State board pa pta duplicate license3/28/2024 ![]() ![]() Please retain this email notification as your proof of payment. Once NYSED has received this initial application form and payment electronically, you will receive an email indicating that payment has been received. If you require assistance with the online application, submit a ticket to Online Services Technical Assistance. You are responsible for having all required documentation submitted for review and approval by the Department.You will have the opportunity to upload relevant documents. Information about any criminal (misdemeanor or felony) or professional disciplinary action.Examination information, including past examinations and details for upcoming examinations.Licensure Renewal Fee: 90.00 Biennial renewal of license. Of those 30 hours, 2 hours must be Board-approved continuing education in child abuse recognition and reporting. Professional experience, including details about any other licenses held. Licensure by Endorsement & Licensure by Act 41: An applicant for licensure by endorsement who is educated in another state or territory of the United States is required to submit their professional credentials to the State Board of Physical Therapy for review. 30 Hours (when renewing license) A physical therapist shall complete 30 continuing education hours during the preceding biennium.Educational history, including degrees, locations, and dates.If you are changing the firm name and wish to receive a license printed with the new name, you MUST return the firm’s current license with the form below (under Downloads) and a fee of 27. Your name on your application must match the name on your photo ID. Verification/approval from the Massachusetts Secretary of State Office, Corporation Division (Articles of Amendment) Applicable if firm is a BC, PC, LLP & LLC.Contact Information, including mail & email addresses and phone number(s).Failure to complete all required parts of the application and submit all required documentation will delay its review. Please take a moment to review the list of necessary information you will need to complete the application process. Review the requirements, and the list of additional necessary forms that you will be required to complete for licensure as a Physical Therapy Assistant. Payment is only accepted by MasterCard, Visa, or American Express. The $103 fee includes the application fee ($45) plus the fee for your first three-year registration period ($58). ![]() You must complete this online application and pay the applicable fee to begin the licensure process. You will need your Application ID and Date of Birth. If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. Your Application ID can be found in the email that was sent to you from the Office of the Professions. You will need your Application ID, Social Security Number, and Date of Birth. If you have a Social Security Number and have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. Only applicants with Social Security Numbers have the option to save the application progress and complete it within 30 days. ![]()
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