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Nrs: Chapter 640 - Physical Therapists


Published: 2015

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[Rev. 11/21/2013 12:51:12

PM--2013]



CHAPTER 640 - PHYSICAL THERAPISTS

GENERAL PROVISIONS

NRS 640.011           Definitions.



NRS 640.013           “Board”

defined.

NRS 640.016           “Immediate

supervision” defined.

NRS 640.021           “Physical

therapist” defined.

NRS 640.0213         “Physical

therapist’s assistant” defined.

NRS 640.0216         “Physical

therapist’s technician” defined.

NRS 640.022           “Physical

therapy” defined.

NRS 640.024           “Practice

of physical therapy” defined.

NRS 640.026           “Supervising

physical therapist” defined.

NRS 640.029           Applicability

of chapter.

STATE BOARD OF PHYSICAL THERAPY EXAMINERS

NRS 640.030           Creation;

qualifications, terms and removal of members; representative of public not to

participate in examination; quorum; personal liability.

NRS 640.035           Election

of Chair and officers.

NRS 640.045           Compensation

of members and employees.

NRS 640.050           Powers

and duties.

NRS 640.060           Approval

of schools of physical therapy.

NRS 640.065           Fiscal

year.

NRS 640.070           Deposit

of fees; expenses; delegation of authority to take disciplinary action; deposit

of fines imposed by Board; claims for attorney’s fees and costs of

investigation.

NRS 640.075           Confidentiality

of certain records of the Board; exceptions.

LICENSING

NRS 640.080           Qualifications.

NRS 640.090           Application:

Contents; fee.

NRS 640.095           Payment

of child support: Submission of certain information by applicant; grounds for

denial of license; duty of Board. [Effective until the date of the repeal of 42

U.S.C. § 666, the federal law requiring each state to establish procedures for

withholding, suspending and restricting the professional, occupational and

recreational licenses for child support arrearages and for noncompliance with

certain processes relating to paternity or child support proceedings.]

NRS 640.095           Payment

of child support: Submission of certain information by applicant; grounds for

denial of license; duty of Board. [Effective on the date of the repeal of 42

U.S.C. § 666, the federal law requiring each state to establish procedures for

withholding, suspending and restricting the professional, occupational and

recreational licenses for child support arrearages and for noncompliance with

certain processes relating to paternity or child support proceedings and

expires by limitation 2 years after that date.]

NRS 640.100           Examination

and reexamination of applicants: Time; scope; fee.

NRS 640.110           Issuance

and display of license; fee for replacement of lost license or to change name.

NRS 640.120           Temporary

license for medical emergency; temporary exemptions from licensing for certain

students and applicants.

NRS 640.140           Licensing

of physical therapist licensed in another state or territory.

NRS 640.150           Renewal;

expiration and reinstatement; continuing education; fees.

DISCIPLINARY ACTION

NRS 640.160           Authorized

actions; grounds.

NRS 640.1605         Suspension

of license for failure to pay child support or comply with certain subpoenas or

warrants; reinstatement of license. [Effective until 2 years after the date of

the repeal of 42 U.S.C. § 666, the federal law requiring each state to

establish procedures for withholding, suspending and restricting the

professional, occupational and recreational licenses for child support

arrearages and for noncompliance with certain processes relating to paternity

or child support proceedings.]

NRS 640.161           Complaint:

Filing; contents; review by Board; retention.

NRS 640.162           Commencement

of disciplinary proceedings required for certain violations of Industrial

Insurance Act.

NRS 640.163           Subpoenas.

NRS 640.164           Fees

and mileage for witness.

UNLAWFUL ACTS; ENFORCEMENT; PENALTIES

NRS 640.169           Unlawful

to practice physical therapy without license; exceptions; civil penalties.

NRS 640.1695         Practicing

or offering to practice without license: Reporting requirements of Board.

NRS 640.170           Penalty

for unauthorized use of letters, words or insignia.

NRS 640.180           False

oath or affirmation; fraudulent representation to obtain license; penalty.

NRS 640.190           Restriction

on practice of other forms of healing.

NRS 640.210           Enforcement:

Duties of Board; injunction.

PHYSICAL THERAPISTS’ ASSISTANTS

NRS 640.230           Qualifications

of applicant.

NRS 640.240           Requirements

for educational curriculum.

NRS 640.250           Application

for license: Contents; fee.

NRS 640.260           Issuance

and display of license; fee for replacement of lost license or to change name;

duration of validity of license.

NRS 640.270           Licensing

of physical therapist’s assistant licensed in another state or territory.

NRS 640.275           Temporary

license for medical emergency; temporary exemptions from licensing for certain

students and applicants.

