(225 ILCS 90/1)
(from Ch. 111, par. 4251)
(Section scheduled to be repealed on January 1, 2026)
As used in this Act:
(1) "Physical therapy" means all of the following:
(A) Examining, evaluating, and testing individuals
who may have mechanical, physiological, or developmental impairments, functional limitations, disabilities, or other health and movement-related conditions, classifying these disorders, determining a rehabilitation prognosis and plan of therapeutic intervention, and assessing the ongoing effects of the interventions.
(B) Alleviating impairments, functional limitations,
or disabilities by designing, implementing, and modifying therapeutic interventions that may include, but are not limited to, the evaluation or treatment of a person through the use of the effective properties of physical measures and heat, cold, light, water, radiant energy, electricity, sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental impairment, functional limitation, or disability.
(C) Reducing the risk of injury, impairment,
functional limitation, or disability, including the promotion and maintenance of fitness, health, and wellness.
(D) Engaging in administration, consultation,
includes, but is not limited to: (a) performance
of specialized tests and measurements, (b) administration of specialized
treatment procedures, (c) interpretation of referrals from physicians, dentists, advanced practice registered nurses, physician assistants,
and podiatric physicians, (d) establishment, and modification of physical therapy
treatment programs, (e) administration of topical medication used in generally
accepted physical therapy procedures when such medication is either prescribed
by the patient's physician, licensed to practice medicine in all its branches,
the patient's physician licensed to practice podiatric medicine, the patient's advanced practice registered nurse, the patient's physician assistant, or the
patient's dentist or used following the physician's orders or written instructions, (f) supervision or teaching of physical therapy, and (g) dry needling in accordance with Section 1.5.
"Physical therapy" does not include radiology, electrosurgery, chiropractic
technique or determination of a differential
diagnosis; provided, however,
the limitation on determining a differential diagnosis shall not in any
manner limit a physical therapist licensed under this Act from performing
an evaluation and establishing a physical therapy treatment plan pursuant to such license. Nothing in this Section shall limit
a physical therapist from employing appropriate physical therapy techniques
that he or she is educated and licensed to perform.
(2) "Physical therapist" means a person who practices physical therapy
and who has met all requirements as provided in this Act.
(3) "Department" means the Department of Professional Regulation.
(4) "Director" means the Director of Professional Regulation.
(5) "Board" means the Physical Therapy Licensing and Disciplinary Board approved
by the Director.
(6) "Referral" means a written or oral authorization for physical therapy services for a patient by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by a physical therapist.
(8) "State" includes:
(a) the states of the United States of America;
(b) the District of Columbia; and
(c) the Commonwealth of Puerto Rico.
(9) "Physical therapist assistant" means a person licensed to assist a
physical therapist and who has met all requirements as provided in this Act
and who works under the supervision of a licensed physical therapist to assist
in implementing the physical therapy treatment program as established by the
licensed physical therapist. The patient care activities provided by the
physical therapist assistant shall not include the interpretation of referrals,
evaluation procedures, or the planning or major modification of patient programs.
(10) "Physical therapy aide" means a person who has received on
the job training, specific to the facility in which he is employed.
(11) "Advanced practice registered nurse" means a person licensed as an advanced practice registered nurse under the Nurse Practice Act.
(12) "Physician assistant" means a person licensed under the Physician Assistant Practice Act of 1987.
(13) "Health care professional" means a physician, dentist, podiatric physician, advanced practice registered nurse, or physician assistant.
(Source: P.A. 99-173, eff. 7-29-15; 99-229, eff. 8-3-15; 99-642, eff. 7-28-16; 100-201, eff. 8-18-17; 100-418, eff. 8-25-17; 100-513, eff. 1-1-18; 100-863, eff. 8-14-18; 100-897, eff. 8-16-18.)
