The Board of Physical Therapy has three core functions: licensing eligible physical therapists (PTs) and physical therapist assistants (PTAs), regulating the practice of physical therapy in Washington state, and taking disciplinary action when necessary.
The Board regularly reviews a wide range of complaints submitted by the public, healthcare professionals, employers, and government agencies. Complaints that lead to disciplinary action typically fall within three categories of unprofessional conduct under the Uniform Disciplinary Act (RCW 18.130):
1. Ethics – PTs and PTAs must adhere to ethical standards that account for the inherent imbalance of power in provider-patient interactions. Examples of unethical or criminal behavior that can result in disciplinary action include:
(WAC 246-915-182; RCW 18.130.180)
2. Professional and Legal Responsibility – Licensed PTs and PTAs must understand the rules governing their profession, including licensing requirements, renewal timelines, scope of practice, delegation, and supervision responsibilities. Ignorance of these requirements does not exempt a provider from accountability.
(RCW 18.74; WAC 246-915; RCW 18.130.180)
3. Impaired Practice – Providers must deliver care that meets accepted standards and manage personal factors that may affect their ability to do so. For example, burnout among medical professionals is a recognized and complex issue. Inappropriate substance use, interpersonal or communication difficulties, diminished clinical performance, or conduct that compromises patient safety can lead to disciplinary action.
(WAC 246-915-180; RCW 18.130.180)
If the disciplining authority determines that unprofessional conduct may stem from an impairing or potentially impairing health condition, it may refer the license holder to a physician health program or an approved voluntary substance use disorder monitoring program instead of imposing disciplinary action
When the Board determines that a violation has occurred, it carefully considers all factors to determine the most appropriate disciplinary action to safeguard public health and safety. It may also implement requirements designed to rehabilitate the therapist.
This list is not exhaustive; every licensed PT and PTA is responsible for complying with the law and maintaining professional conduct at all times.