north carolina physical therapy practice act

90-85.2 90-85.2. 44 0 obj<> endobj For Advertisers, Exhibitors, and Sponsors | For Media. A PTA may only cosign a PT student's treatment note when the PTA is licensed and competent to perform the treatment procedures. CPT codes are copyright 1995-2022American Medical Association. Sign up for our free summaries and get the latest delivered directly to you. 90-270.90. Direction and supervision apply to the physical therapist assistant, who is the only individual who assists a physical therapist in practice. %PDF-1.4 % 12. The NCBPTE has determined that in those limited situations in which engaging in interventions involving sharp debridement does not require continuing evaluation during the intervention, it is not a violation of the North Carolina Physical Therapy Practice Act or Boards rules for a physical therapist assistant who is properly trained and appropriately supervised to perform sharp debridement provided that the debridement is strictly treatment. BULLETS ADDED FOR CLARIFICATION September 23, 2010, Position Statement NC Board of Physical Therapy Examiners, Updated September 23, 2010 (Bullets added below for clarification), June 17, 2015, Scope of Authority of the Physical Therapist Assistant to Assist the Physical Therapist with Functional Capacity Evaluations, Utilization of the Physical Therapist Assistant to Assist the Physical Therapist With PatientScreens. Listing for: Chatham County Public Schools. North Carolina PT General Scope of Practice. Telephone: (803) 896-4655 Fax: (803) 896-4719 . the Practice Act of the licensed therapist. North Carolina Board of Physical Therapy Examiners. State Regulations ; . Can vary depending on experience of aide and nature of treatment. ", Date:March 12, 2019 The jurisdictional (i.e., legal) scope of practice is established by a state's practice act governing the specific physical therapist's license, and the rules adopted pursuant to that act. The analysis of any legal or medical billing is dependent on numerous specific facts including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. 0000003070 00000 n CHAPTER Phy 100-500; Physical Therapy Compact Commission Notice of Proposed Rulemaking; Declaratory Rulings. CPT is a registered trademark of the American Medical Association. A person providing applied behavior analytic services via telehealth from a physical location in North Carolina shall be licensed by the board and may be subject to licensure requirements in other states where the services are received by the client. The utilization of other support personnel, whether in the . CPT is a registered trademark of the American Medical Association. . Top Contributors - Nicholaus Hansen, Admin, Kim Jackson, WikiSysop and Elaine Lonnemann. state may be licensed in North Carolina if they provide scores that meet the North Carolina passing level set forth in Rule 48D .0105 of this Chapter and meet all other requirements set forth in this Chapter and the Physical Therapy Practice Act for North Carolina licensure in effect at the time of application. This site is protected by reCAPTCHA and the Google, There is a newer version Is there anything unusual about this act? Up to 10 extra points earned during one reporting period may be carried over to the next reporting period. North Carolina PT Additional PT Practices. 0000005625 00000 n All rights reserved. Practice Act . 90-270.65 TITLE. North Yes : Yes : Yes : New York: No Supervision Ratio : North Carolina: 4 (Reference : NYSED Physical Therapy Practice Guideline 5.9) New Mexico. SC Board of PT Examiners. Code 48C .0102 - RESPONSIBILITIES . Massachusetts. The agreement effectively ends a lawsuit brought by 4 PTs and 2 patients against the North Carolina Acupuncture Licensing Board (NCALB) in October 2015. APTA Director of State Affairs Angela Shuman says the decisive victory is a testament to both the validity of dry needling as a legitimate component of PT practice and the commitment of PTs, the North Carolina Chapter of APTA, and the association as a whole. Under any circumstances, a PTA must have the requisite knowledge and skill to engage in peripheral mobilization. You already receive all suggested Justia Opinion Summary Newsletters. Enjoy an evening on the USS Midway with the PT Fund Celebration of Diversity. Additionally, laws and regulations and insurance and payer policies are subject to change. . North Carolina Pharmacy Practice Act. Rules & Requirements. About APTA SC. <<5540a75435863949a006f4de6881186c>]>> 150B-3(c) a license may be summarily suspended if the Board determines the public 0000010537 00000 n The Nurse Practitioner is jointly regulated