OAR Chapter 848 — Oregon Board of Physical Therapy

chapter-848OAR Chapter 848Regulation

Division 1 PROCEDURAL RULES

Or. Admin. R. 848-001-0000 Notice to Interested Persons on Any Proposal to Adopt, Amend, or Repeal Any Rule

Prior to the adoption, amendment, or repeal of any permanent rule, the Physical Therapist Licensing Board shall give notice of the proposed adoption, amendment, or repeal:

(1) In the Secretary of State's Bulletin referred to in ORS 183.360 at least twenty-one (21) days prior to the effective date.

(2) By providing a copy of the notice to persons on the Physical Therapist Licensing Board's mailing list established pursuant to ORS 183.335(8).

(3) By providing a copy of the notice to the following persons, organizations, or publications:

(a) Executive Secretary, Oregon Physical Therapy Association;

(b) Oregon Association of Hospitals.

(c) Oregon Physical Therapists in Independent Practice.

History

  • Statutory/Other Authority: ORS 183
  • Statutes/Other Implemented: ORS 688.145 & 688.160
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 2-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 1-2004, f. & cert. ef. 12-29-04
  • PT 8, f. & ef. 5-4-76
Or. Admin. R. 848-001-0005 Attorney General’s Model Rules of Procedure

The following Model Rules of Procedure promulgated by the Attorney General of the State of Oregon, in effect January 01, 2018, are adopted by the Board by reference. These rules apply to rulemaking; OAR 137-001-0005 through 137-001-0100.

[ED. NOTE: The full text of the Attorney General’s Model Rules of Procedure is available from the office of the Attorney General or the Physical Therapist Licensing Board.]

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 183 & 688.160
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 1-2004, f. & cert. ef. 12-29-04
  • PTLB 4-2001, f. & cert. ef. 1-4-01
  • PT 6-1997, f. & cert. ef. 12-12-97
  • PT 1-1992, f. & cert. ef. 3-26-92
  • PT 1-1988, f. & cert. ef. 6-27-88
  • PT 1-1986, f. & ef. 10-27-86
  • PT 2-1984, f. & ef. 11-30-84
  • PT 1-1982, f. & ef. 2-17-82
  • PT 1-1978, f. 6-19-78, ef. 6-28-78
  • PT 9, f. & ef. 5-4-76
  • PT 1, f. 1-3-74, ef. 2-11-74
Or. Admin. R. 848-001-0010 Time for Requesting a Contested Case Hearing

A request for a contested case hearing must be in writing and must be received by the Board within thirty (30) days from the date the proposed notice of disciplinary action was served.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 183 & 688.160
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • Renumbered from 848-010-0115, PTLB 1-2004, f. & cert. ef. 12-29-04
  • PTLB 2-2001, f. & cert. ef. 1-4-01
Or. Admin. R. 848-001-0020 Filing Exceptions to the Board

After a proposed order has been served on a party, the Board shall notify the party when written exceptions must be filed to be considered by the Board. A licensee may request to appear before the Board to discuss the proposed sanction before the Board issues a Final Order.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 183 & 688.160
  • Renumbered from 848-010-0120, PTLB 1-2004, f. & cert. ef. 12-29-04
  • PTLB 1-2001, f. & cert. ef. 1-4-01

Division 5 BOARD ADMINISTRATION

Or. Admin. R. 848-005-0005 Name of Board

As used in OAR 848, “Physical Therapist Licensing Board” has the same meaning as “Oregon Board of Physical Therapy”.

History

  • Statutory/Other Authority: 2019 Oregon Laws Chapter 43, 2019; HB2092
  • Statutes/Other Implemented: 2019 Oregon Laws Chapter 43, 2019; HB2092
  • PTLB 5-2019, adopt filed 12/20/2019, effective 01/01/2020
Or. Admin. R. 848-005-0010 Establish Physical Therapist Licensing Board Budget for 25-27 Biennium.

The Physical Therapist Licensing Board hereby adopts by reference the Oregon Board of Physical Therapy 2025-2027 Biennium Budget of $2,245,651 covering the period from July 1, 2025 through June 30, 2027. The Executive Director of the Board will amend budgeted accounts as necessary within the approved budget of $2,245,651 for the effective operation of the Board. The Board will not exceed the approved 2025-2027 Biennium Budget expenditures without amending this rule, notifying holders of licenses, and holding a public hearing thereon as required, by ORS Chapter 182.462(1) and (2). Copies of the budget are available from the Board's office and posted on the Board’s website.

History

  • Statutory/Other Authority: ORS 688.210
  • Statutes/Other Implemented: ORS 688.160(5)(c)
  • OBPT 2-2025, amend filed 05/28/2025, effective 07/01/2025
  • OBPT 5-2023, amend filed 06/22/2023, effective 07/01/2023
  • OBPT 9-2021, minor correction filed 08/09/2021, effective 08/09/2021
  • OBPT 7-2021, amend filed 06/22/2021, effective 07/01/2021
  • PTLB 4-2019, amend filed 05/28/2019, effective 07/01/2019
  • PTLB 3-2019, temporary amend filed 03/21/2019, effective 03/22/2019 through 06/30/2019
  • PTLB 2-2017(Temp), f. & cert. ef. 6-14-17 thru 6-30-17
  • PTLB 1-2017, f. 3-9-17, cert. ef. 7-1-17
  • PTLB 1-2015, f. 3-31-15, cert. ef. 7-1-15
  • PTLB 1-2013, f. 6-3-13, cert. ef. 7-1-13
  • PTLB 1-2011, f. 6-20-11, cert. ef. 7-1-11
  • PTLB 2-2009, f. 5-14-09 cert. ef. 7-1-09
  • PTLB 1-2009, f. & cert. ef. 5-14-09
  • PTLB 2-2007, f. 5-25-07, cert. ef. 6-1-07
  • PTLB 1-2005, f. & cert. ef. 4-8-05
  • PTLB 2-2004, f. & cert. ef. 12-29-04, Renumbered from 848-010-0105
  • PTLB 2-2003, f. 6-30-03, cert. ef. 7-1-03
  • PTLB 6-2001, f. & cert. ef. 10-1-01
  • PTLB 5-2001(Temp), f. & cert. ef. 6-18-01 thru 9-30-01
  • PTLB 5-1999, f. 11-23-99, cert. ef. 12-1-99
  • PTLB 3-1999(Temp), f. & cert. ef. 9-7-99 thru 3-1-00
Or. Admin. R. 848-005-0015 Board Member Compensation

(1) A Board member shall receive a stipend consistent with ORS 292.495 for each day or portion thereof during which the member is engaged in the performance of official duties as follows.

(2) Performance of official duties is defined as:

(a) Attendance at scheduled meetings:

(A) Board meetings, including special Board meetings via conference call or web conference,

(B) Board committee meetings, rule advisory meetings, or other similar meetings establihsed by the Board;

(b) Appointments with Board staff for Board business;

(c) Legislative testimony representing the Board; OR

(d) Conferences and activities that the Board has requested that the member attend as its representative.

(3) Board members shall receive a stipend for review of Board packet materials sent out prior to Board meetings.

History

  • Statutory/Other Authority: ORS 688.160(4) & ORS 292.495
  • Statutes/Other Implemented: ORS 688.160(4) & ORS 292.495
  • OBPT 4-2024, amend filed 11/25/2024, effective 11/25/2024
  • OBPT 2-2024, temporary amend filed 06/05/2024, effective 06/05/2024 through 11/30/2024
  • OBPT 3-2021, adopt filed 04/30/2021, effective 05/01/2021
  • OBPT 2-2021, temporary adopt filed 02/11/2021, effective 02/12/2021 through 08/10/2021
Or. Admin. R. 848-005-0020 Board Fees and Refunds

(1) The following fees shall be paid to the Board:

(a) Physical Therapist or Physical Therapist Assistant Examination Application Fee of $187.00, plus the actual cost to the Board of conducting a nationwide background verification.

(b) Physical Therapist or Physical Therapist Assistant Endorsement Application Fee of $187.00, plus the actual cost to the Board of conducting a nationwide background verification.

(c) Physical Therapist or Physical Therapist Assistant Military Spouse Temporary Permit Application Fee of $99.

(d) Physical Therapist License Renewal Fee of $200.00, plus the actual cost to the Board of conducting a workforce demographics survey as required by ORS 676.410(6) as well as nationwide background verification.

(e) Physical Therapist Assistant License Renewal Fee of $130.00, plus the actual cost to the Board of conducting a workforce demographics survey as required by ORS 676.410(6) as well as nationwide background verification.

(f) Lapsed License Renewal Fee of $50.00 for renewal applications postmarked or received by the Board after March 31st of an even numbered year.

(g) On-line renewal and application convenience fee not to exceed the actual processing costs of an on-line electronic transaction.

(h) Physical Therapist or Physical Therapist Assistant Compact Privilege Fee of $102.00.

(i) Physical Therapist or Physical Therapist Assistant Temporary Permits Fee of $50.00.

(j) Physical Therapist or Physical Therapist Assistant Verification of Oregon Licensure or Verification of Application Status Letters/Forms Fee of $25.00.

(k) Non-Sufficient Funds (NSF) Check Fee of $25.00.

(l) Miscellaneous Fees:

(A) Physical Therapist and/or Physical Therapist Assistant electronic mailing list fee of $100.00.

(B) Photocopying administrative fee of $25.00, plus ten cents ($0.10) per copy.

(2) Board refunds of overpayments in any amount of $25.00 or less will be held by the Board unless the payor requests a refund in writing.

History

  • Statutory/Other Authority: ORS 182.466(4)
  • Statutes/Other Implemented: ORS 182.466(4), 688.070(1)(2), 688.080, 688.100 & 688.110
  • OBPT 1-2026, amend filed 01/29/2026, effective 02/01/2026
  • OBPT 8-2021, amend filed 08/05/2021, effective 08/09/2021
  • PTLB 6-2019, amend filed 12/20/2019, effective 01/01/2020
  • PTLB 1-2018, amend filed 05/24/2018, effective 06/01/2018
  • PTLB 3-2015, f. 9-9-15, cert. ef. 1-1-16
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • Reverted to PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2012(Temp), f. 11-30-12, cert. ef. 1-1-13 thru 3-31-13
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 3-2005, f. 12-29-05, cert. ef. 1-1-06
  • Renumbered from 848-010-0110, PTLB 2-2004, f. & cert. ef. 12-29-04
  • PTLB 4-2000, f. & cert. ef. 12-21-00
  • PTLB 6-1999, f. 11-23-99, cert. ef. 1-1-00
  • PLTB 1-1998, f. & cert. ef. 2-9-98
  • PT 3-1997, f. & cert. ef. 6-9-97
  • PT 6-1996, f. & cert. ef. 9-5-96
Or. Admin. R. 848-005-0030 Name, Address and Telephone Number of Record

(1) Every applicant, licensee and temporary permit holder shall keep their legal name on file with the Board. For purposes of this rule, legal name includes a First, Middle and Last name.

(2) Every applicant, licensee and temporary permit holder shall keep their home address on file with the Board. The home address must be a residential address and may not be a post office box number.

(3) Every applicant, licensee and temporary permit holder shall keep a current contact telephone number and a private or public email address on file with the Board.

(4) Every applicant, licensee and temporary permit holder shall keep the name, address and telephone number of their current employer or place of business on file with the Board.

(5) Every applicant, licensee and temporary permit holder shall keep a current designated mailing address on file with the Board.

(6) Whenever an applicant, licensee or temporary permit holder legally changes their name, they shall notify the Board in writing within 30 days of the name change and provide the Board with legal documentation of the name change.

(7) Whenever an applicant, licensee or temporary permit holder changes their home or mailing address, their employer or place of business, their contact telephone numberor their email address, they shall within 30 days, notify the Board in writing. Written notification may be by regular mail, email, facsimile or through online submission.

(8) Unless requested for a public health or state health planning purpose or unless extenuating circumstances exist, the Board will withhold the home address, private electronic mail address and personal telephone number of a licensee.

History

  • Statutory/Other Authority: ORS 182.466(4)
  • Statutes/Other Implemented: ORS 182.466(4), 688.070(1)(2), 688.080, 688.100 & 688.110
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 3-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 2-2004, f. & cert. ef. 12-29-04

Division 10 LICENSED PHYSICAL THERAPISTS AND LICENSED PHYSICAL THERAPIST ASSISTANTS

Or. Admin. R. 848-010-0005 Pre-Educational Program Conviction Determination Process

(1) Prior to beginning a required education or training, a person who was convicted of a crime may petition the Board for a determination as to whether a criminal conviction will prevent the person from receiving a license issued by the Board.

