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 or Individual Tax Identification Number: -- * * * * * *

I do not have a Social Security Number. (SSN) or Individual Tax Identification Number
Note: If you do not have a SSN or ITIN, please contact the board for additional information.

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.