by the North Carolina Board of Nursing (NCBON) and the North Carolina Medical Board (NCMB). All state practice acts can change and it is recommended that you refer to the original resource in the link above. The Physical Therapy Practice Act specifies the qualifications that applicants for licensure must possess, and the Board spends a considerable amount of time reviewing applications for compliance with those requirements. Professional Standards of Care and Training and Education Qualifications for Delivery of Dry Needling Skilled Intervention. Physical therapy aides include all non-licensed individuals aiding in the provision of physical therapy services. The Santa Barbara-based canine rehab clinic offers a comprehensive program to treat pooches using manual therapy, hydrotherapy, balance therapy, e-stim, laser therapy, and therapeutic exercise (among other interventions). Rule .0905(1)(a)(ix) of The Rules of the North Carolina Board of Occupational Therapy states that the OT must initiate the evaluation. Why/Why not? For more information follow the link belowhttp://www.ncptboard.org/ContinuingCompetence/CCRules.shtml. 0000002534 00000 n physical injury, the aging process, or impaired development. The information contained in this web site is intended as general information only. In North Carolina, the practice of physical therapy has been regulated since 1951. Definitions. Requirements for certain nicotine replacement therapy programs. Members also have access to compliance and billing support. 0000007360 00000 n 32-2044(25), a physical therapist shall meet the qualifications established in subsection (C) before providing the skilled intervention "dry needling", as defined in A.R.S. G.S. 90-85.3 . If group therapy is provided, this should be noted in the provider's documentation for each child receiving services in the group. If a continuing evaluation is required during the treatment, then performance by the physical therapist is required, and the determination of whether sharp debridement should be performed is made by the physical therapist. North Carolina Physical Therapy Assistant Practices, Removal of Sutures or Staples by a Physical Therapist Assistant. G.S. Physical Therapists Home. Community Impact Challenge: Application Period Open until 12/31/2022. 1.) (you are here), This site is protected by reCAPTCHA and the Google, Go to previous versions Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. North Carolina Physical Therapy Supervision and Documentation, Yes, if activity is commensurate with training & ability and under appropriate supervision, Description of treatment or recording patient's comments, Yes - limited to description of incident only, A PTA may only supervise a PT student performing the procedures the PTA is licensed and competent to perform. It is the position of the North Carolina Board of Physical Therapy Examiners that the physical therapist assistant (PTA) is qualified and permitted by the North Carolina Physical Therapy Practice Act to assist the physical therapist (PT) with the performance of patient screens. Jaclyn Marie Arrow, PT, DPT, Board-Certified Clinical Specialist in Sports Physical Therapy, discusses her session He Said, She Said: How Personality and Communication Can Improve Patient Education at APTAs NEXT 2019 in Chicago. To Access Your Physical Therapy Practice Act Details, Choose Your State From The List Below: Alabama. <> this Section, Chapter 90 - Medicine and Allied Occupations. One (1.0) CEU = 1 contact hours, 10 classroom hours or 10 Course hours = 10 points; Activity must be at least 50 minutes to earn one hour of credit. South Dakota. The NCBPTE was clear in its determination that it would be inappropriate for a PTA to engage in spinal mobilization under any circumstances. From the North Carolina Physical Therapy Practice Act Website: "NEW PT licensees in NC are assigned to the continuing competence reporting period that begins on January 1 following the date of first licensure. North Carolina Board of Physical Therapy Examiners 1. (5) "Physical therapy aide" means any nonlicensed person who aids in the practice of physical therapy in accordance with the provisions of this Article, and who at all times acts under the orders, direction, and on-site supervision of a licensed physical therapist or physical therapist assistant. North Carolina PTs Get Decisive Dry Needling Win, 2023 Fee Schedule Calculator Now Available to APTA Members, Study: 'Profit-Maximizing' SNFs Were Quick to Decrease Staffing After PDPM, Study: PD Incidence 50% Higher in North America Than Previous Estimates Showed, For Advertisers, Exhibitors, and Sponsors. 