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Direct Access makes self-referral for physical therapy easy in North Carolina.

Here are the Direct Access laws in North Carolina, as described by the American Physical Therapy Association:

North Carolina is one of 26 states that allow patients to leverage the benefits of direct access for physical therapy with some provisions. Direct access physical therapy in North Carolina may be administered with the following provisions:

Spinal manipulation must be prescribed by a physician.

A PT providing treatment via direct access to physical therapy in North Carolina may not determine medical diagnosis.

The PT must refer the patient to an appropriate healthcare professional if the physical therapist in North Carolina feels that the patient’s care goes beyond the physical therapy scope of practice.

Failure to do so while administering direct access physical therapy in North Carolina is considered unlawful practice.


Direct Access lets you self-refer for physical therapy. No prescription required.