Criminal History Record Check Instructions
(142 KB PDF)
Application for Licensure
I am applying for licensure as a
Method of Application

Personal Information
FSBPT ID Number

Provide your FSBPT ID Number. If you don't know your FSBPT (Federation of State Board of Physical Therapy) ID Number, you may look online at https://www.fsbpt.org/.

Contact Information
Employment Information

What is your current Employment Status?