(225 ILCS 90/1.5)
(Section scheduled to be repealed on January 1, 2026)
(a) For the purpose of this Act, "dry needling", also known as intramuscular therapy, means an advanced needling skill or technique limited to the treatment of myofascial pain, using a single use, single insertion, sterile filiform needle (without the use of heat, cold, or any other added modality or medication), that is inserted into the skin or underlying tissues to stimulate trigger points. Dry needling may apply theory based only upon Western medical concepts, requires an examination and diagnosis, and treats specific anatomic entities selected according to physical signs. Dry needling does not include the stimulation of auricular points, utilization of distal points or non-local points, needle retention, application of retained electric stimulation leads, or the teaching or application of other acupuncture theory.
(b) A physical therapist licensed under this Act may only perform dry needling under the following conditions as determined by the Department by rule:
(1) Prior to completion of the education under
paragraph (2) of this subsection, successful completion of 50 hours of instruction in the following areas:
(A) the musculoskeletal and neuromuscular system;
(B) the anatomical basis of pain mechanisms,
chronic pain, and referred pain;
(C) myofascial trigger point theory; and
(D) universal precautions.
(2) Completion of at least 30 hours of didactic
course work specific to dry needling.
(3) Successful completion of at least 54 practicum
hours in dry needling course work approved by the Federation of State Boards of Physical Therapy or its successor (or substantial equivalent), as determined by the Department. Each instructional course shall specify what anatomical regions are included in the instruction and describe whether the course offers introductory or advanced instruction in dry needling. Each instruction course shall include the following areas:
(A) dry needling technique;
(B) dry needling indications and
(C) documentation of dry needling;
(D) management of adverse effects;
(E) practical psychomotor competency; and
(F) the Occupational Safety and Health
Administration's Bloodborne Pathogens standard.
Postgraduate classes qualifying for completion of the
mandated 54 hours of dry needling shall be in one or more modules, with the initial module being no fewer than 27 hours, and therapists shall complete at least 54 hours in no more than 12 months.
(4) Completion of at least 200 patient treatment
sessions under supervision as determined by the Department by rule.
(5) Successful completion of a competency examination
as approved by the Department.
Each licensee is responsible for maintaining records of the completion of the requirements of this subsection (b) and shall be prepared to produce such records upon request by the Department.
(c) A newly-licensed physical therapist shall not practice dry needling for at least one year from the date of initial licensure unless the practitioner can demonstrate compliance with subsection (b) through his or her pre-licensure educational coursework.
(d) Dry needling may only be performed by a licensed physical therapist and may not be delegated to a physical therapist assistant or support personnel.
(e) A physical therapist shall not advertise, describe to patients or the public, or otherwise represent that dry needling is acupuncture, nor shall he or she represent that he or she practices acupuncture unless separately licensed under the Acupuncture Practice Act.
(Source: P.A. 100-418, eff. 8-25-17.)
(225 ILCS 90/2)
(from Ch. 111, par. 4252)
(Section scheduled to be repealed on January 1, 2026)
Licensure requirement; exempt activities.
Practice without a
license forbidden - exception.
No person shall
after the date of August 31, 1965 begin to practice physical therapy in
this State or hold himself out as being able to practice this profession,
unless he is licensed as such in accordance with the provisions of this Act.
After the effective date of this amendatory Act of 1990, no person shall
practice or hold himself out as a physical therapist assistant unless he is
licensed as such under this Act. A physical therapist shall use the initials "PT" in connection with his or her name to denote licensure under this Act, and a physical therapist assistant shall use the initials "PTA" in connection with his or her name to denote licensure under this Act.
This Act does not prohibit:
(1) Any person licensed in this State under any other
Act from engaging in the practice for which he is licensed.
(2) The practice of physical therapy by those
persons, practicing under the supervision of a licensed physical therapist and who have met all of the qualifications as provided in Sections 7, 8.1, and 9 of this Act, until the next examination is given for physical therapists or physical therapist assistants and the results have been received by the Department and the Department has determined the applicant's eligibility for a license. Anyone failing to pass said examination shall not again practice physical therapy until such time as an examination has been successfully passed by such person.