(2) To be complete, a petition must include the following:

(a) a complete and signed determination request form;

(b) payment of applicable fees identified in OAR 848-005-0020;

(c) the following records related to the final judgment of each criminal conviction:

(A) a certified copy of the judgment of criminal conviction;

(B) any charging document(s);

(C) the arrest report(s);

(D) probation and parole records, if they exist;

(d) a written statement from the petitioner regarding the facts underlying the criminal conviction, and any intervening circumstances; and

(e) a written statement or other document listing all criminal convictions, including dates of conviction and a summary of the facts, if the petitioner has more than one.

(3) A separate completed petition and fee must be filed for each criminal conviction for which the petitioner is requesting a determination.

(4) If any of the records in (3)(c) no longer exist, have been sealed or are otherwise unavailable to the petitioner, petitioner must provide evidence from the agency that held the record that the record no longer exists.

(5) If any of the documents required under subsections (2) and (4) are not provided, petitioner will have 60 days to provide the required documents or information. Upon failure to comply, the petition will be deemed incomplete and will be closed.

(6) The petition and the Board’s determination are subject to Oregon’s public records laws, and unless an exemption applies, the information in the petition and determination are subject to public disclosure.

(7) The Board will reconsider a determination that a criminal conviction prevents the person from obtaining a license when the person submits a completed application for a license.

(8) Upon reconsideration, the Board may rescind a previous determination that a criminal conviction does not prevent the person from obtaining a license if the applicant:

(a) Has allegations or charges pending in criminal court;

(b) Has failed to disclose a previous criminal conviction;

(c) Has been convicted of another crime during the period between the determination and the person’s submission of a completed application for an occupational or professional license; or

(d) Has been convicted of a crime that, during the period between the determination and the person’s submission of a completed application for an occupational or professional license, became subject to a change in state or federal law that prohibits licensure for an occupational or professional license because of a conviction of that crime.

(9) Failure to disclose a previous criminal conviction includes any misrepresentation or a prior criminal conviction, any concealment or failure to disclose a material fact about a prior criminal conviction, or any other misinformation regarding a prior criminal conviction.

(10) Nothing in this rule prohibits the Board from denying licensure when the person submits a completed application for a reason other than conviction of a crime.

(11) A determination under this rule is not considered a final determination of the Board.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: Oregon Laws 2024, chapter 95, section 44 (SB 1552)
  • OBPT 3-2025, adopt filed 07/29/2025, effective 08/01/2025
Or. Admin. R. 848-010-0010 Approval of Schools of Physical Therapy

All schools for physical therapists and physical therapist assistants that are accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE), are considered approved schools of physical therapy. A school shall be considered to be an approved school of physical therapy within the meaning of this section if the school was accredited as above at the time the licensure applicant graduated. At its sole discretion, and on a case-by-case basis, the Board may grant licensure to an applicant who has graduated from a school of physical therapy if, at the time of his/her graduation, the school is a candidate for accreditation and subsequently is granted the accreditation.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.050, 688.055, 688.070 & 688.080
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 9-2004, f. & cert. ef. 12-29-04
  • PTLB 3-2003, f. & cert. ef. 8-22-03
  • PT 4-1997, f. & cert. ef. 8-5-97
  • PT 1-1989, f. & cert. ef. 8-8-89
  • PT 1-1979, f. & ef. 2-14-79
  • PT 11, f. & ef. 12-28-77
  • PT 2, f. 8-22-74, ef. 9-25-74
Or. Admin. R. 848-010-0015 Examinations

(1) Examinations for licensing of physical therapists and of physical therapist assistants shall be provided by an examination service approved by the Board. For purposes of this rule the Board’s approved examination shall be the Federation of State Boards of Physical Therapy’s (FSBPT) National Physical Therapy Examination (NPTE).

(a) The overall passing score shall be based on a formula using the criterion-referenced scoring system.

(b) An applicant may sit for the NPTE a maximum of three times within any 12-month period.

(c) An applicant may sit for the NPTE a maximum of six times in a lifetime, per exam level.

(d) An applicant is no longer eligible to sit for the NPTE if they have two previous scores of 400 or less per exam level.

(e) All applications are valid for a period of six months from the date first received by the Board.

(2) All completed applications for examination, non-refundable application fees and required documents must be received and approved by the Board.

(3) Unless qualified for licensure by endorsement under OAR 848-010-0022, an applicant whose first professional degree in physical therapy was awarded from a foreign physical therapy program that is/was not CAPTE accredited must submit:

(a) A Credentials Evaluation Statement ("the Report") of professional education and training prepared by a Board-approved credentials evaluation agency. The Report must be sent directly from the credentialing agency to the Board. It is the applicant's responsibility to pay the expenses associated with the credentials evaluation.

(A) The Report must provide evidence and documentation that the applicant's education outside a state or territory of the United States is substantially equivalent to the education of a physical therapist who graduated from an accredited physical therapy education program approved by the Board pursuant to ORS 688.050(2).

(B) To determine substantial equivalency, the approved credentialing evaluation agency shall use the appropriate Course Work Tool ("CWT") adopted by the Federation of State Boards of Physical Therapy. The appropriate CWT means the CWT in place at the time the foreign educated physical therapist files the application with the Oregon Board.

(b) English Language Proficiency

(A) Verification that English is the native language of the country of origin, and the physical therapy program employs English as the language of training; or

(B) Verification that the applicant has achieved the following minimum scores for each category of the internet based TOEFL (ibTOEFL) examination: writing, 22; speaking, 24; reading, 22; listening, 21.

(c) If applicant has taken a Board-approved national licensing examination prior to application for licensure in Oregon, a report of applicant's examination scores must be submitted to the Board directly from the Board-approved examination service.

(d) If applicant holds or has held a license in the country in which the applicant received their physical therapy education, the applicant must provide primary source verification of the license.

(4) The Examination must be given in the English language.

(5) A physical therapist student or physical therapist assistant student may take the National Physical Therapy Examination (NPTE) up to 90 days prior to completion of the requirements for graduation from a CAPTE accredited program.

(6) Any applicant who has graduated from an approved school of physical therapy and passed a Board-approved examination more than five years prior to application for licensure in the State of Oregon and who has not been actively licensed in any other state or territory of the United States for a five year period must demonstrate competence to practice physical therapy. If the applicant fails to demonstrate competence, the Board may require the applicant to serve an internship under a restricted license or satisfactorily complete a refresher course approved by the Board, or both, at the discretion of the Board. The Board may also require the applicant to pass an examination approved by the Physical Therapist Licensing Board as provided in OAR 848-010-0015.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.020, 688.040, 688.050, 688.055, 688.070 & 688.090
  • OBPT 1-2024, amend filed 04/25/2024, effective 04/25/2024
  • OBPT 6-2023, temporary amend filed 09/27/2023, effective 09/27/2023 through 03/24/2024
  • OBPT 4-2023, amend filed 03/31/2023, effective 04/01/2023
  • PTLB 3-2020, temporary amend filed 09/10/2020, effective 09/10/2020 through 03/08/2021
  • PTLB 1-2019, amend filed 03/04/2019, effective 03/05/2019
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 9-2004, f. & cert. ef. 12-29-04
  • PTLB 3-2003, f. & cert. ef. 8-22-03
  • PTLB 1-2000, f. & cert. ef. 5-4-00
  • PTLB 4-1999, f. 11-23-99, cert. ef. 12-1-99
  • PT 1-1997, f. & cert. ef. 2-4-97
  • PT 2-1996, f. & cert. ef. 9-5-96
  • PT 1-1996, f. 1-16-96, cert. ef. 2-1-96
  • PT 2-1990, f. & cert. ef. 10-2-90
  • PT 1-1990 (Temp), f. & cert. ef. 7-16-90
  • PT 1-1989, f. & cert. ef. 8-8-89
  • PT 1-1984, f. & cert. ef. 5-3-84
  • PT 1-1983, f. & cert. ef. 1-5-83
  • PT 1-1979, f. & cert. ef. 2-14-79
  • PT 11-1977, f. & cert. ef. 12-28-77
  • PT 10-1977, f. & ef. 10-21-77
  • PT 6-1974, f. 12-20-74, ef. 1-11-75
  • PT 2-1974, f. 8-22-74, cert. ef. 9-25-74
Or. Admin. R. 848-010-0020 Endorsement of Out-of-State Physical Therapists and Physical Therapist Assistants

Physical therapists and physical therapist assistants not licensed in the State of Oregon may be licensed by endorsement if they comply with all of the following:

(1) File a completed application form, pay a non-refunable application fee and submit required documents. All applications are valid for six months from the date first received by the Board.

(2) Are at least 18 years of age.

(3) Are graduates of an approved school for physical therapists or physical therapist assistants as provided in OAR 848-010-0010 and 848-010-0015(3).

(4) At the time of application, applicant holds a valid, unrestricted license in any other state or territory of the United States.

(5) Have passed the physical therapist or physical therapist assistant examination provided by a Board-approved examination service.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.080
  • PTLB 3-2020, temporary amend filed 09/10/2020, effective 09/10/2020 through 03/08/2021
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 9-2004, f. & cert. ef. 12-29-04
  • PT 3-1996, f. & cert. ef. 9-5-96
  • PT 1-1996, f. 1-16-96, cert. ef. 2-1-96
  • PT 2-1990, f. & cert. ef. 10-2-90
  • PT 1-1990(Temp), f. & cert. ef. 7-16-90
  • PT 1-1989, f. & cert. ef. 8-8-89
  • PT 1-1984, f. & ef. 5-3-84
  • PT 1-1983, f. & ef. 1-5-83
  • PT 1-1979, f. & ef. 2-14-79
  • PT 5, f. 12-20-74, ef. 1-11-75
  • PT 2, f. 8-22-74, ef. 9-25-74
Or. Admin. R. 848-010-0022 Endorsement of Out-of-State Foreign Educated Physical Therapists

A foreign educated physical therapist not licensed in the State of Oregon may be licensed by endorsement if the applicant meets or fulfills the requirements of subsections (1), (2), (4) and (5) of OAR 848-010-0020 and the Board receives all of the following additional items:

(1) A certified copy of the Course Work Tool (CWT) used by a physical therapy licensing authority of a state or territory of the United States to make the determination to issue a license in that state or territory. The report must indicate that the applicant’s foreign physical therapy education was determined to be substantially equivalent to the education of a physical therapist who graduated from an accredited physical therapy program approved by the Oregon Board pursuant to ORS 688.050(2). To determine substantial equivalency, the approved credentialing evaluation agency shall use the appropriate CWT adopted by the Federation of State Boards of Physical Therapy. The appropriate CWT means the CWT in place at the time the foreign educated physical therapist graduated from their physical therapy program. The licensing authority of the state or territory must certify the report and must send it directly to the Oregon Board.

(2) A foreign educated physical therapist who does not meet the requirements of this section may apply for licensure under OAR 848-010-0015(3).

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 668.160(6)(c)
  • OBPT 1-2024, amend filed 04/25/2024, effective 04/25/2024
  • OBPT 6-2023, temporary amend filed 09/27/2023, effective 09/27/2023 through 03/24/2024
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
Or. Admin. R. 848-010-0026 Temporary Permits

(1) A person who has graduated from a CAPTE accredited physical therapist or physical therapist assistant program in a state or territory of the United States and who is applying for the first time to take the Board approved licensing examination as defined in OAR 848-010-0015(1) may be issued a temporary permit for a period of up to three (3) months. Such applicant shall:

(a) Submit a completed application for license by examination, pay a non-refundable application fee and submit all required documents with the exception of the exam score;

(b) Request a temporary permit and pay the associated non-refundable fee; and

(c) Register for and be released to sit for the exam.

(2) A person who holds a temporary permit must practice under on-site supervision, which means that, at all times, a supervising therapist is in the same building and immediately available for consultation. Entries made in the patient record by a temporary permit holder must be authenticated by the temporary permit holder and by a supervising therapist.

(3) As used in this rule, "supervising therapist" means an Oregon licensed physical therapist or physical therapist assistant designated as supervising the temporary permit holder on the day the temporary permit holder is providing treatment. A physical therapist assistant may not supervise a physical therapist temporary permit holder.

(4) If a physical therapist assistant is supervising a physical therapist assistant temporary permit holder, a physical therapist must be readily available for consultation, either in person or by telecommunication, as provided in OAR 848-015-0020.

(5) Within five (5) working days of beginning practice, the temporary permit holder must submit to the Board a completed "Temporary Permit Letter from Employer" form. The temporary permit holder must notify the Board of any change in employment during the period of the temporary permit by submitting a new "Temporary Permit Letter from Employer" within five (5) working days. A temporary permit holder must notify the employer immediately upon notification of a failing exam score.

(6) A temporary permit issued under this rule shall expire when:

(a) The Board received notification that the temporary permit holder failed the exam;

(b) The temporary permit holder is issued a license; or

(c) It has been three (3) months since the issuance of the temporary permit.

(7) The Board may refuse to issue a temporary permit to an applicant or may revoke a temporary permit after issuance for any violation of ORS 688.010 to 688.240 or any Board rule.

