Application Fee : $150
Please use all CAPS while typing out this application
According to AL Law, “no person shall practice nor hold himself out to be able to practice physical therapy or act as a physical therapist assistant in this state unless he is licensed in accordance with Section 34-24- 210.”
1) Have your PT/PTA school send an official transcript, identifying graduation, directly to the board. Secure, electronic copies of an official transcript from the PT/PTA school will be accepted.
2) Have two (2) Character Reference forms completed by professional colleagues and sent directly to the board by the person providing the reference
3) Have verifications of all current state licenses sent directly to the board from all states where you are currently licensed
4) Have your NPTE examination score forwarded directly to this board
5) Provide 10 hours of continuing education completed in the last 12 months, unless graduation has been within the past 12 months.
NOTE: APPLICANTS WHO ARE LICENSED BY ENDORSEMENT MUST COMPLETE AN ACCEPTABLE ALABAMA JURISPRUDENCE CONTINUING EDUCATION COURSE WITHIN 30 DAYS OF LICENSURE.
Please select the License type
Disclaimer: You have selected NO on the question of not being legally present in the United States. Proof of being legally present must be sent to the Boards Office before any license will be issued.
Have you ever used drugs or intoxicating liquors to an extent which affects professional competency?
Have you ever been convicted of a felony or of a crime involving moral turpitude?
Have you ever obtained or attempted to obtain a license by fraud or deception?
Have you ever been grossly negligent in the practice of physical therapy?
Have you ever been adjudged mentally incompetent by a court of competent jurisdiction?
Have you ever been guilty of conduct unbecoming a person registered as a physical therapist or of a conduct detrimental to the best interest of the public?
Have you ever been guilty of violating any state or federal narcotic law?
Have you ever treated or undertaken to treat human ailments other than by physical therapy?
Have you ever advertised unethically according to standards as set by the Board?
Have you ever failed or refused to obey any lawful order or regulation of the Board?
Have you undergone treatment for alcohol or chemical dependency or abuse?
Are there any criminal or civil suits pending against you?
Have you notified FSBPT to transfer your score report to Alabama?
Were you originally licensed by other than the National Physical Therapy Examination?
Has your license to practice physical therapy ever been Suspended, Put on Probation, Revoked,or Rejected?
Identify school, address, date and degree of your physical education
Provide the name, address, and telephone number of two professional colleagues who can provide the required character references.
Citizenship - Applicant Information
Citizenship - U. S. Citizenship or National Status
Are you a citizen of the United States
Are you an alien lawfully present in the United States?
Citizenship - Declaration
I declare under penalty of perjury under the laws of the State of Alabama that the answers and evidence I provided
are true and correct to the best of my knowledge
Affirm and Submit
(Processing fee will appear as "AL Board Of Physical Therapy" and Convenience fee will appear as "iGov E-Pay LLC")
Mailing Address: 100 North Union Street, Suite 724, Montgomery, AL 36130-5040