©2021 American Physical Therapy Association. All rights reserved.
Since early 2020, the ability of physical therapists to treat patients via telehealth has expanded rapidly, fueled
by the necessity of providing continuity of care to patients during the COVID-19 pandemic. Before the public
health emergency, many states laws and regulations were silent on whether PTs could treat patients via
telehealth. As states began implementing shutdowns in spring 2020, many states issued emergency orders
and guidance explicitly permitting PTs to provide services via telehealth and mandating insurance
reimbursement for those services. Some states, including Colorado and New Hampshire, codified into statute
the emergency expansions in their states last year, recognizing that telehealth should permanently be part of
their state’s health care delivery system, given its success during the pandemic.
Numerous states introduced bills to codify the expanded use of telehealth during the 2021 legislative session
and H.R. 2168, the Expanded Telehealth Act of 2021, has been introduced in the U.S. House of
Representatives to make permanent the Medicare rules expanding telehealth that were issued in April 2020.
Below is a state-by-state chart that links to current state laws, regulations, executive orders, policies, and
guidance governing telehealth for physical therapy The information and links for each state are current to the
best of APTA’s knowledge as of the “Last updated” date at the bottom of the document. States can put
different conditions on the delivery of physical therapy services via telehealth, so it is important to follow any
protocols and limitations specific to your state. It is also important to know that physical therapists and physical
therapist assistants, where allowed, are able to maintain necessary standards of care for any treatment
provided through telehealth.
Note: APTA cannot provide legal advice, so if you have questions about your state’s rules governing
telehealth, you are advised to seek the latest guidance from your licensing board and insurance carriers before
providing physical therapy services via telehealth.
State
to Practice
Using
Authority
Alabama Yes Alabama PT board telehealth guidance
Alaska Yes
Standards for the practice of telerehabilitation by Physical
Therapists
Arizona Yes
HB 2454 (Enacted 2021) includes physical therapists as eligible
providers (see pgs. 46-51)
Arkansas Yes AR PT Telehealth Rule
California Yes
California Business and Professions Code 2290.5 includes all
licensed healthcare providers as eligible to provide telehealth
Colorado Yes
Colorado PT Board guidelines on the appropriate use of
telehealth
Connecticut Yes
Connecticut Telehealth Statute includes physical therapists as
eligible providers
State Telehealth Laws,
Regulations, Policies, and
Guidance