You may revive your NC PT/PTA license with this method if your NC PT/PTA license has been lapsed for
more than five years and you have a current, active PT/PTA license in another state.
The application is active for one year from the date of
submission
after
which it will be destroyed if it has not been completed, including the furnishing of all
documents
and records that are requested. File to be destroyed per the state functional record retention
schedule.
Note: Applicants without a social security number at the time of application should
consider waiting to submit an application until after it has been received. A license cannot be
granted
without a social security number.
- Print and Complete the Revival application and submit to the Board office by mail or email, click here
- Submit your payment online, click here
PLEASE NOTE: ALL FEES ARE NON-REFUNDABLE:
- Two character references (forms at end of application) are required from individuals who are not
relatives and who have known the applicant for at least one year.
These forms must be returned
to the Board office (mail or email) by the individual completing the reference.
- License verification of a current active license sent by one U.S. PT licensure board from that state
directly to the Board office (mail or electronically).
- Complete and pass Jurisprudence Exercise I on the Board
website.
After your license is revived:
NOTE: You are reviving a current year license that must be
renewed annually by January 31.
- Check your reporting period: You will receive an email with the dates of your reporting
period. If you have any questions, please contact the Board immediately.
- Review the Practice Act, Board Rules and
Position Statements.
- Understand the Continuing Competence Rules.
Familiarize yourself with the Board rules related to Continuing Competence. One point of Jurisprudence
Exercise is MANDATORY; other points may be earned according to the rules applicable to each category.
.
- Per Board rule 21 NCAC 48F .0105: Licensee must notify the Board within 30 days of a change of name or work
or home address.
If you have further questions or need additional information about reviving a PT or PTA license, send
an email to: PTBoard@ncptboard.org and add “Revival” to subject
line, or call (919) 490-6393 or
(800) 800-8982 and leave a message.