What is the Physical Therapy Compact?

The Physical Therapy Compact (PT Compact) is an agreement among more than 30 states to provide licensed physical therapists and physical therapist assistants  the opportunity to obtain practice privileges in multiple member states. It is managed by the Physical Therapy Compact Commission, which is made up of representatives from each member state.

 

How Does the PT Compact Work?

Licensed  physical therapists and physical therapist assistants looking to practice outside of their home state can apply through the compact for a practice privilege. The practice privilege is an authorization to practice in compact member states in addition to the licensee’s home state. 

What is the current status of the PT Compact in Pennsylvania?

Pennsylvania fully implemented the PT Compact on July 7, 2025, and Pennsylvania physical therapists and physical therapist assistants can now apply for a multistate license.

 

Frequently Asked Questions

Allowing qualified out-of-state physical therapists and physical therapist assistants to obtain practice privileges in Pennsylvania means that patientswill have access to additional healthcare providers as the  demand for physical therapy services rises.

Now that the compact is fully implemented, physical therapists and physical therapist assistants now have the ability to designate Pennsylvania as their home state and receive compact privileges in other member states.  In addition, out-of-state physical therapists and physical therapist assistants will have the ability to  request compact privileges to work in Pennsylvania.. 

More information about the PT Compact and practice privilege requirements for other member states is available on the PT Compact Commission’s website.

About Other Healthcare Licensure Compacts