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. 

 

Frequently Asked Questions

Pennsylvania is currently a member of the PT Compact. However, full implementation has not yet been finalized. The Shapiro Administration and the Department of State continue to work  diligently to finalize all requirements  for Pennsylvania to be a home state and issue privileges to licensees from other states.   Full implementation is expected to occur in the summer of 2025. 

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.

Not yet. The Department of State continues its work to implement the requirements for full compact participation. Until full implementation occurs, the Commission cannot issue compact privileges to  licensees of another member state who wish to practice in Pennsylvania.

Once the Compact has been fully implemented, physical therapists and physical therapist assistants will 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

Yes. In 2020, Pennsylvania fully implemented the Psychology Interjurisdictional Compact (PSYPACT), which allows psychologists  to obtain authorization to practice  telepsychology and/or a temporary authority to practice (TAP) n participating states.

More than 900 Pennsylvania psychologists have obtained privileges through PSYPACT to practice across state lines.

Not yet.

Pennsylvania partially implemented the Nurse Licensure Compact (NLC) in September 2023, recognizing the practicing privileges of nurses who obtain multistate licenses through that compact.

Pennsylvania partially implemented the Interstate Medical Licensure Compact (IMLC) in August 2024, allowing out-of-state physicians with a license and “letter of qualification” from a compact member state to designate Pennsylvania as a state where the physician wants to obtain expedited licensure to practice.