Practicing in USA with Foreign Education

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Original Editor - User Name Top Contributors - Jeremy Bryan, Siobhán Egan, Sinéad Delahunty and Kim Jackson

Introduction[edit | edit source]

In order to practice Physical Therapy in the United States (US), a license is required. A license is specific to the state for which the Physical Therapist is going to practice and it ensures a minimum competency level to safely provide Physical Therapy care.

The most common path to obtaining a license is by graduating from a CAPTE (Commission on Accreditation in Physical Therapy Education) accredited Physical Therapy program and then passing the NPTE (National Physical Therapy Exam).[1] However, there are provisions for obtaining a license if the Physical Therapist was educated at a Physical Therapy program (non CAPTE accredited) outside the US.

Additionally, if the Physical Therapist is not a US citizen or does not possess a permanent resident (green) card, there are US Citizenship and Immigration Services (USCIS) requirements for foreign educated Physical Therapists, who are not US citizens, to be able to work in the US.

Non US Citizen or Non Permanent Resident[edit | edit source]

If a Physical Therapist is not a US citizen or does not possess a permanent resident (green) card, the first step is to obtain a health care worker certification.

Health care worker certifications ensure that the the Physical Therapist meets minimum standards for education, training, experience, English language fluency, and finally licensure.[2]

  • Education, training, and experience - must be verified as being at a similar level as the requirements placed on current US Physical Therapists.[2]
  • English language fluency - demonstrate ability to speak and write in English though the passing of a nationally recognized standardized test.[2]
  • Licensure - Pass the NPTE.[2]


Health care worker certifications can be issued from one of the following approved agencies:


Once a health care worker certification is obtained, a Visa must also be granted. Common Visas that a non citizen or non permanent resident Physical Therapist might be granted include:

  • H-1B: Temporary employment in a specialty occupation requiring a Bachelors degree or greater.[3]
  • EB2: Permanent worker with advanced degree, offers path to green card.[3]
  • EB3: Permanent worker in skilled profession, offers path to green card.[3]

Registration Process[edit | edit source]

  • Prior to registration you must complete 30 additional credits. Can be attained via CLEP (College-Level Examination Program).
  • The American Physical Therapy Association (APTA) encompasses 53 jurisdictions.
  • Each jurisdiction has an individual vetting process .
  • Apply online via FCCPT (Foreign Credentialing Commission on Physical Therapy) for a type 1 review (for Irish/British wishing to seek visa)
  • Permission to work in the USA must be sought via the US citizenship and Immigration Services (USCIS).
  • Licence to practice is obtained by sitting the NPTE (National Physical Therapy Exam). The exam can be sat in any jurisdiction regardless of where you plan to work.

Requirements[edit | edit source]

  • UCD must release transcripts to the FCCPT
  • Proof of licence to practice from the ISCP.
  • Copy of your degree (English version) signed by notary public (solicitor)
  • Attestation form outlining all information provided by you in correct and a passport photo, also notarized.

 Job Opportunities[edit | edit source]

At present over 3,000 Physical Therapy jobs advertised on the APTA website.

Useful Websites[edit | edit source]

  1. American Physical Therapy Association. About PT and PTA Licensure. Available at https://www.apta.org/your-practice/licensure/pt-and-pta-licensure (accessed on 18 Feb, 2023)
  2. 2.0 2.1 2.2 2.3 US Citizenship and Immigration Services. Health Care Workers Certification. Available from https://www.uscis.gov/working-in-the-united-states/temporary-workers/health-care-worker-certification (accessed on 19 Feb, 2023)
  3. 3.0 3.1 3.2 Federation of State Boards of Physical Therapy. Foreign Educated Physical Therapists. Available from https://www.fsbpt.org/Free-Resources/Foreign-Educated-PTs-and-PT-Assistants/Immigration-Information (accessed on 19 Feb, 2023)