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Wednesday, November 30, 2022

It is your responsibility to notify the board in 30 days (Board rule: 21 NCAC 48F. 0105) of any changes in relevant contact information (name, home and/or buisness address, email, phone numbers) to ensure timely receipt of important correspondence related to licensure and physical therapy regulation in North Carolina.

Name Change

  • Name changes require legal documentation showing the name change.
  • Send an email to [email protected] with "Name Change" in the subject line.
  • Include your full name as it currently appears on your license, your license number, your new name, and date of birth.
  • Attach ONE of the following supporting documents as a PDF:
    1. 1. Copy of a state-issued marriage license that includes the original signature and seal from the clerk of court.
    2. 2. Copy of an official divorce decree restoring maiden name.
    3. 3. Copy of a court order showing the name change (adoption, legal name change, federal identity change).
  • If you wish to obtain a new license wall certificate, the cost is $30. Mail a check to the Board Office with your request.
  • A new wallet card can be printed from the website.
  • If you are an Exam applicant taking the NPTE, your ID will need to match the information supplied to the testing agency (FSBPT) or you may be denied access to the testing center. Check for additional details.

Email/Address Change

  • Email and/or Address changes can be completed online. Use the login you created when you created your online application or the one you used on your last renewal.
  • If you are an applicant for licensure, we will mail the licensure packet to the address on file when you are licensed.

Questions?  Email [email protected]
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