NRS 640.280           Renewal

of license; expiration and reinstatement; continuing education; fees.

NRS 640.290           Supervision.

NRS 640.300           Penalty

for unauthorized use of letters, words or insignia.

PHYSICAL THERAPISTS’ TECHNICIANS

NRS 640.310           Supervision

by physical therapist while performing treatments related to physical therapy.

_________

_________

GENERAL PROVISIONS

      NRS 640.011  Definitions.  As

used in this chapter, unless the context otherwise requires, the terms defined

in NRS 640.013 to 640.026,

inclusive, have the meanings ascribed to them in those sections.

      (Added to NRS by 1971, 1124; A 1981, 933; 1989, 1574; 1993, 2543)

      NRS 640.013  “Board” defined.  “Board”

means the State Board of Physical Therapy Examiners.

      (Added to NRS by 1971, 1124)

      NRS 640.016  “Immediate supervision” defined.  “Immediate

supervision” means that a person is present and immediately available within

the treatment area to give aid, direction and instruction to the person he or

she is supervising.

      (Added to NRS by 1993, 2543)

      NRS 640.021  “Physical therapist” defined.  “Physical

therapist” means a person who is licensed in accordance with the provisions of

this chapter.

      (Added to NRS by 1971, 1124; A 1989, 1574)

      NRS 640.0213  “Physical therapist’s assistant” defined.  “Physical therapist’s assistant” means a

person who assists in the practice of physical therapy under the supervision of

a licensed physical therapist and who is licensed under the provisions of this

chapter. The term is synonymous with “physical therapist assistant.”

      (Added to NRS by 1981, 931; A 1989, 1574; 1993, 2543)

      NRS 640.0216  “Physical therapist’s technician” defined.  “Physical therapist’s technician” means an

unlicensed person who performs certain limited activities at the direction of

the physical therapist.

      (Added to NRS by 1993, 2543)

      NRS 640.022  “Physical therapy” defined.  “Physical

therapy” means the specialty in the field of health which is concerned with

prevention of disability and physical rehabilitation of persons having

congenital or acquired disabilities.

      (Added to NRS by 1971, 1124; A 1981, 933)

      NRS 640.024  “Practice of physical therapy” defined.  “Practice

of physical therapy”:

      1.  Includes:

      (a) The performing and interpreting of tests and

measurements as an aid to evaluation or treatment;

      (b) The planning of initial and subsequent

programs of treatment on the basis of the results of tests; and

      (c) The administering of treatment through the

use of therapeutic exercise and massage, the mobilization of joints by the use

of therapeutic exercise without chiropractic adjustment, mechanical devices,

and therapeutic agents which employ the properties of air, water, electricity,

sound and radiant energy.

      2.  Does not include:

      (a) The diagnosis of physical disabilities;

      (b) The use of roentgenic rays or radium;

      (c) The use of electricity for cauterization or

surgery; or

      (d) The occupation of a masseur who massages only

the superficial soft tissues of the body.

      (Added to NRS by 1981, 931; A 1985, 1411; 1993, 2543)

      NRS 640.026  “Supervising physical therapist” defined.  “Supervising physical therapist” means a

physical therapist who supervises a physical therapist’s assistant or physical

therapist’s technician.

      (Added to NRS by 1989, 1574; A 1993, 2544)

      NRS 640.029  Applicability of chapter.  This

chapter does not apply to an occupational therapist, occupational therapy

assistant or athletic trainer who:

      1.  Is licensed to practice in this state;

      2.  Practices within the scope of that

license; and

      3.  Does not represent that he or she is a

physical therapist or physical therapist’s assistant, or that he or she

practices physical therapy.

      (Added to NRS by 1991, 991; A 1993, 2544; 2003, 904)

STATE BOARD OF PHYSICAL THERAPY EXAMINERS

      NRS 640.030  Creation; qualifications, terms and removal of members;

representative of public not to participate in examination; quorum; personal

liability.

      1.  The State Board of Physical Therapy

Examiners, consisting of five members appointed by the Governor, is hereby

created.

      2.  The Governor shall appoint:

      (a) Four members who are licensed physical

therapists in the State of Nevada.

      (b) One member who is a representative of the

general public. This member must not be:

             (1) A physical therapist, a physical

therapist’s assistant or a physical therapist’s technician; or

             (2) The spouse or the parent or child, by

blood, marriage or adoption, of a physical therapist, a physical therapist’s

assistant or a physical therapist’s technician.

      3.  The member who is a representative of

the general public shall not participate in preparing, conducting or grading

any examination required by the Board.

      4.  No member of the Board may serve more

than two consecutive terms.

