Ariz. Admin. Code § R4-24-210 - Business Entity Registration; Display of Registration Certificate

A. A business entity that offers physical therapy services to the public and is not exempt from registration under A.R.S. § 32-2030(H) shall separately register with the Board each location from which physical therapy services are offered in Arizona.

B. A business entity shall not offer physical therapy services at a location in Arizona until that location is registered with the Board.

C. To register with the Board an Arizona location at which physical therapy services are offered, a business entity shall submit to the Board an application packet that includes the following:

1. An application form, which is available from the Board and requires the following information:

a. Name, primary address, and e-mail address of the business entity;

b. Name, title, address, e-mail address, and telephone number of the manager of the location being registered;

c. Name and business address of each officer or director of the business entity;

d. Name and license number of each physical therapist who provides physical therapy services at the location being registered;

e. Name and certificate number of each physical therapy assistant who works at the location being registered;

f. Description of the physical therapy services offered at the location being registered;

g. For the business entity, a statement of whether any state, territory, district, or country has ever:

i. Refused to issue or renew a registration, permit, license, or other authorization;

ii. Accepted surrender of a registration, permit, license, or other authorization in lieu of other disciplinary action; or

iii. Suspended, revoked, cancelled, or taken other disciplinary action against a registration, permit, license, or other authorization; and

h. Dated signature of an officer or director attesting that:

i. The business entity has a written protocol that meets the standards in A.R.S. § 32-2030(F) for the secure storage, transfer, and access of the physical therapy records of the business entity's patients; and

ii. The information provided is true and correct; and

2. The application fee required under R4-24-107(A)(3).

D. For each location registered, a business entity shall display, in a location accessible to public view, the:

1. Registration certificate and current renewal verification of the business entity,

2. License and current renewal verification of every physical therapist who provides physical therapy services at the location, and

3. Certificate and current renewal verification of every physical therapy assistant who works at the location.

Notes

Ariz. Admin. Code § R4-24-210

New Section made by final rulemaking at 18 A.A.R. 841, effective May 11, 2012 (Supp. 12-1). Amended by final rulemaking at 25 A.A.R. 404, effective 4/6/2019.