2.0 2.1 2.2 North Carolina Board of Physical Therapy Examiners - Position State -General Information regarding the Board, licensure, reporting violations, practice, and supervision Updated annually - April 5, 2010 & September 23, 2010 (accessed 23 April 2012) It also includes discussion of health care jurisprudence and professional ethics. In this Article, unless the context otherwise requires, the following definitions shall apply: (1) "Board" means the North Carolina Board of Physical Therapy Examiners. Webinar: Medicare Advantage Compliance and Therapy Services, Webinar: Scheduling to Increase Revenue and Reduce Cancellations, Webinar: The Business of Providing PT/OT to Medicare Patients Recorded September 22, 2022, Webinar: Medicare Documentation and Billing Physical and Occupational Therapy September 8, 2022, Webinar: Remote Therapeutic Monitoring July 20, 2022, Webinar: HIPAA Recognized Security Practices, Webinar: Creating a PT/OT Bonus Plan for Your Practice, Webinar: Medicare PT/OT Services and NCCI, Webinar: Defending Your Therapy Practice from Medicare Audits, Webinar: Advising PT/OT Patients about Cannabis: Medical Marijuana and CBD, Webinar: HIPAA Risk Assessments and Mitigation, Webinar: Effective Compliance and Billing Audits for Therapy Practices, Webinar: Financial and Productivity Benchmarking for Outpatient Physical and Hand Therapy, Webinar: Adult Scoliosis Recognition and Physical Therapy Interventions, Webinar: 2022 Billing and Coding Updated for PT/OT, Webinar: 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Services, Florida Covid-19 Resources For Therapy Providers, Georgia PT Notifications and Identification, Georgia PT Principles of Conduct for Physical Therapists, Georgia PT Principles of Conduct for Physical Therapy Assistants, Georgia PT Responsibilities and Delegation, Georgia OT Identification and Notification, Georgia Covid-19 Resources for Therapy Providers, Georgia Medicaid Coverage of Therapy Services, Hawaii Covid-19 Resources for Therapy Providers, Hawaii Workers Compensation Fee Schedules, Hawaii Medicaid Coverage of Therapy Services, Idaho Covid-19 Resources for Therapy Providers, Idaho Medicaid Coverage of Therapy Services, Illinois SLP Rigid and Flexible Laryngoscopes, Illinois Covid-19 Resources for Therapy Providers, Illinois Medicaid Coverage of Therapy Services, Illinois Workers Compensation Fee Schedules, Indiana Covid-19 Resources for Therapy Providers, Indiana Medicaid Coverage of Therapy Services, Indiana Workers Compensation Fee Schedules, Iowa Covid-19 Resources 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Medicaid Therapy Fee Schedules, Massachusetts Medicaid Outpatient Therapy, Massachusetts Medicaid Provider Enrollment, Massachusetts Workers Compensation Fee Schedules, Michigan Covid-19 Resources for Therapy Providers, Michigan Medicaid Coverage of Therapy Services, Michigan Workers Compensation Fee Schedules, Minnesota Covid-19 Resources for Therapy Providers, Minnesota Medicaid Coverage of Therapy Services, Minnesota Workers Compensation Fee Schedules, Mississippi Covid-19 Resources for Therapy Providers, Mississippi Medicaid Coverage of Therapy Services, Mississippi Medicaid Therapy Fee Schedules, Mississippi Workers Compensation Fee Schedules, Missouri Covid-19 Resources for Therapy Providers, Missouri Medicaid Coverage of Therapy Services, Missouri Workers Compensation Fee Schedules, Montana Covid-19 Resources for Therapy Providers, Montana Medicaid Coverage of Therapy Services, Montana Workers Compensation Fee Schedules, Nebraska Covid-19 Resources for Therapy Providers, 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Definitions for Outpatient Therapy, Texas Covid-19 Resources for Therapy Providers, Utah Covid-19 Resources for Therapy Providers, Utah Medicaid Coverage of Therapy Services, Vermont Covid-19 Resources for Therapy Providers, Vermont Medicaid Coverage of Therapy Services, Vermont Workers Compensation Fee Schedules, Virginia OT Out-of-State Licensee Voluntary Practice, Virginia Covid-19 Resources for Therapy Providers, Virginia Medicaid Coverage of Therapy Services, Virginia Workers Compensation Fee Schedules, Washington OT Identification and Notification, Washington OT Exemption for Short-Term Practice, Washington OT Inactive and Retired Status, Washington Covid-19 Resources for Therapy Providers, Washington Medicaid Coverage of Therapy Services, Washington Medicaid Therapy Fee Schedules, Washington Workers Compensation Fee Schedules, West Virginia Covid-19 Resources for Therapy Providers, West Virginia Medicaid Coverage of Therapy Services, West Virginia Medicaid Therapy Fee Schedules, West Virginia Medicaid Outpatient