      5.  The Governor may remove any member of

the Board for incompetency, neglect of duty, gross immorality or malfeasance in

office.

      6.  A majority of the members of the Board

constitutes a quorum.

      7.  No member of the Board may be held

liable in a civil action for any act which he or she has performed in good

faith in the execution of his or her duties under this chapter.

      [Part 3:364:1955]—(NRS A 1957, 77; 1977, 1257; 1981,

933; 1989, 1574;

2003, 1196)

      NRS 640.035  Election of Chair and officers.  The

Board shall elect a Chair and other officers from among its members.

      (Added to NRS by 2007, 1846)

      NRS 640.045  Compensation of members and employees.

      1.  Each member of the Board is entitled to

receive:

      (a) A salary of not more than $150 per day, as

fixed by the Board, while engaged in the business of the Board; and

      (b) A per diem allowance and travel expenses at a

rate fixed by the Board, while engaged in the business of the Board. The rate

must not exceed the rate provided for state officers and employees generally.

      2.  While engaged in the business of the

Board, each employee of the Board is entitled to receive a per diem allowance

and travel expenses at a rate fixed by the Board. The rate must not exceed the

rate provided for state officers and employees generally.

      (Added to NRS by 1963, 157; A 1975, 305; 1981, 934,

1994; 1989,

1702; 2007,

2953)

      NRS 640.050  Powers and duties.

      1.  The Board shall examine and license

qualified physical therapists and qualified physical therapist’s assistants.

      2.  The Board may adopt reasonable

regulations to carry this chapter into effect, including, but not limited to,

regulations concerning the:

      (a) Issuance and display of licenses.

      (b) Supervision of physical therapist’s

assistants and physical therapist’s technicians.

      (c) Treatments and other regulated procedures

which may be performed by physical therapist’s technicians.

      3.  The Board shall keep a record of its

proceedings and a register of all persons licensed under the provisions of this

chapter. The register must show:

      (a) The name of every living licensee.

      (b) The last known place of business and

residence of each licensee.

      (c) The date and number of each license issued as

a physical therapist or physical therapist’s assistant.

      4.  During September of every year in which

renewal of a license is required, the Board shall compile a list of licensed

physical therapists authorized to practice physical therapy and physical

therapist’s assistants licensed to assist in the practice of physical therapy

in this State. Any interested person in the State may obtain a copy of the list

upon application to the Board and the payment of such amount as may be fixed by

the Board, which amount must not exceed the cost of the list so furnished.

      5.  The Board may:

      (a) Maintain offices in as many localities in the

State as it finds necessary to carry out the provisions of this chapter.

      (b) Employ attorneys, investigators and other

professional consultants and clerical personnel necessary to the discharge of

its duties.

      (c) Adopt a seal of which a court may take

judicial notice.

      6.  Any member or agent of the Board may enter

any premises in this State where a person who holds a license issued pursuant

to the provisions of this chapter practices physical therapy or as a physical

therapist’s assistant and inspect it to determine whether a violation of any

provision of this chapter has occurred, including, without limitation, an

inspection to determine whether any person at the premises is practicing physical

therapy or as a physical therapist’s assistant without the appropriate license

issued pursuant to the provisions of this chapter.

      7.  Any member of the Board may administer

an oath to a person testifying in a matter that relates to the duties of the

Board.

      [Part 3:364:1955] + [4:364:1955]—(NRS A 1963, 157;

1971, 1126; 1981, 934; 1989, 1575; 1993, 2544; 2013, 2240)

      NRS 640.060  Approval of schools of physical therapy.  For the purpose of NRS

640.080, the Board shall approve any school or educational curriculum

taught at a school if the school is accredited by an accrediting agency

recognized by the Board.

      [19:364:1955]—(NRS A 1981, 934; 1989, 1576; 2005, 695)

      NRS 640.065  Fiscal year.  The

Board shall operate on the basis of a fiscal year commencing on July 1 and

terminating on June 30.

      (Added to NRS by 1963, 157)

      NRS 640.070  Deposit of fees; expenses; delegation of authority to take

disciplinary action; deposit of fines imposed by Board; claims for attorney’s

fees and costs of investigation.

      1.  All fees collected under this chapter

must be deposited by the Board in banks, credit unions or savings and loan

associations in the State of Nevada.

      2.  All expenses incident to the operation

of this chapter must be paid from the revenue derived therefrom.

      3.  In a manner consistent with the

provisions of chapter 622A of NRS, the

Board may delegate to a hearing officer or panel its authority to take any

disciplinary action pursuant to this chapter and impose and collect

administrative fines therefor. If the Board so delegates its authority, the

Board may deposit the money from the fines in banks, credit unions or savings

and loan associations in this State for the support of the Board. In addition,

the hearing officer or panel may assess a licensee against whom disciplinary

action is taken any costs and fees incurred by the Board as a result of the

hearing. The money from the reimbursed costs and fees may also be deposited for

use by the Board.

