Effective: 06/23/2012 Revised: 10/05/2018Division of Public Health, Licensure Unit, Rehab Section 301 Centennial Mall South PO Box 94986 Lincoln NE 685094986 Phone: 402/4712299 NEBRASKA APPLICATION.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the NE DHHS Application For Certification As A Physical Therapist Assistant (PTA) online

This guide provides comprehensive instructions for completing the NE DHHS Application for Certification as a Physical Therapist Assistant (PTA) online. Ensure all necessary documentation is prepared and follow the steps carefully to facilitate a smooth application process.

Follow the steps to successfully complete your PTA application online.

  1. Press the ‘Get Form’ button to access the application form and open it in your editor.
  2. Begin filling out the personal information section. This includes your name, address, date of birth, and social security number. Be sure to provide accurate details as they will be used for verification.
  3. Complete the section regarding convictions and certification information. If applicable, provide detailed explanations of any misdemeanor or felony convictions and include the required documentation.
  4. In the application category section, check the appropriate box that applies to your application type, such as 'Certification by Examination' or 'Certification in another jurisdiction.'
  5. Request your official transcript from your Physical Therapist Assistant Educational Program to be mailed directly to the Licensure Unit as required.
  6. Submit your payment for the application fee, ensuring it is made out to the Licensure Unit. Include any necessary documentation such as proof of age and citizenship.
  7. Follow the instructions for conducting a criminal background check, including obtaining and submitting fingerprint cards as specified.
  8. After completing all sections of the form, review the application for accuracy and completeness. Save your changes, then download, print, or share the completed application as necessary.

Begin your application process online today to ensure you meet all necessary requirements for certification.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

PTAInitialApplicationWCoverLtr.pdf - DHHS

Mar 8, 2021 — NEBRASKA APPLICATION FOR CERTIFICATION AS A PHYSICAL THERAPIST ASSISTANT...

Learn more
Physical Therapist Assistant Program—Licensure...

Dec 6, 2021 — Individual states can have unique licensure requirements, independent of...

Learn more
Resume (Full) Wesley Bolch - manuals.plus

A pilot program of the PTA committee was established whereby two reviews are ... National...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What degree do you need to be a physical therapist in Indiana?

Prospective physical therapists must earn at least a bachelor's degree that is specifically in physical therapy. If you are planning to become a physical therapy assistant you need to earn at least an associate's degree that is specifically in physical therapy assisting.

Our physical therapist assistant program currently has partnerships with two schools so you can seamlessly transfer without losing your credits or time: Indiana University-Purdue University Indianapolis (IUPUI) Indiana Wesleyan University.

How to Become a Physical Therapist Assistant in Indiana Earn Your Physical Therapist Assistant Degree. ... Consider Applying for a Temporary Permit to Practice. ... Submit Your Application for Licensure by Examination. ... Submit to a Federal Criminal Background Check. ... Pass the National Physical Therapy Examination (NPTE) for PTAs.

How much does a PTA make in Indiana? As of Mar 29, 2023, the average annual pay for a PTA in Indiana is $44,815 a year. Just in case you need a simple salary calculator, that works out to be approximately $21.55 an hour. This is the equivalent of $861/week or $3,734/month.

The Board of Physical Therapy does not pre-approve Continuing Education or Continuing Education Providers. Physical Therapist: Expiration date: November 1 of each odd-numbered year. Continuing Education (CE) Requirements: 20 hours of acceptable CE.

PT Supervision Ratios StateSupervision RatioMontana2 (Reference 37-11-105(2))Nebraska2 (Reference: 172 NAC 137-008.1)Nevada3 (Reference ) Maximum of 3 individuals from all groups may be supervised at any one time, however a max of 2 of any one type of personnel may be supervised at any one time.51 more rows

To obtain a temporary permit to practice as a physical therapist or a physical therapist's assistant, you must also apply for full licensure or certification to practice in the state of Indiana.

Complete the application for the PTA license. Pay an application fee of $57, which is non-refundable.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get NE DHHS Application For Certification As A Physical Therapist Assistant (PTA)