(8) A temporary permit holder whose temporary permit has expired due to failure of the exam or whose temporary permit has been revoked is not eligible to apply for another temporary permit.

(9) A person who has previously taken and failed the exam at any time prior to application is not eligible to apply for a temporary permit.

(10) In its discretion, the Board may grant one 60 calendar day extension to a person who holds a temporary permit.

(11) A person who holds a temporary permit issued under this rule is subject to all statutes and rules governing a licensee.

History

  • Statutory/Other Authority: ORS 688.110
  • Statutes/Other Implemented: ORS 688.110
  • OBPT 12-2021, amend filed 12/13/2021, effective 12/13/2021
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2015, f. 9-9-15, cert. ef. 1-1-16
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 9-2004, f. & cert. ef. 12-29-04
  • PTLB 3-2000, f. & cert. ef. 12-21-00
Or. Admin. R. 848-010-0027 Temporary Permit for Military Spouse

(1) To qualify for a temporary permit to practice under this section, a military spouse must:

(a) Be the spouse of a member of the Armed Forces of the United States who is stationed in Oregon.

(b) Hold a qualified license. For the purpose of this rule, a qualified license means a current, unrestricted license to practice in good standing as a physical therapist or physical therapist assistant in another US state or jurisdiction that the Board determines has licensure requirements that are substantially similar to Oregon requirements for licensure. To be considered substantially similar, the licensure requirements of the other US state or jurisdiction must include at minimum:

(A) Verification of graduation from a CAPTE accredited educational program of physical therapy.

(B) Verification of passage of the NPTE exam;

(C) A fingerprint-based criminal background check;

(D) Verification of any other health practitioner licenses held; and;

(E) Continuing Competence (Continuing Education) requirements.

(c) Demonstrate competency to practice by providing sufficient proof that individual received a passing score on the Oregon Jurisprudence Exam (OR-JAM).

(2) A temporary permit to practice under this section will be granted upon completion and acceptance of:

(a) A completed military spouse application form;

(b) Payment of application fee as listed in OAR 848-005-0020;

(c) Submittal of proof that the individual is the spouse of an active duty member of the US Armed Forces;

(d) Submittal of proof of spouse’s active military duty order in Oregon;

(e) Passing score on OR-JAM;

(f) Verification of the substantial equivalency of licensure requirements of the qualifying license held in other US state or jurisdiction.

(3) A temporary permit to practice under this section is valid until the earliest of the following:

(a) Two years after the date of issuance;

(b) The date the spouse of the person to whom the permit was issued completes their term of service in this state;

(c) The date the person’s qualifying license issued by another state or jurisdiction expires, is revoked, suspended, or otherwise no longer valid.

(4) An individual granted a temporary permit to practice under this section, who subsequently applies for application by endorsement under OAR 848-010-0020 within 60 days of the issue date of the temporary permit may apply the temporary permit fee to the cost of application by endorsement.

(5) An individual granted a temporary permit to practice under this section is required to comply with all statutes and rules that apply to an individual licensed as a physical therapist or physical therapist assistant, with the exception of:

(a) Individuals are not eligible for a compact privilege.

(b) Individuals do not need to complete the continuing competency requirements in OAR 848-035-0020.

History

  • Statutory/Other Authority: 2019 Oregon Laws Chapters 142, 626
  • Statutes/Other Implemented: 2019 Oregon Laws Chapters 142, 626
  • PTLB 7-2019, adopt filed 12/20/2019, effective 01/01/2020
Or. Admin. R. 848-010-0028 Servicemember, Spouse or Domestic Partner SCRA Practice Permit

(1) For the purposes of this rule, the following terms are defined:

(a) "Domestic partner" means a domestic partner of a servicemember stationed and establishing residence in Oregon.

(b) "Servicemember" means a member of the Army, Navy, Air Force, Marine Corps, Space Force, Coast Guard; the commissioned corps of the National Oceanic and Atmospheric Administration; and the commissioned corps of the Public Health Service who is the subject of a military transfer to Oregon and who will reside in Oregon.

(c) " Spouse" means a spouse of a servicemember stationed in and establishing residence in Oregon.

(d) “State” includes all US States, the District of Columbia, Virgin Islands and Puerto Rico.

(2) This section does not apply to any servicemember or spouse or domestic partner of a servicemember if that individual holds an active license in another State that is a member of the Physical Therapy Compact.

(3) To qualify to practice in Oregon under this rule, a servicemember, spouse, or domestic partner must:

(a) Hold an active license to practice as a physical therapist or physical therapist assistant in good standing in another State;

(b) Have not had a license revoked or had discipline imposed by any State licensing authority;

(c) Have no investigations relating to unprofessional conduct pending in any State licensing authority; and

(d) Have not voluntarily surrendered a license while under investigation for unprofessional conduct in any State.

(e) Does not hold an active license as described in section (2).

(4) A servicemember, spouse, or domestic partner who meets the requirements in section (3) may apply for a permit to practice under this rule in Oregon by submitting the following to the Oregon Board of Physical Therapy:

(a) The Board's application form in the manner prescribed by the Board and the applicable fees in OAR 848-005-0020;

(b) For a spouse or domestic partner a marriage certificate or satisfactory evidence of a domestic partnership, which includes the name of the applicant and the name of the servicemember;

(c) Proof of military orders for military service in Oregon;

(d) Proof of intent to establish residency in the state; and

(e) An affidavit affirming, under the penalty of law:

(A) The applicant is the person described and identified in the application;

(B) All statements made in the application are true, correct, and complete;

(C) The applicant has read and understands the licensure requirements and scope of practice in Oregon;

(D) The applicant meets and will comply with Oregon laws governing the practice of physical therapy;

(E) The applicant is in good standing in all States in which the applicant holds or has held a license; and

(F) The applicant must maintain their qualifying active license in the other State for the duration of their orders, including renewal of that license, if applicable.

(f) If requested by the Board, license verifications from all states or territories in which the applicant is currently or previously licensed to practice and evidence that the applicant is in good standing and not subject to any disciplinary action or pending investigations in that state or territory; and

(g) Submit fingerprints for the purpose of a criminal records background check.

(5) The Board will review and act on the information submitted in accordance with rules adopted by the Oregon Board of Physical Therapy. In addition, for any application submitted under this rule, the Board may:

(a) Review and investigate the applicant to determine whether the applicant meets the requirements of the rules, including but not limited to confirming the veracity of submitted documentation or requesting additional documentation.

(b) Deny an application if the applicant fails to meet the minimum requirements for licensure or if the Board is unable to authenticate submitted documents.

(6) A person authorized to practice under this rule must practice in accordance with ORS 688 and any rules adopted by the Oregon Board of Physical Therapy.

(7) The Board will monitor applicable systems for the duration of the permit to ensure the individual remains in good standing with any state or territory in which the licensee maintains an active license.

(8) A person authorized to practice under this rule must disclose to the Board any subsequent disciplinary action or investigation opened against any physical therapy license in any state where they hold an active license, or any subsequent voluntary surrender of active license.

(9) A permit issued under this rule is valid for the duration of the military orders and will expire based on the date of the military orders as long as the qualifying license is maintained active and in good standing. A person authorized to practice under this rule is responsible for providing the Board the military orders ending military service in Oregon.

(10) The Board may investigate and take disciplinary action as described in OAR chapter 688 against a person authorized to practice under this rule for any reason that it may take disciplinary action against a licensee in ORS 688 and OAR chapter 848.

(11) A person authorized to practice under this rule desiring to continue practice in Oregon beyond the duration of the military orders, must apply as a new applicant by submitting the license application form and fee, meeting all current licensing requirements, and satisfactorily completing the application process.

(12) A person qualified for authorization to practice under this rule is not required to apply under this rule and may apply for any other applicable form of licensure for which they qualify, including the temporary permit for military spouse under OAR 848-010-0027.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.140, ORS 676.303(3) & 50 USC §4025a
  • OBPT 4-2025, adopt filed 07/29/2025, effective 08/01/2025
Or. Admin. R. 848-010-0033 Renewal Of License Required

(1) All physical therapist and physical therapist assistant licenses lapse on March 31 of each even numbered year, regardless of the initial issue date. Physical therapists and physical therapist assistants must renew their licenses to practice effective April 1 of each even numbered year. A license is considered lapsed if a completed renewal application is postmarked or electronically received after March 31 of an even number year. A person whose license has lapsed must immediately stop practicing as a physical therapist or a physical therapist assistant and shall not practice until the license is renewed.

(2) The renewal period shall be January through March 31st of an even number year. The Board will attempt to provide renewal notification to all current licensees during the month of January.

(3) If the completed license renewal application is postmarked or received by the Board after March 31st, in addition to the license renewal fee, the licensee is subject to a lapsed license renewal fee as provided in OAR 848-005-0020(1)(e).

(4) A licensed physical therapist must complete the renewal application process and pay the renewal fee provided in OAR 848-005-0020(1)(c).

(5) A licensed physical therapist assistant must complete the renewal application process and pay the renewal fee provided in OAR 848-005-0020(1)(d).

(6) Each currently licensed physical therapist and physical therapist assistant must complete the continuing competence requirements as provided in Division 35 of these rules before they may renew.

History

  • Statutory/Other Authority: ORS 688.110
  • Statutes/Other Implemented: ORS 688.110
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2015, f. 9-9-15, cert. ef. 1-1-16
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 9-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-010-0035 Renewal of Lapsed Licenses

(1) Any license that is not renewed before April 1 of each even number year shall automatically lapse. No person whose license has lapsed shall practice until the license is renewed. Failure to receive a renewal notice shall not excuse any licensee from the requirements of renewal. The Board may renew any lapsed license upon payment of all past unpaid renewal fees, payment of a single lapsed license renewal fee as provided in OAR 848-005-0020(1)(e) and, if applicable, documentation of completion of the continuing competence requirements as provided in 848-035-0020(5). An applicant whose license has lapsed for non-completion of the continuing competence requirements may renew the lapsed license upon completion of the continuing competency requirements for the immediately prior certification period. Continuing competence hours earned after March 31 of the even-numbered year to fulfill the requirements necessary to renew the lapsed license shall apply only to the prior certification period.

(2) Any individual renewing a license that has been lapsed between one to five years must show evidence of completion of a minimum of 24 hours of continuing competency during the 24 months immediately prior to the renewal date and complete the Board's current fingerprint-based background check and jurisprudence examination. However, an applicant with a lapsed Oregon license who holds a current license in another state or jurisdiction which has a requirement for continuing competence or continuing education and who has completed that requirement, shall be exempt from the continuing competency requirements of this subsection.

(3) In the event that an applicant's Oregon physical therapy license has lapsed for five or more consecutive years and they do not hold a license in another state or territory of the United States, the applicant must demonstrate competence to practice physical therapy. If the applicant fails to demonstrate competence, the Board may require the applicant to serve an internship under a restricted license or satisfactorily complete a refresher course approved by the Board, or both, at the discretion of the Board. The Board may also require the applicant to pass an examination approved by the Physical Therapist Licensing Board as provided in OAR 848-010-0015. Once the applicant has demonstrated competence to the satisfaction of the Board, the applicant is subject to the requirement for licensure by examination as provided in OAR 848-010-0015.

(4) If the applicant holds a current physical therapist or physical therapist assistant license in another state or jurisdiction and the applicant's Oregon license has lapsed for five or more consecutive years, the applicant may apply for a license by endorsement as provided in OAR 848-010-0020.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.100
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2015, f. 9-9-15, cert. ef. 1-1-16
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 9-2004, f. & cert. ef. 12-29-04
  • PT 5-1996, f. & cert. ef. 9-5-96
  • PT 1-1989, f. & cert. ef. 8-8-89
  • PT 1-1979, f. & ef. 2-14-79
  • PT 10, f. & ef. 10-21-77
  • PT 2, f. 8-22-74, ef. 9-25-74
Or. Admin. R. 848-010-0044 Grounds for Refusal to License an Applicant

After notice and opportunity for hearing as provided in ORS 688.145, the Board may refuse to license, or may limit or restrict the license of an applicant who:

(1) Is not a person of good moral character as provided in OAR 848-045-0020(2)(i);

(2) Willfully made a false statement on the application;

(3) Failed to disclose requested information or provided false or materially misleading information on the application or during the process of applying for a license or temporary permit;

(4) Has practiced physical therapy without a license or has purported to be a therapist in violation of ORS 688.020;

(5) Has a mental, emotional or physical condition which impairs the applicant's ability or competency to practice physical therapy in a manner consistent with the public health and safety;

(6) Has an addiction to or a dependency on alcohol, legend drugs or controlled substances which impairs the applicant's ability or competency to practice physical therapy in a manner consistent with the public health and safety;

(7) Has been disciplined or had an application for licensure refused by another Oregon state licensing board or out-of-state licensing board for an act which if committed in Oregon would be grounds for discipline under ORS 688.140 or OAR 848-045-0020;

(8) Has been convicted of violating any federal law or state law relating to controlled substances, subject to the provisions of ORS 670.280(2); or

(9) Has been convicted of any crime that is a felony or misdemeanor under the laws of any state or of the United States, subject to the provisions of ORS 670.280(2).

