Ariz. Admin. Code § R4-24-211 - Renewal of Business Entity Registration

A. The registration of a business entity expires for each location registered on August 31 of every odd-numbered year.

B. A business entity shall separately renew the registration of each location from which the business entity offers physical therapy services in Arizona.

C. To renew the registration of an Arizona location from which physical therapy services are offered, a business entity shall submit to the Board an application form, which is available from the Board and requires the following information:

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

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

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

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

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

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

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

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

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

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

8. Statement of whether the business entity complies with A.R.S. § 32-2030(F); and

9. Dated signature of an officer or director attesting that the information provided is true and correct.

D. A business entity that timely complies with subsection (C) may continue to offer physical therapy services from the location for which application is made until the Board grants or denies the renewed registration.

E. A business entity that fails to comply timely with subsection (C) shall immediately stop offering physical therapy services from the location for which application is not made. To be authorized to offer physical therapy services again from that location, the business entity shall comply with R4-24-210 and pay both the application and late fee specified in R4-24-107(A)(3).

Notes

Ariz. Admin. Code § R4-24-211

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.