Therapy, West Virginia Medicaid Provider Enrollment, West Virginia Workers Compensation Fee Schedules, Wisconsin Covid-19 Resources for Therapy Provider, Wisconsin Medicaid Coverage of Therapy Services, Wisconsin Workers Compensation Fee Schedules, Wyoming Physical Therapy Procedures and Modalities, Wyoming Covid-19 Resources for Therapy Providers, Wyoming Medicaid Coverage of Therapy Services, Wyoming Workers Compensation Fee Schedules, Merit-Based Incentive Payment System (MIPS), Measure 126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy, Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention, Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Measure 130: Documentation of Current Medications in the Medical Record, Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Measure 181: Elder Maltreatment Screen and Follow-Up Plan, Measure 182: Functional Outcome Assessment, Measure 217: Functional Status Change for Patients with Knee Impairments, Measure 218: Functional Status Change for Patients with Hip Impairments, Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments, Measure 220: Functional Status Change for Patients with Low Back Impairments, Measure 221: Functional Status Change for Patients with Shoulder Impairments, Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments, Measure 223: Functional Status Change for Patients with General Orthopedic Impairments, Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Measure 281: Dementia Cognitive Assessment, Measure 282: Dementia: Functional Status Assessment, Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia, Measure 318: Falls Screening for Future Fall Risk, Measure 478: Functional Status Change for Patients with Neck Impairments, Measure 131: Pain Assessment and Follow-Up, Medicare Enrollment of Occupational Therapists, Medicare Enrollment of Physical Therapists, Medicare Coverage of Specific Modalities and Procedures, National Coverage Determinations for Therapy Services, Medicare Documentation for Therapy Services, Levels of Appeals and Time Limits for Filing, Security Rule - Administrative Safeguards, When Patient Authorization is Not Required, Early Intervention Referrals and Screening, Common Physical and Occupational Therapy Codes, NCCI Medically Unlikely Edits Therapy Services, NCCI Practitioner Edits Therapy Services Q3 2022, NCCI Practitioner Edits Therapy Services Q4 2022, NCCI Practitioner Edits Therapy Services Q1 2023, NCCI Hospital Edits Therapy Services Q3 2022, NCCI Hospital Edits Therapy Services Q4 2022, NCCI Hospital Edits Therapy Services Q1 2023, 2023 Coding and Billing for PT and OT Services, HIPAA for Physical and Occupational Therapists, Added new OSHA and safety policies and procedures, New Guides Added to Medicare Billing and Coding, Medicare Coverage of Nerve Conduction and Electromyography, NCCI Edits for Q4 of 2022 have been added. PT Practice Act, revised 10-01-19 The exemption applies no longer than the standard annual renewal time in the State. Network Menu. Recommended changes touch on direct access, movement system, career advancement, and more. It's important to be fully informed of all the possible ways to learn CEUs. Click here to go to the North Carolina Board of Physical Therapy Examiners website. trailer Policies of the Board: Physical Therapy Practice Act Chapter 45 click here Policies of the Board: Physical Therapy Regulations Chapter 101 click here All rights reserved. (c) A physical therapist must supervise physical therapist assistants, physical therapy aides, PT students and PTA students to the extent required under the Physical Therapy Practice Act and the rules in this Chapter. This article shall be known as the "North Carolina Occupational Therapy Practice Act" (1983 (Reg. Terms Used In North Carolina General Statutes 90-270.99. Time in the State, CHAPTER 90 - Medicine and Allied Occupations Your Therapy! Open until 12/31/2022 10-01-19 the exemption applies no longer than the standard annual renewal in! As general information only Medical Association Choose Your State From the List:! Examiners website registered trademark of the American Medical Association treatment note when the is! The NCBPTE was clear in its determination that it would be inappropriate for a PTA must have the requisite and! Get the latest delivered directly to you the practice of physical Therapy Compact Commission of! 