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.100
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 9-2004, f. & cert. ef. 12-29-04

Division 15 PHYSICAL THERAPIST ASSISTANTS

Or. Admin. R. 848-015-0010 Definitions

(1) Under ORS 688.010(4), a physical therapist assistant is defined as a person who assists a physical therapist in the administration of physical therapy. The physical therapist assistant's function is to assist the physical therapist in patient-related activities and to perform delegated procedures that are commensurate with the physical therapist assistant's education, training, experience, and skill.

(2) “Supervising physical therapist” means either the last physical therapist to see the patient, or the physical therapist designated as in charge of the patient on the day the patient is being treated.

History

  • Statutory/Other Authority: ORS 688.160 & 688.055
  • Statutes/Other Implemented: ORS 688.020, 688.040, 688.055, 688.070, 688.080 & 688.090
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 5-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 3-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-015-0020 Scope of Practice

(1) For purposes of the provision of physical therapy services, a physical therapist assistant shall work solely under the clinical supervision and direction of a physical therapist.

(2) A physical therapist assistant may provide physical therapy treatment only when a supervising physical therapist is available. As used in this rule “available” means that at all times a supervising physical therapist is readily accessible for consultation with the assistant, either in person or by means of telecommunications.

(3) A physical therapist assistant may provide physical therapy treatment only after a physical therapist has performed an initial evaluation and prepared a plan of care.

(4) A physical therapist assistant may prepare a final summary of a patient’s physical therapy status upon discharge as provided in OAR 848-040-0165.

(5) A physical therapist assistant shall work in compliance with the standards set out in Division 40 of these rules.

(6) If authorized by a supervising physical therapist, a physical therapist assistant may provide limited services to a student in a school setting for up to 10 school days after the date when a reassessment is required to be performed under OAR 848-0040-0155(2)(b) or (c). The services that may be provided under this paragraph are limited to coordinating with other persons and instructing a teacher or educational or instructional assistant or nursing aide in physical management strategies to insure that the student can access the classroom and related educational services in compliance with and continued implementation of the student’s individualized education plan as defined in OAR 848-040-0100(3).

History

  • Statutory/Other Authority: ORS 688.160 & 688.055
  • Statutes/Other Implemented: ORS 688.020, 688.040, 688.055, 688.070, 688.080 & 688.090
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 3-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-015-0030 Prohibited Acts

(1) A physical therapist assistant shall not:

(a) Perform an initial evaluation.

(b) Perform the required reassessment provided in OAR 848-040-0155. However, a physical therapist assistant may participate with the physical therapist in gathering data to be included in the required reassessment of a patient for whom the assistant has been providing treatment.

(c) Independently make modifications to the plan of care or objective goals. However, an assistant may collaborate with the physical therapist in making modifications or changes to the plan of care or goals based on the assistant's treatment of that patient and the patient's condition, progress or response to the treatment.

(d) Independently make the decision to discharge a patient from therapy. However, a physical therapist assistant may make recommendations regarding discharge to the supervising physical therapist based on the assistant's treatment of the patient.

(e) Perform high velocity manipulation of the spine or peripheral joints.

(2) As provided in ORS 688.020(2), no person shall work as a physical therapist assistant unless that person is licensed under ORS 688.090.

History

  • Statutory/Other Authority: 688.055 & ORS 688.160
  • Statutes/Other Implemented: ORS 688.020, 688.040, 688.055, 688.070 & 688.080 688.090
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 5-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 3-2004, f. & cert. ef. 12-29-04

Division 20 PHYSICAL THERAPIST AIDES

Or. Admin. R. 848-020-0000 Definitions

As used in this division:

(1) “Physical therapist aide” or “aide” means a person who is not licensed as a physical therapist or physical therapist assistant, who aids a physical therapist or physical therapist assistant by performing treatment-related tasks or by performing non-treatment, patient-related tasks. Although they may be providing services to a patient pursuant to direction or instruction from a physical therapist or physical therapist assistant, the following persons are not considered physical therapist aides:

(a) Educational or instructional aides or assistants working in a school setting; or

(b) Nurses aides, restorative aides or personal care assistants. Persons performing facility maintenance, equipment assembly and maintenance, housekeeping, clerical, or other similar tasks are not considered aides.

(2) “Physical therapist” or “physical therapist assistant” includes a person who holds a temporary permit issued under OAR 848-010-0026.

(3) “Treatment-related task” means a physical therapy service rendered directly to a patient.

(4) “Non-treatment, patient-related task” means a task related to preparation of treatment areas, transport of patients, preparation of patients for treatment and other patient-related tasks.

(5) “Supervise” means to provide the amount of personal direction, assistance, advice and instruction necessary to reasonably assure that the supervisee provides the patient competent physical therapy services, given the supervisor’s actual knowledge of the supervisee’s ability, training and experiences. Additionally, supervision of:

(a) A treatment-related task requires that the supervising physical therapist or physical therapist assistant be in the same building and within sight or earshot of the aide who is performing the treatment-related task, such that the supervising physical therapist or physical therapist assistant is immediately available at all times to provide in person direction, assistance, advice, or instruction to the aide or the patient. A physical therapist may delegate supervision of an aide to a physical therapist assistant;

(b) A non-treatment, patient-related task requires that the supervising physical therapist or physical therapist assistant be in the building where the aide is performing the task.

(6) “Authentication” means the process by which the licensee reviews and validates the accuracy of the record entry. By authenticating a record entry, the licensee certifies that the services described were performed by the authenticating licensee or performed by a person under that licensee’s supervision.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.210
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 4-2004, f. & cert. ef. 12-29-04
  • PT 3-1994, f. & cert. ef. 7-29-94
Or. Admin. R. 848-020-0010 Eligibility Standards

A physical therapist aide shall:

(1) Be at least 18 years of age.

(2) Have received a high school diploma or equivalent.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.210
  • PTLB 4-2004, f. & cert. ef. 12-29-04
  • PT 3-1994, f. & cert. ef. 7-29-94
Or. Admin. R. 848-020-0030 Supervision; Delegation of Supervision; Professional Responsibility of Supervisors and Supervisees

(1) The physical therapist shall supervise the physical therapist aide in each treatment task and each non-treatment, patient-related task assigned to the aide. The supervising physical therapist may delegate to a physical therapist assistant supervision of the aide.

(2) A physical therapist or physical therapist assistant shall not permit an aide to perform a treatment-related task or a non-treatment, patient-related task except under the supervision of a physical therapist or physical therapist assistant. A licensee shall not permit an aide to administer a task that is prohibited under OAR 848-020-0060, and shall not permit an aide to administer a non-prohibited procedure or modality to a patient unless a licensee has previously administered the entire specific procedure or modality to the patient.

(3) A physical therapist or physical therapist assistant may supervise a maximum total of two physical therapist aides, when the aides are performing treatment-related tasks. In addition, a physical therapist or physical therapist assistant may supervise additional aides who are not performing treatment related tasks.

(4) Use of an aide to perform tasks as allowed by this rule shall not constitute a violation of OAR 848-045-0020(2)(s).

(5) A physical therapist or physical therapist assistant is responsible for the competent performance of tasks assigned to an aide whom the physical therapist or physical therapist assistant is supervising as provided in OAR 848-020-0000(5).

(6) A physical therapist assistant is always also professionally responsible for all acts and omissions of each aide under the physical therapist assistant's supervision.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.210
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 4-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 4-2004, f. & cert. ef. 12-29-04
  • PT 3-1994, f. & cert. ef. 7-29-94
Or. Admin. R. 848-020-0040 Training

(1) Prior to allowing a physical therapist aide to perform any treatment-related task, the supervising physical therapist shall assure that the aide has undertaken 40 hours of on-the-job training as follows:

(a) A minimum of 10 hours of instruction on professional/medical ethics, patient confidentiality, universal precautions, body mechanics, physical medicine terminology and safety procedures;

(b) A minimum of 30 hours of instruction in the facility in areas appropriate to that particular physical therapy facility, including but not limited to precautions and contraindications for physical therapy treatments routinely provided at the facility, and supervised practical applications of appropriate treatment protocols and techniques. Changes in employment shall require another 30 hours of instruction appropriate to that facility;

(c) However, physical therapist or physical therapist assistant students, upon successful completion of the first year of study, may be employed as an aide with a minimum of 8 hours of instruction appropriate to that facility;

(d) A person who has successfully completed a CAPTE accredited physical therapist or physical therapist assistant program, may be employed as an aide with a minimum of 8 hours of instruction appropriate to that facility.

(2) The supervising physical therapist shall be responsible for documentation of the training for each aide, and shall maintain this documentation at the facility for a minimum of 5 years after termination of employment and make it available to the Board upon request. The supervising physical therapist also shall respond to any inquiry by the Board concerning the training provided to an aide. The aide training record shall include but not be limited to:

(a) Aide position description;

(b) Policies and procedures clearly stating the aide's duties, as set forth in OAR 848-020-0060;

(c) Training schedule, which includes but is not limited to:

(A) Start date for the training;

(B) Activity/description of training;

(C) Amount of time spent on training for each activity;

(D) Date training is complete;

(E) Names of instructors and aide, including signature of each instructor and aide;

(F) If applicable, documentation of training received outside of the facility in the form of a letter or copies of the previous training record. Documentation must include the level of responsibility of the aide.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.210
  • PTLB 4-2004, f. & cert. ef. 12-29-04
  • PT 5-1997, f. & cert. ef. 8-5-97
  • PT 3-1994, f. & cert. ef. 7-29-94
Or. Admin. R. 848-020-0050 Assignment of Tasks to Aides

(1) A supervising physical therapist or physical therapist assistant may assign treatment-related tasks and non-treatment, patient-related tasks to an aide.

(2) Prior to allowing an aide to perform any treatment-related task:

(a) The physical therapist must provide an initial evaluation of the patient and develop a plan of care;

(b) The physical therapist or physical therapist assistant shall assess the competence of the aide to perform an assigned treatment-related task for that patient in a safe and effective manner;

(c) The physical therapist or physical therapist assistant must assign only those tasks which are appropriate for the aide to perform for that patient based on the aide's training, experience and ability.

(3) A physical therapist or physical therapist assistant shall not permit an aide to administer a non-prohibited procedure or modality to a patient unless a licensee has previously administered the entire specific procedure or modality to the patient as per OAR 848-020-0030(2).

(4) When a treatment-related task is performed by an aide, the supervising physical therapist or physical therapist assistant shall, at some point during each treatment, provide direct service to the patient to assess and monitor the patient's progress, and so document in the patient's record.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.210
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 4-2004, f. & cert. ef. 12-29-04
  • PT 3-1994, f. & cert. ef. 7-29-94
Or. Admin. R. 848-020-0060 Prohibited Treatment-Related Tasks

A physical therapist or physical therapist assistant shall not permit an aide to perform any of the following treatment-related tasks:

(1) Administer iontophoresis. However, an aide who has been trained to do so may assist with iontophoresis by applying the medication to the electrode so long as a physical therapist or physical therapist assistant administers it to the patient.

(2) Administer phonophoresis. However, an aide may operate the sound head if the physical therapist or physical therapist assistant has applied the medication to the patient, determined the treatment protocols and parameters, as provided in the plan of care, and authorizes the aide to provide the treatment.

(3) Administer electrotherapy. However an aide may perform this task if the physical therapist or physical therapist assistant has examined the patient in person on the day of treatment and determined the electrode placements, treatment protocols and parameters, as provided in the plan of care, and authorizes the aide to provide the treatment.

(4) Administer ultrasound. However an aide may perform this task if the physical therapist or physical therapist assistant has examined the patient in person on the day of treatment and determined the treatment protocols and parameters, as provided in the plan of care, and authorizes the aide to provide the treatment.

(5) Administer mechanized or manual traction.

(6) Perform manual stretching with the goal of increasing range of motion, neuro-facilitation or cardiac therapeutic exercise.

(7) Perform soft tissue mobilization or massage (other than effleurage and petrissage). However, an aide who is separately licensed or registered under another Oregon statute to do so may perform these tasks if done under the direction and on-site supervision specified in OAR 848-020-0000(5)(a).

(8) Wound debridement.

(9) Administer tilt table or standing frame. However an aide may perform these tasks if the physical therapist or physical therapist assistant has examined the patient in person on the day of treatment and determined the treatment protocols and parameters, as provided in the plan of care, and authorizes the aide to provide the treatment.

(10) Joint mobilization or manipulation.

(11) Determine or modify a plan of care.

