Wis. Admin. Code Physical Therapy Examining Board PT 4.01 - Locum tenens license
(1) A person who holds a valid license to
practice physical therapy issued by another licensing jurisdiction of the
United States may apply to the board for a locum tenens license to practice
physical therapy and shall submit to the board all of the following:
(a) A completed and verified application
form.
Note: Application forms are available from the department of safety and professional services' website at www.dsps.wi.gov.
(b) A letter of recommendation from a
physician or supervisor or present employer stating the applicant's
professional capabilities.
(c) A
verified photostatic copy of a license to practice physical therapy issued to
the applicant by another licensing jurisdiction of the United States.
(d) A letter requesting the applicant's
services from a physical therapist licensed under s. 448.53(1), Stats., an
individual who holds a physical therapist compact privilege granted by the
board, or an organization or facility located in this state.
(e) The required fees specified in s. 440.05(6), Stats.
(2) The
application and documentary evidence submitted by the applicant shall be
reviewed by a member of the board, and upon the finding of the member that the
applicant is qualified, the board, acting through the member, may issue a locum
tenens license to practice physical therapy to the applicant.
(3) The holder of a locum tenens license to
practice physical therapy may practice physical therapy as defined in s. 448.56(1), Stats., providing the practice is confined to the geographical area for
which the license is issued.
(4)
Except as otherwise ordered by the board, a locum tenens license to practice
physical therapy shall expire 90 days from the date of its issuance. For cause
shown to its satisfaction, the board may issue a locum tenens license for a
period not to exceed 12 months. The locum tenens license is not
renewable.
Notes
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