Maryland Board of Physical Therapy Examiners

Online Application

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1. License Application
2. Basis for Application
3. Ethnicity (Voluntarily)
4. Education Information
5. Additional Information
6. Review & Affirmation
7. Receipt

License Application ID:

NEW APPLICATION  Enter your email and create a password    (Passwords maximum 12 numbers or characters)

Social Security Number:  --              
Note: If you do not have a SSN, you will be required to obtain one before a license will be issued.

Email:     

Please use a password that is at least 12 characters long and contains at least one of each: uppercase letter, lower case letter, a number, and a special character.

Password:      Re-Enter Password:          

Email Upon registration you will receive a confirmation email with your application ID.