(12) Initiate or administer a physical therapy intervention the first time that intervention is administered or provided to a patient. This prohibition means that a physical therapist or physical therapist assistant must provide or administer the entire specific intervention before delegating that task to an aide.

(13) Independently make entries in a patient record, except for objective information about the treatment provided by the aide. The aide shall sign the record entry as provided in OAR 848-040-0150(2). A physical therapist or physical therapist assistant may also dictate information to an aide for entry into a patient medical record, so long as the physical therapist or physical therapist assistant authenticates such entries.

(14) Instruct a patient or a patient's caregiver in the application of any treatment.

(15) Except as required to respond to an inquiry by the Board or other person authorized to receive the information, answer or discuss any questions regarding a patient's status or treatment with anyone other than the physical therapist or physical therapist assistant.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.210
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 6-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 4-2004, f. & cert. ef. 12-29-04
  • PT 3-1994, f. & cert. ef. 7-29-94

Division 35 CONTINUING COMPETENCE

Or. Admin. R. 848-035-0010 Purpose

The 2005 Oregon Legislation gave new authority to the Oregon Board of Physical Therapy, effective January 1, 2006, to adopt rules establishing minimum continuing competence requirements for all licensees. The following rules set out the requirements.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160(6)(g)
  • PTLB 2-2020, amend filed 06/12/2020, effective 06/19/2020
  • PTLB 1-2014, f. 2-21-14, cert. ef. 4-1-14
  • PTLB 1-2006, f. & cert. ef. 4-14-06
Or. Admin. R. 848-035-0015 Definitions

As used in this Division:

(1) “Continuing Competence” means continuing education mandatory requirements, course work or other professional activities as provided in OAR 848-035-0030(1), (2) and (3).

(2) "Certification period" means a 24 month continuing competence certification period which runs from April 1st of each even numbered year, through March 31st of the next even numbered year, (e.g. April 1, 2018 through March 31, 2020).

(3) "Hours" means contact hours.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160(6)(g)
  • PTLB 2-2020, amend filed 06/12/2020, effective 06/19/2020
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 1-2014, f. 2-21-14, cert. ef. 4-1-14
  • PTLB 1-2006, f. & cert. ef. 4-14-06
Or. Admin. R. 848-035-0020 Required Hours and Period for Completion

(1) All licensed physical therapists and physical therapist assistants are required within each certification period to complete 24 hours of continuing competence consistent with the requirements, minimums and maximums as defined in OAR 848-035-0030. No single qualifying continuing competence activity may be less than .5 hours.

(2) Except as provided in parts (3), (4) and (5) of this rule, for purposes of determining whether a licensee has satisfied the continuing competence requirement under this rule, the Board will accept all qualifying continuing competence hours completed any time within the current certification period in which the license was issued or renewed, regardless of the specific date the license was issued or renewed. This includes continuing competence taken by student physical therapists or student physical therapist assistants, outside their program requirements, while they are enrolled in a physical therapy program.

(3) Notwithstanding the provisions of part (2) of this rule, a licensee must complete and document pursuant to OAR 848-035-0040, all 24 hours of continuing competence hours prior to renewal of license.

(4) Notwithstanding the provisions of part (1) of this rule, any person who is first issued a license, or who renews a license that lapsed at the end of the prior certification period, must complete continuing competence hours in the current certification period as follows:

(a) If initially licensed or renewed anytime during the first year of a certification period (April 1st of an even numbered year through March 31st of an odd numbered year), the individual must complete the full 24 hours of continuing competence required for that certification period. A licensee whose license lapses on April 1st of an even numbered year, regardless of the reason, and who subsequently renews the lapsed license during the first 12 months of a new certification period, shall provide documentation of completion of the continuing competence requirements for the immediately prior certification period before the license will be renewed. For this purpose, the continuing competence activities may be completed in the prior or current certification period, however, any specific activity can only be applied once.

(b) If initially licensed or renewed anytime during the second year of a certification period (April 1st of an odd numbered year through March 31st of an even numbered year), the individual must complete one-half (12 hours) of the continuing competence required for that certification period.

(c) Thereafter, such licensees must complete the same continuing competence requirements as other licensees.

(5) Notwithstanding the provisions of this rule and OAR 848-010-0033(6), a physical therapist or physical therapist assistant who is first licensed between January 1st to and including March 31st of an even numbered year and is renewing a license during an even numbered year is not required to complete continuing competence for the current certification period. Thereafter, such licensee shall be subject to the continuing competence requirement for all subsequent certification periods.

(6) Failure to complete the required continuing competence by March 31st of an even-numbered year shall constitute a violation of this Division 35.

(7) In individual cases involving physical disability or illness, undue hardship, or active military duty, the Board may grant waivers of the continuing competency requirements or extensions of time to fulfill the requirement. Requests for waiver or extension shall be made to the Board, in writing.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160(6)(g)
  • OBPT 2-2022, amend filed 10/20/2022, effective 10/21/2022
  • PTLB 2-2020, amend filed 06/12/2020, effective 06/19/2020
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 1-2014, f. 2-21-14, cert. ef. 4-1-14
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • Reverted to PTLB 1-2006, f. & cert. ef. 4-14-06
  • PTLB 1-2008(Temp), f. & cert. ef. 2-19-08 thru 4-2-08
  • PTLB 1-2006, f. & cert. ef. 4-14-06
Or. Admin. R. 848-035-0030 Continuing Competence Requirements and Restrictions

(1) Mandatory Requirements: Of the 24 required hours of continuing competence, all licensees must complete the following mandatory course requirements as follows, when applicable:

(a) Pain Management: All Oregon physical therapists and physical therapist assistants must complete the online pain management module provided by the Oregon Pain Management Commission as follows:

(A) At initial licensure.

(B) At each renewal, unless the date course was completed for initial licensure was within one year of the renewal date.

(b) Cultural Competence: Effective April 1, 2020, all licensed physical therapists and physical therapist assistants must complete a minimum of one hour of continuing competence that meets the criteria established by the Oregon Health Authority pursuant to OAR 943-090-0020 for cultural competency education. This requirement must be completed each certification period.

(A) The Board shall accept courses approved by the Oregon Health Authority (OHA) under ORS 413.450.

(B) The Board may accept other courses to the extent that the course includes content that addresses the examination of practitioner values and beliefs, developing and applying skills supporting an inclusive approach to health care practice that improves health outcomes by reducing health disparities and inequities, and which recognizes the context and complexities of provider-patient communication and interaction and preserving the dignity of individuals, families and communities.

(2) Clinical Courses or Activities: In addition to the mandatory requirements in part (1) of this rule, the continuing competence requirements of this Division 35 may be satisfied through clinical courses or activities, directly related to the delivery or provision of physical therapy which may include:

(a) Courses, seminars, activities, and workshops sponsored, certified, or approved by an established and recognized health related organization or professional association recognized by the Board, unless excluded under part (4).

(b) Courses, seminars or activities approved for continuing education or competency by other states which require continuing education or competency for physical therapists or physical therapist assistants, excluding other state jurisprudence exams and other content excluded under part (4).

(c) Courses provided by an accredited institution of higher education, which may include but are not limited to, courses leading to an advanced degree in physical therapy or other courses that advance the licensee’s physical therapy competence. For purposes of this rule, one college credit is equal to 10 (ten) contact hours;

(d) Individual home study courses approved by an entity under (a), (b) or (c) above which require an examination;

(e) Courses in cardiopulmonary resuscitation (CPR), Basic Life Support (BLS), or Advanced Cardiac Life Support (ACLS), will be limited to one hour of continuing competence credit, regardless of the length of the course. A licensee may receive credit for completion of a CPR, BLS, or ACLS course only one time during any certification period, however, a course may be repeated during each subsequent certification period;

(f) Courses or lectures which a licensee presents if the course or lecture awards continuing competence hours to participants and the licensee requests continuing competence credit from the Board;

(A) The licensee may receive continuing competence hours equivalent to the actual credit hours awarded to participants for that portion of the program which the licensee presents;

(B) The maximum cumulative credit granted for presenting courses or lectures shall be no more than one third of the total continuing competence requirement during any certification period and;

(C) A licensee may receive credit for presenting a particular course or lecture only one time during any certification period, regardless of how many times the licensee presents that course or lecture;

(g) Publishing an article in a peer review journal;

(A) The maximum credit granted for publishing an article shall be one third of the total continuing competence requirement during any certification period, up to 8 hours and;

(B) A licensee may receive credit for publishing an article only one time during any certification period;

(h) Serving as a certified clinical instructor as follows:

(A) A licensee who has completed a Board-approved clinical instructor certification program prior to supervising a student may receive continuing competence credit equivalent to 1 credit hour for each 40 hours of direct clinical instruction to a physical therapist student or physical therapist assistant student enrolled in a physical therapy or physical therapy assistant program.

(B) The maximum cumulative credit granted for serving as a clinical instructor shall be no more than one-third of the total continuing competence requirement during any certification period, up to 8 hours.

(C) The licensee must obtain a letter or certificate from the student’s academic institution verifying that the student has completed the course of clinical instruction;

(i) Completion of a specialty certification through the American Board of Physical Therapy Specialists (ABPTS), which shall qualify for a maximum 24 hours of continuing competence during the period in which the specialist certification is awarded;

(j) Completion of a clinical residency or fellowship program accredited or recognized by the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE), which shall qualify for a maximum of 24 hours of continuing competence during the period in which the residency or fellowship was completed;

(k) Passing the Board approved Oregon jurisprudence examination which shall qualify for 3 hours of continuing competence. A licensee may receive credit for completion of the jurisprudence examination only one time during any certification period, however, the course may be repeated each certification period;

(l) Successful completion of the Oregon Pain Management Commission's web based pain management module which shall qualify for the amount of continuing competence credit shown on the certificate. A licensee may receive credit for completion of the pain management module only one time during any certification period and;

(m) Courses or activities approved by the Board by special request. Request for approval shall be made to the Board, in writing, at least 60 days prior to license expiration.

(3) Non-clinical courses or activities; optional: A portion of the continuing competence requirements of this Division 35 may be satisfied through the following non-clinical courses or activities recognized by an accredited institution or recognized health-related organization or professional association recognized by the Board. Courses completed under this part (3) may qualify for up to a maximum of 8 hours total, with no more than 4 hours maximum from any single category of coursework (a) to (d) within a certification period. A licensee initially licensed or whose lapsed license is renewed in the second year of a certification period, may complete up to 4 maximum hours total from any or all category of coursework (a) to (d).

(a) Personal Development/Self Care

(b) Business/Leadership

(c) Professional Conduct/Ethics

(d) Committee work or serving as an officer for the following: Oregon Board of Physical Therapy (OBPT), Oregon Physical Therapy Association (OPTA), American Physical Therapy Association (APTA) or the Federation of State Boards of Physical Therapy (FSBPT). Each meeting will count as one hour and must be documented with a certificate or letter signed by the Chair, Vice Chair, or officer of the organization.

(4) Notwithstanding part (2) or (3) of this rule, activities which will not satisfy the continuing competence requirement include:

(a) Courses provided by an accredited institution of higher education taken as part of the curriculum requirements of a CAPTE accredited physical therapy program;

(b) Workplace non-clinical employee orientation programs or trainings completed as a condition of employment;

(c) Courses, seminars or activities for which continuing competence hours were applied to an individual’s license renewal during the most immediate prior certification period;

(5) A licensee may receive credit for completing a course, seminar or activity only one time during a certification period regardless of how many times the licensee attends that course, seminar or activity.

(6) A licensee who completes more than the required number of continuing competency hours during a certification period, may request to carryover a maximum of 8 hours to the next immediate certification period. Requests to carryover hours shall be made to the Board, in writing, by February 1st of the even-numbered year prior to the end of the certification period into which the licensee wishes to carryover credits from the prior period.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160(6)(g)
  • OBPT 2-2022, amend filed 10/20/2022, effective 10/21/2022
  • OBPT 1-2022, amend filed 06/10/2022, effective 06/28/2022
  • OBPT 14-2021, temporary amend filed 12/13/2021, effective 01/01/2022 through 06/29/2022
  • OBPT 13-2021, amend filed 12/13/2021, effective 12/13/2021
  • OBPT 6-2021, temporary amend filed 05/07/2021, effective 05/08/2021 through 11/03/2021
  • PTLB 4-2020, temporary amend filed 09/18/2020, effective 09/18/2020 through 03/16/2021
  • PTLB 2-2020, amend filed 06/12/2020, effective 06/19/2020
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2015, f. 9-9-15, cert. ef. 1-1-16
  • PTLB 1-2014, f. 2-21-14, cert. ef. 4-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2006, f. & cert. ef. 4-14-06
Or. Admin. R. 848-035-0040 Documentation of Continuing Competence

(1) In order to qualify for credit against the required hours, a continuing competence course, seminar or activity must include a completion certificate. The certificate must include the title of the course or activity, the name of the sponsor or speaker, date of completion, number of hours and licensee's name.