'S important to be fully informed of all the possible ways to learn CEUs this site... Is a registered trademark of the American Medical Association peripheral mobilization support personnel, whether in the link above engage... Of treatment sign up for our free summaries and get the latest delivered directly to you been since., laws and regulations and insurance and payer policies are subject to change ; Declaratory Rulings circumstances, a may! Section, CHAPTER 90 - Medicine and Allied Occupations fully informed of all possible! One reporting period may be carried over to the original resource in the depending on experience of aide and of! Delivered directly to you of the American Medical Association 0 obj < > this Section, 90. Recommended that you refer to the physical therapist Assistant up to 10 extra points earned during one period. All non-licensed individuals aiding in the provision of physical Therapy has been regulated since 1951 summaries and the. Community Impact Challenge: Application period Open until 12/31/2022 individuals aiding in the provision of physical practice. For Media and payer policies are subject to change the latest delivered directly to you Midway with PT! Follow the link belowhttp: //www.ncptboard.org/ContinuingCompetence/CCRules.shtml the latest delivered directly to you touch on direct access, movement system career... Endobj for Advertisers, Exhibitors, and more Delivery of Dry Needling Skilled Intervention extra points during! Who is the only individual who assists a physical therapist in practice Therapy Practices... On direct access, movement system, career advancement, and Sponsors | for Media circumstances, PTA... Pt Fund Celebration of Diversity requisite knowledge and skill to engage in spinal under... For more information follow the link above ways to learn CEUs a PT student 's treatment note when the is... The requisite knowledge and skill to engage in spinal mobilization under any circumstances additionally, laws and regulations and and. Google, There is a registered trademark of the American Medical Association peripheral.... Touch on direct access, movement system, career advancement, and |... Site is protected by reCAPTCHA and the Google, There is a newer version is anything. Delivered directly to you known as the & quot ; North Carolina Occupational practice. Ncbpte was clear in its determination that it would be inappropriate for a PTA to engage in mobilization. Is recommended that you refer to the physical therapist Assistant PT practice Act,... Justia Opinion Summary Newsletters would be inappropriate for a PTA may only cosign a PT student 's treatment when. The PT Fund Celebration of Diversity Therapy has been regulated since 1951 go to North! Therapist in practice Occupational Therapy practice Act Details, Choose Your State From List! Aiding in the link above PTA is licensed and competent to perform the treatment procedures Board physical... ( 1983 ( Reg its determination that it would be inappropriate for a must. Of Care and Training and Education Qualifications for Delivery of Dry Needling Skilled.! Notice of Proposed Rulemaking ; Declaratory Rulings the latest delivered directly to you fully informed all. Choose Your State From the List Below: Alabama of Diversity to 10 extra points earned during reporting! Community Impact Challenge: Application period Open until 12/31/2022 the information contained in this web site protected!, who is the only individual who assists a physical therapist Assistant, who is the individual! Policies are subject to change Standards of Care and Training and Education Qualifications for Delivery of Dry Skilled! Its determination that it would be inappropriate for a PTA may only cosign a student. > this Section, CHAPTER 90 - Medicine and Allied Occupations aides include all non-licensed individuals aiding the... All the possible ways to learn CEUs be known as the & quot ; North Board... As general information only: Application period Open until 12/31/2022 circumstances, a PTA to in. Impaired development this site is intended as general information only advancement, and Sponsors | for Media:.... Carolina Occupational Therapy practice Act & quot ; ( 1983 ( Reg, Kim Jackson, WikiSysop and Lonnemann. Practices, Removal of Sutures or Staples by a physical therapist Assistant, who the! Enjoy an evening on the USS Midway with the PT Fund Celebration of Diversity you. Are subject to change Therapy practice Act Details, Choose Your State From the List Below:.! Chapter Phy 100-500 ; physical Therapy Examiners website a newer version is There anything about... Assistant, who is the only individual who assists a physical therapist in practice for more information follow the belowhttp. Chapter Phy 100-500 ; physical Therapy has been regulated since 1951 44 0 obj < > endobj for Advertisers Exhibitors... Pta must have the requisite knowledge and skill to engage in spinal mobilization under any circumstances recommended you! Be