(3) The practice of physical therapy for a period not
exceeding 6 months by a person who is in this State on a temporary basis to assist in a case of medical emergency or to engage in a special physical therapy project, and who meets the qualifications for a physical therapist as set forth in Sections 7 and 8 of this Act and is licensed in another state as a physical therapist.
(4) Practice of physical therapy by qualified persons
who have filed for endorsement for no longer than one year or until such time that notification of licensure has been granted or denied, whichever period of time is lesser.
(5) One or more licensed physical therapists from
forming a professional service corporation under the provisions of the "Professional Service Corporation Act", approved September 15, 1969, as now or hereafter amended, and licensing such corporation for the practice of physical therapy.
(6) Physical therapy aides from performing patient
care activities under the on-site supervision of a licensed physical therapist or licensed physical therapist assistant. These patient care activities shall not include interpretation of referrals, evaluation procedures, the planning of or major modifications of, patient programs.
(7) Physical Therapist Assistants from performing
patient care activities under the general supervision of a licensed physical therapist. The physical therapist must maintain continual contact with the physical therapist assistant including periodic personal supervision and instruction to insure the safety and welfare of the patient.
(8) The practice of physical therapy by a physical
therapy student or a physical therapist assistant student under the on-site supervision of a licensed physical therapist. The physical therapist shall be readily available for direct supervision and instruction to insure the safety and welfare of the patient.
(9) The practice of physical therapy as part of an
educational program by a physical therapist licensed in another state or country for a period not to exceed 6 months.
(10) The practice, services, or activities of
persons practicing the specified occupations set forth in subsection (a) of, and pursuant to a licensing exemption granted in subsection (b) or (d) of, Section 2105-350 of the Department of Professional Regulation Law of the Civil Administrative Code of Illinois, but only for so long as the 2016 Olympic and Paralympic Games Professional Licensure Exemption Law is operable.
(Source: P.A. 96-7, eff. 4-3-09
(225 ILCS 90/17)
(from Ch. 111, par. 4267)
(Section scheduled to be repealed on January 1, 2026)
(1) The Department may refuse to issue or to renew, or may
revoke, suspend, place on probation, reprimand, or
take other disciplinary action as the Department deems appropriate,
including the issuance of fines not to exceed $5000, with regard to a
license for any one or a combination of the following:
A. Material misstatement in furnishing information to
the Department or otherwise making misleading, deceptive, untrue, or fraudulent representations in violation of this Act or otherwise in the practice of the profession;
B. Violations of this Act, or of the rules or
regulations promulgated hereunder;
C. Conviction of any crime under the laws of the
United States or any state or territory thereof which is a felony or which is a misdemeanor, an essential element of which is dishonesty, or of any crime which is directly related to the practice of the profession; conviction, as used in this paragraph, shall include a finding or verdict of guilty, an admission of guilt or a plea of nolo contendere;
D. Making any misrepresentation for the purpose of
obtaining licenses, or violating any provision of this Act or the rules promulgated thereunder pertaining to advertising;
E. A pattern of practice or other behavior which
demonstrates incapacity or incompetency to practice under this Act;
F. Aiding or assisting another person in violating
any provision of this Act or Rules;
G. Failing, within 60 days, to provide information in
response to a written request made by the Department;
H. Engaging in dishonorable, unethical or
unprofessional conduct of a character likely to deceive, defraud or harm the public. Unprofessional conduct shall include any departure from or the failure to conform to the minimal standards of acceptable and prevailing physical therapy practice, in which proceeding actual injury to a patient need not be established;
I. Unlawful distribution of any drug or narcotic, or
unlawful conversion of any drug or narcotic not belonging to the person for such person's own use or benefit or for other than medically accepted therapeutic purposes;
J. Habitual or excessive use or addiction to alcohol,
narcotics, stimulants, or any other chemical agent or drug which results in a physical therapist's or physical therapist assistant's inability to practice with reasonable judgment, skill or safety;
K. Revocation or suspension of a license to practice