(2) The licensee is responsible for obtaining a completion certificate from the sponsor or speaker. The licensee is further responsible for retaining the certificate and submitting a legible copy to the Board in the manner designated by the Board before or during renewal of license. All completion certificates shall be retained by the licensee for a minimum of four (4) years from the certificate date.

(3) The Board may require all or any percentage of physical therapists and physical therapist assistants who are renewing their licenses to provide additional documentation of completion of the continuing competence requirements of this Division 35.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160(6)(g)
  • OBPT 2-2022, amend filed 10/20/2022, effective 10/21/2022
  • PTLB 2-2020, amend filed 06/12/2020, effective 06/19/2020
  • PTLB 1-2014, f. 2-21-14, cert. ef. 4-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2006, f. & cert. ef. 4-14-06

Division 40 MINIMUM STANDARDS FOR PHYSICAL THERAPY PRACTICE AND RECORDS

Or. Admin. R. 848-040-0100 Definitions

As used in this Division:

(1) "Authentication" means the process by which the licensee reviews and validates the accuracy of the record entry. By authenticating a record entry, the licensee certifies that the services described were performed by the authenticating licensee or performed by a person under that licensee's supervision.

(2) “Evidence-based practice” means the application of (1) best available research evidence, (2) clinical expertise, and (3) specific consideration of each patients’ characteristics, values, and circumstances, to inform care.

(3) “IDEA” means Individuals with Disabilities Education Improvement Act.

(4) "IEP" means an Individualized Education Plan developed for a child/student qualified under the IDEA program.

(5) "IFSP" means an Individualized Family Services Plan developed for a child qualified under the IDEA Early Intervention Program.

(6) "Licensee" means a physical therapist or a physical therapist assistant and includes a temporary permit holder and an Oregon Compact Privilege holder.

(7) "Patient" means one who seeks and receives physical therapy services. For purposes of these rules, patient may include a person receiving services in a home, by telehealth or clinical setting, a student in a school setting, a child receiving early intervention services, a resident of a care facility, or an animal.

(8) “Physical therapy intervention” means a treatment or procedure and includes but is not limited to: therapeutic exercise; gait and locomotion training; neuromuscular reeducation; manual therapy techniques (including manual lymphatic drainage, manual traction, connective tissue and therapeutic massage, mobilization/manipulation of soft tissue or spinal or peripheral joints, and passive range of motion); functional training related to physical movement and mobility in self-care and home management (including activities of daily living (ADL) and instrumental activities of daily living (IADL)); functional training related to physical movement and mobility in work (job/school/play), community, and leisure integration or reintegration (including IADL, work hardening, and work conditioning); prescription, application, and, as appropriate, fabrication of devices and equipment (assistive, adaptive, orthotic, protective, or supportive); airway clearance techniques; integumentary repair and protective techniques; electrotherapeutic modalities; physical agents and mechanical modalities; and patient related instruction and education.

(9) "Plan of care" means a written course of physical therapy treatment established by a physical therapist following an initial evaluation which integrates the evaluation data collected to determine the degree to which physical therapy interventions are likely to achieve anticipated goals and expected outcomes.

(10) "Student" means a child ages 3 to 21 who are enrolled in an educational institution and who qualifies for services under IDEA or Section 504 of the Rehabilitation Act, or other designated plan of care, or child ages 0-2 who qualifies under the IDEA Early Intervention Program.

(11) “Student PT or Student PTA” means a person enrolled in a CAPTE accredited physical therapist or physical therapist assistant program and who is providing patient care as part of the required clinical education.

(12) “Telehealth service” means a physical therapy intervention, including assessment or consultation, that can be safely and effectively provided using synchronous two-way interactive video conferencing, or asynchronous video communication, in accordance with generally accepted healthcare practices and standards. For purposes of these rules, “telehealth service” also means, or may be referred to, as “telepractice, teletherapy, or telerehab.”

(13) “Domiciled” a person is domiciled in this state if the person’s place of abode is in the state and the person intends to remain in the state or, if absent, to return to it.

History

  • Statutory/Other Authority: ORS 688.160 & ORS 688.240
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2015, f. 8-27-15, cert. ef. 9-1-15
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0105 General Standards for Practice

(1) Licensees shall practice competently. A licensee practices competently when they apply evidence-based practice with the appropriate knowledge, skill and degree of care and diligence that would be used by a reasonable, careful and prudent licensee under the same or similar circumstances.

(2) A physical therapist must immediately refer a patient to an appropriate medical provider if signs or symptoms are present that require treatment or diagnosis by such provider or for which physical therapy is contraindicated or if treatment for the signs or symptoms is outside the knowledge of the physical therapist or scope of practice of physical therapy.

(3) A licensee shall not delegate to another person any task that the person is not legally authorized to perform or is not qualified by training and experience to perform.

(4) A licensee shall not provide treatment intervention that is not warranted by the patient's condition.

(5) A licensee shall respect the privacy and dignity of the patient in all aspects of practice.

(6) A licensee shall comply with the laws and rules governing the use and disclosure of a patient's protected health information as provided in ORS 192.553-192.581.

(7) A licensee shall comply with the provisions of ORS 688.135(3) by displaying a copy of their current license in their place(s) of employment in a location accessible to public view, or by making a paper or electronic copy readily available upon request, or by displaying an electronic verification of current status from the Board’s website.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 8-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0107 Standards for Use of Health Care Interpreters

(1) Except as provided in subsection (a) of this section, a licensee who is reimbursed with public funds shall work with a health care interpreter from the health care interpreter registry administered by the Oregon Health Authority under ORS 413.558 when communicating with a patient who prefers to communicate in a language other than English, unless the licensee is proficient in the patient's preferred language.

(a) A licensee who is otherwise required to work with a health care interpreter from the health care interpreter registry may work with a health care interpreter who is not listed on the health care interpreter registry only if the provider:

(A) Is employed by an education provider that provides education services to children from birth through age 21 and the interpreter is provided by the education provider in accordance with the education provider’s requirements;

(B) Verifies, in writing, that the licensee has taken the appropriate steps needed to obtain a health care interpreter from the health care interpreter registry in accordance with the rules adopted by the Oregon Health Authority under ORS 413.558; or

(C) Has offered the patient the services of a health care interpreter from the health care interpreter registry and the patient declined the offer and chose a different interpreter.

(b) A licensee shall give personal protective equipment, consistent with established national standards, to health care interpreters providing services on-site at no cost to the health care interpreter and may not suggest to the health care interpreter that the health care interpreter should procure the health care interpreter's own personal protective equipment as a condition of working with the licensee.

(c) A licensee shall maintain records of each patient encounter in which the provider worked with a health care interpreter from the health care interpreter registry. The records must include:

(A) The name of the licensee;

(B) The health care interpreter's registry number; and

(C) The language interpreted.

(2) For the purposes of this rule, education provider is defined as:

(a) A school district, as defined in ORS 332.002.

(b) The Oregon School for the Deaf.

(c) An educational program under the Youth Corrections Education Program.

(d) A public charter school, as defined in ORS 338.005.

(e) An education service district, as defined in ORS 334.003.

(f) Any state-operated program that provides educational services to students.

(g) A private school.

History

  • Statutory/Other Authority: ORS 413.558, HB 2359 (2021) & ORS 688.160
  • Statutes/Other Implemented: ORS 413.558 & HB 2359 (2021)
  • OBPT 1-2023, adopt filed 01/25/2023, effective 01/25/2023
  • OBPT 3-2022, temporary adopt filed 10/20/2022, effective 10/20/2022 through 04/17/2023
Or. Admin. R. 848-040-0110 General Standards for Record Keeping

(1) The licensee who performs the physical therapy service shall prepare a complete and accurate record for every patient, regardless of whether compensation is given or received for the therapy services and regardless of whether the patient receives treatment pursuant to a referral or is self-referred.

(2) Sufficient written documentation shall be prepared on the same date a physical therapy service is provided.

(3) If the written documentation of the service provided described in (2) is made outside of the patient’s record, such as but not limited to, when handwritten notes are not documented directly in the electronic record, or when the encounter is outside the clinic where the patient’s record is stored, that written documentation must be added to the patient’s record in a timely manner appropriate for the care setting, but never longer than seven calendar days from the date the service was provided. Such entries must include date of entry if different than date of service.

(4) The licensee who performs the physical therapy service shall authenticate the documentation of the service that was performed. Authentication may be made by written signature or by electronic means. If authentication is by electronic means, the licensee shall not permit another person to use the licensee's password to authenticate the entry. Authentication may not be accomplished by the use of initials, except when an entry identifying an error is authenticated. A rubber stamp may not be used to authenticate any entry in a patient record.

(5) Non-licensees, including physical therapist aides, may prepare physical therapy treatment-related entries for the patient record for authentication by the treating licensee. The requirement for authentication shall not apply to records not related to physical therapy treatment.

(6) All documentation shall be readily accessible to a licensee prior to when that licensee provides subsequent treatment to the patient. "Readily accessible" means the authenticating licensee is able to produce the record immediately upon request.

(7) All entries shall be legible and permanent handwritten records shall be in ink.

(8) Abbreviations may be used if they are defined and accessible to all individuals accessing the patient's record.

(9) When an error in the patient record is discovered, the error shall be identified and corrected. The erroneous entry shall be crossed out, dated and initialed or otherwise identified as an error in an equivalent written manner by the author of the erroneous entry.

(10) Late entries or additions to entries in the patient record shall be documented when the omission is discovered with the following written at the beginning of the entry: "late entry for (date)" or "addendum for (date)" and authenticated;

(11) Treatment provided by a student physical therapist (SPT) may be documented either by the SPT or by the supervising therapist. Documentation by a SPT shall be signed by the student and authenticated by a supervising physical therapist.

(12) Treatment provided by a student physical therapist assistant (SPTA) may be documented either by the SPTA or by the supervising therapist or physical therapist assistant. Documentation by a SPTA shall be signed by the student and authenticated by a supervising physical therapist or supervising physical therapist assistant.

(13) Documentation by a person who holds a physical therapist temporary permit issued under OAR 848-010-0026(1)(a) shall be authenticated by the permit holder and by a supervising physical therapist.

(14) Documentation by a person who holds a physical therapist assistant temporary permit issued under OAR 848-010-0026(1)(a) shall be authenticated by the permit holder and by a supervising physical therapist or supervising physical therapist assistant.

(15) For purposes of the Board's enforcement of these rules, patient records shall be kept for a minimum of seven years measured from the date of the most recent entry.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 8-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0117 Standards For Authorization To Provide Physical Therapy Services

As a result of legislative changes effective January 1, 2014, a physical therapist is no longer required to limit treatment of a self-referred patient to 60 days before having to refer the patient to a provider identified in ORS 688.132(1).

(1) A physical therapist may initiate and provide physical therapy to a patient who is either self-referred or referred by a “provider of care”, defined in ORS 688.132 as a medical doctor, osteopathic physician, chiropractic physician, podiatric physician and surgeon, naturopathic physician, dentist, physician assistant or nurse practitioner, as follows:

(a) The therapist shall treat a self-referred patient in accordance with an initial evaluation and treatment plan prepared by a physical therapist and shall treat a patient who is referred by a provider of care pursuant to the written or oral referral or authorization received from the provider. As used in this rule, the term “authorization” includes certification by a provider of care of the physical therapist’s plan of care of a Medicare patient.

(b) If the referral or authorization specifies or identifies specific physical therapy interventions, precautions or contraindications for therapy, physical therapy shall not be provided beyond those specifications or limitations without further authorization.

(c) If a patient who is being treated pursuant to a referral or authorization from a provider of care requests treatment for a diagnosis or condition that is different and separate from the diagnosis or condition that is the subject of the referral, the physical therapist may initiate and provide treatment either in accordance with an initial evaluation and treatment plan prepared by a physical therapist or pursuant to an additional written or oral referral or authorization received from a provider listed in this section.

(d) If a referral or authorization specifies the number of treatments or a duration of treatment, the physical therapist may treat the patient for that duration and may extend treatment for a reasonable period of time if necessary for the patient to receive all authorized treatments.

(e) A physical therapist shall immediately refer a patient to a provider of care if the patient exhibits symptoms:

(A) That require treatment or diagnosis by a provider of medical care;

(B) For which physical therapy is contraindicated;

(C) For which the treatment is outside that therapist’s knowledge, skill and abilities; or

(D) For which treatment is outside the scope of practice of physical therapy.

(2) A physical therapist may provide physical therapy treatment to an animal under a referral from a veterinarian licensed under ORS Chapter 686. The referral must be in writing and specify the treatment or therapy to be provided pursuant to 686.040(4). The standard of care and documentation for physical therapy care to an animal shall be as provided for veterinarians under ORS Chapter 686.

