• Physical Therapist and Physical Therapy Assistant Application
  #08-4065, Revised 06/01/16
• Occupational Therapist and Occupational Therapy Assistant Application
  #08-4123, Revised 06/14/16
• Physical Therapy and Occupational Therapy Limited Permit Application
  #08-4578, Revised 06/14/16
• Foreign-Trained Physical Therapist and Physical Therapy Assistant Application
  #08-4091, Revised 06/16/16

ONLINE renewal applications are no longer available for the July 1, 2016 to June 30, 2018 license renewal period.

You may renew with the below applications. Allow 4 to 6 weeks from the time the application is received in our building for processing.

If your license lapsed June 30, 2014 or prior then SEE NOTE below.

• Biennial Physical Therapist and Physical Therapy Assistant License Renewal Application
  #08-4116, Revised 04/28/16
• Biennial Occupational Therapist and Occupational Therapy Assistant License Renewal Application
  #08-4114, Revised 10/27/16

NOTE: If your license lapsed prior to June 30, 2014 you are required to complete a reinstatement application and meet the requirements according to 12 AAC 54.950. REINSTATEMENT OF A LAPSED LICENSE.

If your license has been lapsed for two but less than five years then you must apply using a reinstatement application. If it has lapsed over five years then you would apply for an entire New License and report all Alaska Licensing information on that application.

• Physical Therapist and Physical Therapy Assistant Reinstatement Application
  #08-4388, Revised 09/05/14
• Occupational Therapist and Occupational Therapy Assistant Reinstatement Application
  #08-4570, Revised 09/05/14

• Name, Address Change, or Duplicate License
• Credit Card Payment Form
• Request a License Verification
• Order a Wall Certificate
• Request for Exception from SSN Requirements
• Professional License Search