PTA Reinstatement of a Lapsed License

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for reinstatement of a Connecticut license that has lapsed due to nonrenewal shall arrange for the following documentation to be submitted directly from the source:

 

The applicant’s current curriculum vitae (CV) or synopsis of professional activity since completion of the applicant's physical therapy assistant educational program;

 

If applicable, official verification form sent directly from each  licensing authority where a license or certificate is or has ever been held.  Please contact the jurisdiction prior to submitting the form as a fee may be required for this service;  

 

Verification from the appropriate authority confirming the applicant's most recent employment as a physical therapist assistant including dates and overall evaluation of the applicant's ability to practice with reasonable skill and safety.

 

Applications are only accepted online.  In order to submit your reinstatement application online, you will need to know your current user ID and password in DPH's system.  If you do not recall your user ID and password, you can use the recovery options as well as the 'Register' link.  If you use the 'Register' link, please disregard the language under 'PLEASE READ' and select 'NEXT' button at the bottom of the page.  On the next screen, you will need to match your first name, last name and the last 4 digits of your SSN and create a new password and validate your email address.  Please select this link to submit your online application.  The application fee is $190.

 

Applicants for reinstatement who have been out of the active practice of physical therapy for longer than 6 months are presented to the Connecticut Board of Examiners for Physical Therapists.  The Department seeks the Board's recommendation as to the applicant's suitability for reinstatement. 

 

Typically, applicants for reinstatement who have not been in active, clinical practice for longer than five years are required to complete a period of refresher training.  Applicants to whom this applies will receive further information from the Department upon receipt of all required documentation.

 

Please arrange for all supporting documentation to be sent directly from the source to:

 

Connecticut Department of Public Health

PTA Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Fax:  (860) 707-1982

Email: dph.alliedhealth@ct.gov