(3) Notwithstanding the provisions of this rule, and pursuant to ORS 656.250, a physical therapist shall not provide compensable services to an injured worker governed by ORS Chapter 656 except as allowed by a governing managed care organization contract or as authorized by the worker's attending physician.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.010
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 8-2005, f. 12-29-05, cert. ef. 1-1-06
Or. Admin. R. 848-040-0120 Standards For Record Of Authorization

(1) A written referral received from a provider identified in ORS 688.132(1) shall be included in the patient record. In order to qualify as an authorization, a written referral must include, at a minimum, the name of the patient, the name of the provider, authentication by the provider and the date of the referral.

(2) An oral referral received from a provider identified in ORS 688.132(1) shall be documented in the patient record. Documentation shall include the name of the provider; the name of the person communicating the referral; the date the referral was received; the name of the person to whom the oral referral was communicated; the name of the patient; and a description of the referral. A non-licensee may accept and document an oral referral.

(3) If an oral referral is received a written referral must be requested from the provider. Documentation of the request shall include the date request was made and name of person making request. The written request received subsequent to an oral referral shall be included in the patient record when received.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 8-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0125 Standards For Initiation Of Physical Therapy

(1) Except as provided in subsection (5) of this section, prior to initiating the first physical therapy treatment, a physical therapist shall perform an initial evaluation of each patient and determine a plan of care as provided in OAR 848-040-0135.

(2) In the course of performing an initial evaluation the physical therapist shall examine the patient, obtain a history, perform relevant system reviews, assess the patient's functional status, select and administer specific tests and measurements and formulate clinical judgments regarding the patient. A physical therapist may incorporate by reference medical history or system review information about the patient prepared by another provider and available in the patient record, IEP, IFSP or other designated plan of care.

(3) For purposes of subsection (1) of this section, a physical therapist shall perform a separate initial evaluation under the following circumstances:

(a) The patient is returning to care after being discharged from therapy;

(b) The patient has not received physical therapy treatment at the clinic, facility or patient home for the current episode of care; or

(c) A current patient presents with a new diagnosis for an unrelated condition or body part.

(4) Only a physical therapist may perform an initial evaluation. A physical therapist shall not delegate the performance of an initial evaluation to a physical therapist assistant or to an aide.

(5) Under circumstances or situations where a physical therapist is called upon to provide immediate minimal or basic treatment to a person participating in an athletic activity or event, the physical therapist shall examine the person by performing tests and measurements appropriate to the circumstances, assess the person’s condition, formulate clinical judgments, and determine the immediate care to be provided. Documentation under this subsection shall include, at a minimum, the person’s name, age if available, a brief description of the injury or condition, and disposition or treatment, including recommendation for additional or alternative care. Neither a physical therapy plan of care nor a discharge summary is required in these circumstances.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0130 Standards For The Documentation Of An Initial Evaluation

Except as provided in subsection (5) of OAR 848-040-0125, the physical therapist who performs an initial evaluation shall document:

(1) The patient's identifying information;

(2) The patient's reason for seeking physical therapy services;

(3) The patients' relevant medical diagnoses or conditions;

(4) The patient's signs and symptoms;

(5) Objective data from tests or measurements;

(6) The physical therapist’s interpretation of the results of the examination;

(7) Clinical rationale for therapeutic intervention;

(8) The plan of care as described in OAR 848-040-0140, and;

(9) The patient's prognosis.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0135 Standards For The Plan of Care

(1) Prior to initiation of treatment, a physical therapy plan of care for the patient shall be determined by a physical therapist. As appropriate, a plan of care may include the IFSP, or, in a school setting, a plan of care may include the IEP for a student, or other designated plan of care.

(2) Only a physical therapist may develop a plan of care. A physical therapist shall not delegate the development of the plan of care to a physical therapist assistant or to an aide.

(3) A physical therapist shall identify appropriate treatment tasks to be delegated to a physical therapist assistant or aide.

(4) Only a physical therapist may modify a plan of care. However, a physical therapist assistant may make recommendations to the physical therapist regarding revision of the plan of care for a patient for whom the physical therapist assistant has been providing treatment.

(5) A physical therapist shall reexamine the patient and make modifications to the plan of care any time there are significant changes in the patient’s condition or status that would affect the physical therapy goals.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0140 Standards For The Documentation Of The Plan Of Care

(1) The documentation of the plan of care shall include:

(a) Objectively measurable treatment goals that incorporate the patient’s goals;

(b) Proposed therapeutic interventions to accomplish the goals; and

(c) Proposed frequency and duration of treatment or number of visits.

(2) The documentation of the plan of care shall be authenticated and dated by the physical therapist who developed the plan.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0145 Standards For Providing Treatment

(1) A licensee shall not permit an aide to administer a task that is prohibited under OAR 848-020-0060, and shall not permit an aide to administer a non-prohibited procedure or modality to a patient unless a licensee has previously administered that procedure or modality to the patient.

(2) A physical therapist or physical therapist assistant shall perform, or attempt to perform physical therapy interventions only when competent in that intervention.

(3) Except as provided in OAR 848-015-0020(6), a physical therapist assistant shall not continue to provide treatment to a patient unless a patient has been reexamined by a physical therapist as required by 848-040-0155. However, a physical therapist assistant may provide treatment on the day a reexamination is required, so long as during that treatment day a physical therapist reexamines the patient.

(4) A physical therapist or physical therapist assistant shall provide treatment in accordance with the provisions of OAR 848-040-0105.

(5) At all times there shall be a physical therapist supervising the treatment provided by a physical therapist assistant as provided in OAR 848-015-0020(2) or an aide as provided in 848-020-0000(5). "Supervising physical therapist" means either the last physical therapist to see the patient, or the physical therapist designated as in-charge of the patient on the day the patient is being treated.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0147 Standards for Treatment by a Student PT or Student PTA

(1) A physical therapist may allow a student physical therapist (SPT) or student physical therapist assistant (SPTA), as defined in OAR 848-040-0100(12), to provide treatment consistent with the individual student's education, experience and skills.

(2) A physical therapist assistant may allow an SPTA to provide treatment consistent with the individual student's education, experience and skills.

(3) At all times, a supervising physical therapist must provide on-site supervision of an SPT or SPTA who provides treatment to a patient.

(4) For purposes of this rule "supervising physical therapist" means the physical therapist who is responsible for that patient's treatment on the day the SPT or SPTA provides treatment.

(5) For purposes of this rule "on-site supervision" means that at all times the supervising physical therapist is in the same building and immediately available to provide in person direction, assistance, advice or instruction to the student.

(6) A physical therapist may delegate supervision of an SPTA to a physical therapist assistant and the provision of subsections (3), (4) and (5) of this rule shall apply to the physical therapist assistant.

(7) Documentation by a SPT shall be signed by the student and authenticated by a supervising physical therapist on the same day. Documentation by a SPTA shall be signed by the student and authenticated by a supervising physical therapist or supervising physical therapist assistant on the same day. A SPT's documentation must be completed pursuant to OAR 848-040-0110.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160 & 688.010
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 8-2005, f. 12-29-05, cert. ef. 1-1-06
Or. Admin. R. 848-040-0150 Standards For The Documentation of Treatment Provided

(1) Except as provided in subsection (5) of OAR 848-040-0125,documentation of treatment for each patient visit shall include at a minimum:

(a) Subjective status of patient;

(b) Specific therapeutic interventions, information, and education provided;

(c) Objective data from tests and measurements conducted;

(d) Assessment of the patient's response to therapeutic interventions, and,

(e) Updates to the plan of care.

(2) A supervising physical therapist may document treatment provided by a physical therapist assistant. If the supervising physical therapist records and authenticates treatment provided by the physical therapist assistant, the physical therapist shall document which treatment interventions were provided that day by the physical therapist assistant. When treatment is provided or assisted by an aide, the aide may only document objective information about the treatment intervention provided by the aide. When a supervising physical therapist assistant or supervising physical therapist authenticates treatment provided by an aide, the therapist shall document which treatment interventions were provided that day by the aide.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0155 Standards For Reexamination

(1) A physical therapist shall reexamine a patient periodically as follows:

(a) Anytime there are significant changes in the patient’s condition or status that would result in a change in the goals or the plan of care;

(b) When the interval since a patient’s last visit is 30 days or longer; or

(c) At least every 60 school days if the patient is a student who is being treated in an educational setting and a physical therapist has not treated the student within 60 school days, or at every visit if the student is seen less frequently.

(2) In the course of conducting the reexamination, a physical therapist shall personally examine the patient, assess the patient's status, and update the goals or plan of care.

(3) Only a physical therapist may perform a reexamination. A physical therapist shall not delegate the reexamination to a physical therapist assistant or to an aide. However, a physical therapist may delegate to a physical therapist assistant the gathering of data for a reexamination as provided in OAR 848-015-0030(1)(b)

(4) If a physical therapist assistant is providing care to a patient and identifies a plateau or change in patient status that may result in the need for a change in the goals or the plan of care, the physical therapist assistant must consult with a physical therapist, who must determine if a reexamination is required.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0160 Standards For The Documentation of a Reexamination

(1) When a physical therapist is required to perform a reexamination under OAR 848-040-0155, the documentation of the reexamination shall include at a minimum:

(a) Subjective status of patient; and,

(b) Any change in physical therapy goals (including patient goals) or the plan of care.

(2) After a physical therapist reexamines the patient and documents the reexamination, either the physicaltherapist or a physical therapist assistant may prepare the documentation of the patient’s current status.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • OBPT 1-2025, amend filed 01/23/2025, effective 03/01/2025
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0165 Standards For Discharging A Patient From Therapy

(1) A physical therapist shall discharge a patient from an episode of physical therapy treatment when the therapist determines:

(a) The patient has reached all physical therapy goals and additional goals are not identified;

(b) The patient will not further benefit from physical therapy, regardless of whether additionalvisits are ordered or authorized;

(c) The patient declines to continue treatment or self-discharges;

(d) Physical therapy is contraindicated; or

(e) The referring provider directs or instructs that the patient be discharged from the episode oftreatment.

(2) Only a physical therapist may make the decision to discharge a patient from therapy. A physical therapist shall not delegate the decision to discharge a patient to a physical therapist assistant or to an aide.

(3) A physical therapist assistant shall not independently make the decision to discharge a patient from therapy. However, a physical therapist assistant may make recommendations regarding discharge to the supervising physical therapist based on the physical therapist assistant's treatment of the patient.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0170 Standards For Discharge Records

(1) Within 30 days following the patient's last scheduled visit or last contact, the physical therapist or physical therapist assistant shall document a final summary of the patient's physical therapy status upon discharge from the patient’s current episode of treatment.

(2) The discharge summary shall include, but is not limited to:

(a) Date and reason for discharge, or self discharge, if known;

(b) Degree of goal achievement or reasons for goals not being achieved;

(c) Summary of the patient's status at the time of discharge; and

(d) Recommendations for follow-up care, if any.

(3) A discharge summary is not required when another licensed medical professional documents a patient’s discharge from an acute inpatient care facility as that term is defined in ORS 442.470(1).

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
  • PTLB 3-2017, amend filed 11/28/2017, effective 01/01/2018
  • PTLB 6-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-040-0175 Standards for Screening Services

(1) “Physical therapy screening” means:

(a) The process of determining whether a person or animal would benefit from a physical therapy evaluation or referral to another health care professional; and

(b) The process of determining whether a current patient has a new or separate condition that can be addressed by physical therapy treatment or intervention.

(2) A physical therapist or physical therapist assistant may conduct or perform a physical therapy screening of a person who is not currently a physical therapy patient.

(3) Only a physical therapist may conduct or perform a physical therapy screening of a current patient.

(4) A physical therapist or physical therapist assistant shall not delegate the performance of a physical therapy screening to an aide.

(5) A screening is not a physical therapy treatment or intervention and does not require or involve performance of an initial evaluation, preparation of a plan of care, or creation of a patient treatment record.

History

  • Statutory/Other Authority: ORS 688.160
  • Statutes/Other Implemented: ORS 688.160(6)(g)
  • OBPT 4-2021, amend filed 04/30/2021, effective 05/01/2021
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
Or. Admin. R. 848-040-0180 Standards for Telehealth Services

(1) A Licensee may provide telehealth services to a patient who is domiciled or physically present in the state of Oregon at the time the services are provided. An aide may not provide telehealth services.

(2) Telehealth services provided must conform to the scope and standards of practice and documentation as provided in Oregon Revised Statutes 688.010 through 688.201 and these Division 40 rules. Telehealth services must be at least equivalent to the quality of services delivered in-person.

(3) Prior to the initiation of telehealth services, a Licensee shall obtain the patient’s consent to receive the services via telehealth. The consent may be verbal, written, or recorded and must be documented in the patient’s permanent record.

(4) When providing telehealth services, a Licensee shall have procedures in place to address remote medical or clinical emergencies at the patient’s location.