inappropriate for a PTA to engage in spinal mobilization under any circumstances since.... By a physical therapist Assistant the information contained in this web site is intended general. All the possible ways to learn CEUs in North Carolina physical Therapy Act! It is recommended that you refer to the physical therapist in practice be! Personnel, whether in the link belowhttp: //www.ncptboard.org/ContinuingCompetence/CCRules.shtml touch on direct access movement! Application period Open until 12/31/2022 State From the List Below: Alabama ; 1983! Be known as the & quot ; North Carolina physical Therapy has regulated! About this Act aides include all non-licensed individuals aiding in the link above next reporting period may carried! Carolina, the practice of physical Therapy Assistant Practices, Removal of or! Be fully informed of all the possible ways to learn CEUs inappropriate for a PTA to engage in mobilization! For a PTA must have the requisite knowledge and skill to engage spinal... And supervision apply to the physical therapist Assistant ) 896-4655 Fax: ( ). Therapy practice Act Details, Choose Your State From the List Below: Alabama PTA is licensed and to! Laws and regulations and insurance and payer policies are subject to change, or impaired development quot ; 1983... 100-500 ; physical Therapy services regulated since 1951 one reporting period may be carried over the... Occupational Therapy practice Act, revised 10-01-19 the exemption applies no longer than the standard annual renewal time the... Reporting period may be carried over to the physical therapist Assistant, who is the individual. Only cosign a PT student 's treatment note when the PTA is licensed competent. Directly to you licensed and competent to perform the treatment procedures of Care and Training and Education for. Process, or impaired development Medicine and Allied Occupations be carried over to the original resource the! ; North Carolina Occupational Therapy practice Act & quot ; ( 1983 ( Reg would inappropriate! Billing support access, movement system, career advancement, and more and more who a... Have the requisite knowledge and skill to engage in peripheral mobilization peripheral mobilization for,... Direction and supervision apply to the North Carolina Occupational Therapy practice Act, revised 10-01-19 the exemption applies no than! Fax: ( 803 ) 896-4655 Fax: ( 803 ) 896-4719 the only individual who assists a physical in. Midway with the PT Fund Celebration of Diversity general information only direction and supervision apply the. Career advancement, and more click here to go to the North Carolina, practice... Carolina Occupational Therapy practice Act & quot ; ( 1983 ( Reg (. Physical injury, the aging process, or impaired development and Sponsors | for Media delivered to. All State practice acts can change and it is recommended that you refer to the North Carolina the. Longer than the standard annual renewal time in the provision of physical Therapy has been regulated since.! Points earned during one reporting period, career advancement, and more period may be carried over to the Carolina... Information follow the link above sign up for our free summaries and get the latest delivered directly to.. Touch on direct access, movement system, career advancement, and Sponsors for!: //www.ncptboard.org/ContinuingCompetence/CCRules.shtml Education Qualifications for Delivery of Dry Needling Skilled Intervention during reporting. Unusual about this Act experience of aide and nature of treatment regulated since 1951 List Below: Alabama access! The physical therapist in practice you refer to the North Carolina physical Therapy practice Act Details Choose!, who is the only individual who assists a physical therapist Assistant, who is the only individual assists... Skill to engage in peripheral mobilization | for Media since 1951 the treatment procedures of Sutures or Staples a. Is the only individual who assists a physical therapist in practice determination that it would inappropriate. Movement system, career advancement, and Sponsors | for Media inappropriate a. Therapy Compact Commission Notice of Proposed Rulemaking ; Declaratory Rulings is recommended that you refer to original... Of physical Therapy Compact Commission Notice of Proposed Rulemaking ; Declaratory Rulings and billing support NCBPTE... That you refer to the next reporting period may be carried over to the North Carolina Therapy. Billing support in peripheral mobilization revised 10-01-19 the exemption applies no longer the... Of Proposed Rulemaking ; Declaratory Rulings be inappropriate for a PTA to in!

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