Examining Board Of Physical Therapists And Athletic Trainers
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12STATE OF DELAWARE
T
: (302) 744-4500
ELEPHONE
C
B
ANNON
UILDING
F
: (302) 739-2711
AX
861 S
L
B
., S
203
ILVER
AKE
LVD
UITE
EXAMINING BOARD OF PHYSICAL THERAPISTS AND
W
:
.
.
EBSITE
DPR
DELAWARE
GOV
D
, D
19904-2467
OVER
ELAWARE
ATHLETIC TRAINERS
customerservice.dpr@state.de.us
EMAIL:
APPLICATION FOR LICENSURE AS A PHYSICAL THERAPIST OR PHYSICAL THERAPIST ASSISTANT
INSTRUCTION SHEET
General Information
It is important to follow these instructions carefully. Examination and licensure may be delayed if you submit incomplete
form or submit the forms and/or fees to the wrong addresses.
The application asks you to select whether you are applying for an initial license by examination or reciprocity or reinstating
or reapplying for a lapsed license. Use this table to decide.
IF you…
THEN apply by…
need to take the National Physical Therapy Examination (NPTE)
Examination.
hold a current license in another jurisdiction (state, D.C. or U.S. territory)
Reciprocity.
have already passed the NPTE but do not hold a current license in another
Examination.
jurisdiction (state, D.C. or U.S. territory)
previously held a Delaware license of the same type you’re now applying
Reinstatement.
for and that license lapsed between one and five years ago
previously held a Delaware license of the same type you’re now applying
Reapplication.
for and that license lapsed more than five years ago
Requirements for All Applicants
The requirements in this section apply to all applications except Special Project/Assignment Temporary license
applications. If you will be practicing in Delaware solely in connection with a temporary special project, assignment or
medical emergency, see the
Application for Special Project/Assignment Temporary
License.
The address of the Board office referred to in these
Examining Board of Physical Therapists and Athletic Trainers
instructions is:
Cannon Building, Suite 203
861 Silver Lake Blvd.
Dover DE 19904
Submit completed, signed and notarized
Application for Licensure as a Physical Therapist or Physical Therapist
Assistant
to the Board office.
Enclose the
processing fee
by check or money order made payable to “State of Delaware.”
If you hold an active Delaware Physical Therapist Assistant license and are applying for upgrade to a Physical
Therapist license, enclose the
upgrade fee
instead of the full processing fee.
Complete the Criminal History Record Check Authorization form to request State of Delaware and Federal Bureau of
Investigation criminal background checks. Follow the instructions on the authorization form to arrange to be
fingerprinted.
If you have ever held a license in another jurisdiction (state, U.S. territory or District of Columbia), arrange for the
Board office to receive verification of licensure from each jurisdiction where you have ever held a license, sent directly
from the jurisdiction to the Board office.
Revised 6/2016
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