Board of Physical Therapy
► Applying for initial licensure from your professional licensing board has become a bit easier. For the past year, the Department of Health has been working on an online application process that will allow all health care professionals to apply online for an initial license and complete (and update as necessary) a practitioner profile mandatory for certain professions. The process is user friendly and convenient and even allows you to pay for your initial application utilizing a credit card, debit card or e-check. You will also be able to upload many of the documents required to complete your initial application! Please go to the initial application link below to begin the online process.
- Application and Instructions for Licensure as a Physical Therapist and Physical Therapist Assistant (PH-3124)
- Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers (PH-3585)
- NOTE: To ensure timely processing of applications for eligibility to take the NPTE, applications must be received at the Board Administrative Office, with required documents, at least fifteen (15) business days prior to the jurisdiction approval deadline. Please visit FSBPT's 2018 Key Dates & Deadlines to determine these dates.
- Declaration of Citizenship (PH-4183)
- Declaration of Eligibility for Expedited Licensure Process for a Military Member (PH-4279)
- Expedited Licensure for Military Spouses Form (PH-4280)
- Reinstatement Application (PH-4049)
- Name and Address Change Request (PH-3619)
- Affidavit of Retirement From Practice in Tennessee (PH-3460)
- Physical Therapy - Accommodations For Disabilities Questionnaire (PH-3305)
- Physical Therapy & Physical Therapy Assistant Duplicate License Form (PH-4128)
- Criminal Background Checks