(5) The application and technology used to provide telehealth services shall meet all standards required by state and federal laws governing the privacy and security of a patient’s protected health information.

(6) A Licensee providing telehealth services to a person who is domiciled in another state and physically present in that state at the time the telehealth services are being provided, may be required to be licensed in the state where the services are being rendered.

History

  • Statutory/Other Authority: ORS 688.160(6)(C)
  • Statutes/Other Implemented: ORS 688.010-688.230
  • PTLB 2-2015, f. 8-27-15, cert. ef. 9-1-15
Or. Admin. R. 848-040-0190 Standards for Community Education, Prevention, Health Promotion and Wellness Services

(1) A licensee may provide non-individualized instruction to a group of persons in the community or group of employees in a workplace:

(a) To promote and teach physical activity with an emphasis on movement and function to improve health outcomes or prevent falls or injuries; or

(b) To teach and promote wellness, fitness, healthy lifestyles and behaviors, and self management, for the reduction of risk, prevention, or management, of disease, injury or disability.

(2) Service provided under this section is not physical therapy treatment or intervention and does not require or involve performance of an initial evaluation, preparation of a plan of care, or creation of a patient treatment record.

History

  • Statutory/Other Authority: 688.160
  • Statutes/Other Implemented: 688.160
  • PTLB 3-2017, adopt filed 11/28/2017, effective 01/01/2018

Division 45 GROUNDS FOR DISCIPLINE AND SANCTIONS

Or. Admin. R. 848-045-0010 Authority and Sanctions

(1) If a licensee practices in a manner detrimental to the public health and safety or engages in illegal, unethical or unprofessional conduct as defined by the statutes and OAR 848-045-0020(2), the Board, after notice and opportunity for hearing as provided in ORS 688.145, may:

(a) Suspend or revoke a license or temporary permit.

(b) Impose a civil penalty not to exceed $5,000, with the penalty for non-compliance with continuing competence requirements to be as provided in the penalty schedule set out in Appendix A of these rules, and the penalty for practicing with a lapsed license to be as provided in the penalty schedule set out in Appendix B of these rules.

(c) Impose probation with conditions.

(d) Impose conditions, restrictions or limitations on practice.

(e) Reprimand the licensee.

(f) Impose any other appropriate sanction, including assessment of the reasonable costs of a proceeding under ORS 688.145 as a civil penalty. Costs include, but are not limited to, the costs of investigation, attorney fees, hearing officer costs and the costs of discovery.

(2) A disciplinary sanction imposed against a licensee shall be generally consistent with sanctions imposed by the Board against other licensees in substantially similar cases.

(3) If a licensee has a mental, emotional or physical condition which impairs the licensee's ability or competency to practice physical therapy in a manner consistent with the public health and safety, the Board, after notice and opportunity for hearing as provided in ORS 688.145, may suspend or revoke the license or temporary permit, impose probation with conditions, or impose conditions, restrictions or limitations on practice.

(4) As used in this rule, "licensee" includes a physical therapist or a physical therapist assistant, a temporary permit holder and an Oregon Compact Privilege holder.

(Appendices: Appendices referenced are available from the agency.)

History

  • Statutory/Other Authority: ORS 688.140, 688.160, 688.210 & ORS 688.240
  • Statutes/Other Implemented: ORS 688.140, 688.145, 688.220 & 688.235
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 3-2015, f. 9-9-15, cert. ef. 1-1-16
  • PTLB 2-2013, f. 11-26-13, cert. ef. 1-1-14
  • PTLB 1-2012, f. 2-9-12, cert. ef. 3-1-12
  • PTLB 9-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 7-2004, f. & cert. ef. 12-29-04
Or. Admin. R. 848-045-0020 Grounds for Discipline of a Licensee

(1) The Board may impose a sanction as provided in 848-045-0010(1) on a licensee for illegal, unethical or unprofessional conduct. As used in this rule, "licensee" means a physical therapist or a physical therapist assistant, a temporary permit holder, a Compact Privilege holder and a person who was a licensee at the time the illegal, unethical or unprofessional conduct occurred regardless of whether the person’s license has lapsed.

(2) A licensee commits or engages in illegal, unethical or unprofessional conduct if the licensee:

(a) Fails to disclose requested information, conceals material facts or provides false or materially misleading information on an application or during the application process for a temporary permit, license or renewal, or willfully makes a false statement on an application;

(b) Is disciplined by another Oregon state licensing board or out-of-state licensing board for conduct which if committed in Oregon would be grounds for discipline under this rule;

(c) Fails to disclose an active investigation by an Oregon or out-of-state health licensing authority within 10 working days licensee is first notified of the investigation, subject to the provision of ORS 688.160(6)(c).

(d) Is convicted of violating any federal law or state law relating to controlled substances, subject to the provisions of ORS 670.280(2);

(e) Is convicted of any crime that is a felony or misdemeanor under the laws of any state or of the United States, subject to the provisions of ORS 670.280(2), or fails to notify the Board within 10 working days of a conviction of a misdemeanor, or an arrest for or conviction of a felony;

(f) Commits gross negligence or multiple acts of negligence in practice. The Board may take into account relevant factors and practices, including but not limited to the standard of practice generally and currently followed and accepted by persons licensed to practice physical therapy in this state, the current teachings at accredited physical therapy schools and relevant technical reports published in recognized physical therapy journals in determining the definition of gross negligence;

(g) Practices physical therapy while under the influence of intoxicating liquors or under the influence of a controlled substance;

(h) Has an addiction to or dependency on alcohol, legend drugs or controlled substances which impairs the licensee's ability or competency to practice physical therapy in a manner consistent with the public health and safety;

(i) Violates the provisions of ORS 688.010 to 688.220 or any administrative rule, or violates or fails to comply with any order of the Board;

(j) Acts in a manner contrary to the APTA Code of Ethics, or engages in any act involving moral turpitude, including, but not limited to fraud, deceit, dishonesty, harassment, violence, or illegal activity, subject to the provisions of ORS 670.280(3);

(k) Unnecessarily exposes a patient's body to the view of the therapist or other persons;

(l) Engages in a conversation with a patient that is not necessary for the provision of treatment and that is personally intrusive or otherwise inappropriate;

(m) Commits or engages in any act of sexual misconduct involving a patient, including but not limited to any acts or statements of a sexual nature that do not contribute to appropriate physical therapy treatment;

(n) Engages in any sexual conduct, including dating, with a patient, whether initiated by the patient or the licensee. For purposes of this subsection, "patient" includes any person who has not been discharged from that therapist's care;

(o) Obtains or attempts to obtain any fee by fraud or misrepresentation, or makes a false or fraudulent claim for health care payment as provided in ORS 165.690 to 165.694;

(p) Engages in exploitation of a patient, which includes but is not limited to the following:

(A) Failure to maintain an appropriate patient/therapist relationship;

(B) Obtaining or attempting to obtain compensation for physical therapy services that were not provided to the patient;

(C) Provides physical therapy services or participates in physical therapy services solely for reasons of personal or institutional financial gain;

(D) Provides physical therapy services under circumstances where there is no benefit to be obtained by the patient from such services;

(E) Accepting, soliciting or borrowing anything of more than nominal value from a patient or a member of the patient's family except for reasonable compensation for physical therapy services provided to the patient. Nominal value shall be determined in the context of the particular relationship and circumstances; or

(F) Influencing a patient or the patient's family to utilize, purchase or rent any equipment or products based on the direct or indirect financial interests of the licensee rather than on the therapeutic value to the patient. A licensee who owns or has a direct financial interest in an equipment or supply company must disclose the interest if the licensee sells or rents the equipment or product or recommends the purchase or rental of the equipment or product to the patient.

(q) Knowingly makes a false entry or false alteration in a patient record;

(r) Engages in deceptive consumer practices, including but not limited to:

(A) Using, disseminating or publishing any advertising matter, promotional literature, testimonial, claim or guarantee that is false, misleading or deceptive;

(B) Practicing under a false, misleading or deceptive name, impersonating another licensee or fraudulently using or permitting the use of a license number in any way;

(C) Making a representation as to the licensee's skill or the efficacy or value of a treatment that the licensee knows or should know is false or misleading; or

(s) Practices physical therapy with a lapsed license;

(t) Employs, aids, abets or permits any unlicensed person or person with a lapsed license to practice physical therapy, or aids or causes another person, directly or indirectly, to violate ORS 688.010 to 688.240 or OAR 848;

(u) Fails to report in writing to employer that licensee provided physical therapy services while unlicensed or with a lapsed license or fails to provide a copy to the Board of such report;

(v) Fails to cooperate with the Board, which includes but is not limited to the following:

(A) Failure to respond fully and truthfully to a question or request for information from the Board;

(B) Failure to provide information or documents to the Board within the time specified by the Board;

(C) Failure to appear and provide information at an interview requested by the Board;

(D) Failure to timely produce and temporarily surrender custody of an original patient record requested by the Board and which is in the possession or under the control of the licensee, or failure to produce all portions of the patient record requested;

(E) Deceiving or attempting to deceive the Board regarding any matter, including by altering or destroying any record or document; or

(F) Failure to comply with the terms, conditions and recommendations of a Confidential Advisory Letter as issued by the Board;

(w) Interferes with or uses threats or harassment to delay or obstruct any person in providing information or evidence to the Board in any matter, investigation, contested case proceeding or other legal action instituted by the Board;

(x) Discharges an employee based primarily on the employee's attempt to comply or aid in the compliance with Board rules;

(y) Fails to notify the Board of another licensee's conduct which reasonably appears to be illegal, unethical or unprofessional as provided for in ORS 688.010 to 688.240 or any Board rule. Notice must occur without undue delay, but in no event later than 10 days after the reporting licensee learns of the conduct;

(z) Fails to notify the appropriate licensing board of any conduct by another licensed medical provider when the licensee has reasonable cause to believe that the medical provider has engaged in prohibited or unprofessional conduct. Notice must occur without undue delay, but in no event later than 10 days after the reporting licensee learns of the conduct. As used in this subparagraph, “prohibited conduct” means a criminal act against a patient or a criminal act that creates a risk of harm to a patient and “unprofessional conduct” means conduct unbecoming a medical provider or detrimental to the best interests of the public, including conduct contrary to recognized standards of ethics of the medical provider’s profession or conduct that endangers the health, safety or welfare of a patient; or

(aa) Fails to notify the Board of a change in the licensee's name, address, contact telephone number, email address or place of employment or business as required by OAR 848-005-0030.

History

  • Statutory/Other Authority: ORS 688.140, 688.160, 688.210 & ORS 688.240
  • Statutes/Other Implemented: ORS 688.140, 688.145, 688.220 & 688.235
  • OBPT 10-2021, temporary amend filed 09/24/2021, effective 09/24/2021 through 03/22/2022
  • OBPT 5-2021, amend filed 04/30/2021, effective 05/01/2021
  • PTLB 3-2018, amend filed 08/16/2018, effective 09/01/2018
  • PTLB 1-2010, f. 2-16-10, cert. ef. 3-1-10
  • PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09
  • PTLB 9-2005, f. 12-29-05, cert. ef. 1-1-06
  • PTLB 7-2004, f. & cert. ef. 12-29-04

Division 55 COMPACT COMMISSION RULES

Or. Admin. R. 848-055-0001 Compact Commission Rules

(1) Pursuant to ORS 688.240 Section 9.A.2, the Oregon Board of Physical Therapy hereby adopts as rule the Physical Therapy Compact Commission Rules as adopted by the Commission effective December 2025, with the following additions:

(a) These rules are adopted only to the extent that the Compact Commission Rules are consistent with Oregon and Federal law, as determined by the Board.

(b) Pursuant to Article XI, 7 of the Oregon Constitution and per ORS 688.240, any monetary liabilities incurred as a result of arbitration or litigation are subject to the limitations in Oregon law.

(c) The Oregon Board of Physical Therapy will comply with Commission Rule 6.1(C) to the extent that the Board determines that compliance is within the requirements and limitations of law.

(2) The full text of the Commission Rules will be made available for review via the Oregon PT Board website at www.oregon.gov/pt.

History

  • Statutory/Other Authority: ORS 688.160(6)(c) & ORS 688.240
  • Statutes/Other Implemented: ORS 688.240
  • OBPT 2-2026, amend filed 01/29/2026, effective 02/01/2026
  • OBPT 3-2024, amend filed 11/25/2024, effective 11/25/2024
  • OBPT 3-2023, amend filed 03/31/2023, effective 04/01/2023
  • OBPT 11-2021, amend filed 12/13/2021, effective 12/13/2021
  • OBPT 1-2021, amend filed 02/11/2021, effective 02/12/2021
  • PTLB 8-2019, amend filed 12/20/2019, effective 01/01/2020
  • PTLB 2-2019, amend filed 03/04/2019, effective 03/05/2019
  • PTLB 2-2018, adopt filed 06/21/2018, effective 07/01/2018

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