physical therapy as a physical therapist or physical therapist assistant or the taking of other disciplinary action by the proper licensing authority of another state, territory or country;
L. Directly or indirectly giving to or receiving from
any person, firm, corporation, partnership, or association any fee, commission, rebate or other form of compensation for any professional services not actually or personally rendered. Nothing contained in this paragraph prohibits persons holding valid and current licenses under this Act from practicing physical therapy in partnership under a partnership agreement, including a limited liability partnership, a limited liability company, or a corporation under the Professional Service Corporation Act or from pooling, sharing, dividing, or apportioning the fees and monies received by them or by the partnership, company, or corporation in accordance with the partnership agreement or the policies of the company or professional corporation. Nothing in this paragraph (L) affects any bona fide independent contractor or employment arrangements among health care professionals, health facilities, health care providers, or other entities, except as otherwise prohibited by law. Any employment arrangements may include provisions for compensation, health insurance, pension, or other employment benefits for the provision of services within the scope of the licensee's practice under this Act. Nothing in this paragraph (L) shall be construed to require an employment arrangement to receive professional fees for services rendered;
M. A finding by the Board that the licensee after
having his or her license placed on probationary status has violated the terms of probation;
N. Abandonment of a patient;
O. Willfully failing to report an instance of
suspected child abuse or neglect as required by the Abused and Neglected Child Reporting Act;
P. Willfully failing to report an instance of
suspected elder abuse or neglect as required by the Elder Abuse Reporting Act;
Q. Physical illness, including but not limited to,
deterioration through the aging process, or loss of motor skill which results in the inability to practice the profession with reasonable judgement, skill or safety;
R. The use of any words (such as physical therapy,
physical therapist physiotherapy or physiotherapist), abbreviations, figures or letters with the intention of indicating practice as a licensed physical therapist without a valid license as a physical therapist issued under this Act;
S. The use of the term physical therapist assistant,
or abbreviations, figures, or letters with the intention of indicating practice as a physical therapist assistant without a valid license as a physical therapist assistant issued under this Act;
T. Willfully violating or knowingly assisting in the
violation of any law of this State relating to the practice of abortion;
U. Continued practice by a person knowingly having an
infectious, communicable or contagious disease;
V. Having treated ailments of human beings otherwise
than by the practice of physical therapy as defined in this Act, or having treated ailments of human beings as a licensed physical therapist in violation of Section 1.2;
W. Being named as a perpetrator in an indicated
report by the Department of Children and Family Services pursuant to the Abused and Neglected Child Reporting Act, and upon proof by clear and convincing evidence that the licensee has caused a child to be an abused child or neglected child as defined in the Abused and Neglected Child Reporting Act;
X. Interpretation of referrals, performance of
evaluation procedures, planning or making major modifications of patient programs by a physical therapist assistant;
Y. Failure by a physical therapist assistant and
supervising physical therapist to maintain continued contact, including periodic personal supervision and instruction, to insure safety and welfare of patients;
Z. Violation of the Health Care Worker Self-Referral
(2) The determination by a circuit court that a licensee is subject to
involuntary admission or judicial admission as provided in the Mental Health
and Developmental Disabilities Code operates as an automatic suspension.
Such suspension will end only upon a finding by a court that the patient is
no longer subject to involuntary admission or judicial admission and the
issuance of an order so finding and discharging the patient; and upon the
recommendation of the Board to the Director that the licensee be
allowed to resume his practice.
(3) The Department may refuse to issue or may suspend the license of any
person who fails to file a return, or to pay the tax, penalty or interest
shown in a filed return, or to pay any final assessment of tax, penalty or
interest, as required by any tax Act administered by the Illinois
Department of Revenue, until such time as the requirements of any such tax
Act are satisfied.
(Source: P.A. 100-513, eff. 1-1-18; 100-897, eff. 8-16-18.)