(s).

(5)

Have reported to the Board any prior disciplinary action by another jurisdiction.

e, or disciplinary Board of any jurisdiction in which a

license, registration or certification to practice as a physical therapist assistant is

held and where the complaint, investigation, or proceeding concerns the practice

as a physical therapist assistant.

(4)

Have reported any applicable felony conviction(s).

(5)

Have reported to the Board any prior disciplinary action by another jurisdiction.

(6)

Have not committed any other acts that would be grounds for disciplinary action

under section 12-285-211, C.R.S.

The applicant must submit verification from each jurisdiction, federal agency, or military service

branch in or through which applicant has even been licensed, registered, certified, or enrolled.

Applicants must submit proof that the applicant has held for at least one year a current and valid

license, certification, registration, or enrollment under a jurisdiction with a scope of practice that is

substantially similar to the scope of practice of physical therapist assistants as specified in section

12-285-201, et. seq., C.R.S. The verification can be retrieved by the applicant from the

jurisdiction’s or agency’s website as long as the following information is included and can be

verified if necessary:

Date license was originally issued;

Date of license expiration, if applicable; and

Disciplinary history, if applicable.

If the complete information is not available from the jurisdiction’s or agency’s website then the

Verification of License Form must be completed by the jurisdiction or agency

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verified if necessary:

Date license was originally issued;

Date of license expiration, if applicable; and

Disciplinary history, if applicable.

If the complete information is not available from the jurisdiction’s or agency’s website then the

Verification of License Form must be completed by the jurisdiction or agency

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An applicant must submit fingerprints for the purpose of obtaining criminal history record

information from the Federal Bureau of Investigation and the Colorado Bureau of Investigation,

which is responsible for retaining the state’s criminal records set forth in section 24-60-

3702(3)(B), C.R.S.

Reinstatement or Reactivation of an Expired or Inactive Certification for Physical Therapist

Assistants

This Rule is promulgated pursuant to sections 12-20-203, 12-20-204, and 12-285-106(2)(b), C.R.S., to

establish the qualifications and procedures for applicants seeking reinstatement of an expired physical

therapist assistant certification or reactivation of an inactive physical therapist assistant certification

pursuant to sections 12-20-202, 12-20-203, and 12-285-208, C.R.S.

An applicant seeking reinstatement or reactivation of a physical therapist assistant certification

shall complete a reinstatement or reactivation application and pay a fee as established by the

Director.

If the certification has been expired or inactive for two years or less, then applicant must attest to

one of the following:

Completing continuing professional competency pursuant to section 12-285-209, C.R.S.,

and Rule 1.6(G) for the two years immediately preceding the date the application is

received; or

Passing the National Physical Therapy Examination (NPTE) for physical therapist

assistants within two years before the date of application.

If the license has been expired or inactive for more than two years, then an applicant must

demonstrate “competency to practice” pursuant to section 12-20-202(2)(c)(II)(A)-(E), C.R.S

wo years immediately preceding the date the application is