      4.  If a hearing officer or panel is not

authorized to take disciplinary action pursuant to subsection 3, the Board

shall deposit the money collected from the imposition of administrative fines

with the State Treasurer for credit to the State General Fund. The Board may

present a claim to the State Board of Examiners for recommendation to the

Interim Finance Committee if money is needed to pay attorney’s fees or the costs

of an investigation, or both.

      [13:364:1955]—(NRS A 1963, 158; 1983, 1541; 1993, 2545; 1999, 1535; 2005, 781)

      NRS 640.075  Confidentiality of certain records of the Board; exceptions.

      1.  Except as otherwise provided in this

section and NRS 239.0115, a complaint

filed with the Board, all documents and other information filed with the

complaint and all documents and other information compiled as a result of an

investigation conducted to determine whether to initiate disciplinary action

against a person are confidential, unless the person submits a written

statement to the Board requesting that such documents and information be made

public records.

      2.  The charging documents filed with the

Board to initiate disciplinary action pursuant to chapter 622A of NRS and all documents and

information considered by the Board when determining whether to impose

discipline are public records.

      3.  The Board shall, to the extent

feasible, communicate or cooperate with or provide any documents or other

information to any other licensing board or any other agency that is

investigating a person, including, without limitation, a law enforcement

agency.

      4.  An order that imposes discipline and

the findings of fact and conclusions of law supporting that order are public

records.

      (Added to NRS by 1989, 1574; A 2003, 3455; 2005, 781; 2007, 2141; 2013, 2241)

LICENSING

      NRS 640.080  Qualifications.  To

be eligible for licensure by the Board as a physical therapist, an applicant

must:

      1.  Be of good moral character;

      2.  Have graduated from a school in which

he or she completed a curriculum of physical therapy approved by the Board; and

      3.  Pass to the satisfaction of the Board

an examination designated by the Board, unless he or she is entitled to

licensure without examination as provided in NRS

640.120 or 640.140.

      [5:364:1955]—(NRS A 1975, 1296; 1981, 934; 1989, 1576)

      NRS 640.090  Application: Contents; fee.  Unless

he or she is entitled to licensure under NRS 640.120

or 640.140, a person who desires to be licensed as

a physical therapist must:

      1.  Apply to the Board, in writing, on a

form furnished by the Board;

      2.  Include in the application evidence,

under oath, satisfactory to the Board, that the person possesses the

qualifications required by NRS 640.080 other than

having passed the examination;

      3.  Pay to the Board at the time of filing

the application a fee set by a regulation of the Board in an amount not to

exceed $300;

      4.  Submit to the Board with the

application a complete set of fingerprints which the Board may forward to the

Central Repository for Nevada Records of Criminal History for submission to the

Federal Bureau of Investigation for its report;

      5.  Submit other documentation and proof

the Board may require; and

      6.  Submit all other information required

to complete the application.

      [6:364:1955]—(NRS A 1957, 77; 1967, 858; 1971, 1126;

1981, 935; 1989,

1576; 1997,

2150; 2003,

2861; 2005,

2751, 2807)

      NRS 640.095  Payment of child support: Submission of certain information by

applicant; grounds for denial of license; duty of Board. [Effective until the

date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to

establish procedures for withholding, suspending and restricting the

professional, occupational and recreational licenses for child support

arrearages and for noncompliance with certain processes relating to paternity

or child support proceedings.]

      1.  In addition to any other requirements

set forth in this chapter:

      (a) An applicant for the issuance of a license as

a physical therapist or physical therapist’s assistant shall include the social

security number of the applicant in the application submitted to the Board.

      (b) An applicant for the issuance or renewal of a

license as a physical therapist or physical therapist’s assistant shall submit

to the Board the statement prescribed by the Division of Welfare and Supportive

Services of the Department of Health and Human Services pursuant to NRS 425.520. The statement must be

completed and signed by the applicant.

      2.  The Board shall include the statement

required pursuant to subsection 1 in:

      (a) The application or any other forms that must

be submitted for the issuance or renewal of the license; or

      (b) A separate form prescribed by the Board.

      3.  A license as a physical therapist or

physical therapist’s assistant may not be issued or renewed by the Board if the

applicant:

      (a) Fails to submit the statement required

pursuant to subsection 1; or

      (b) Indicates on the statement submitted pursuant

to subsection 1 that the applicant is subject to a court order for the support

of a child and is not in compliance with the order or a plan approved by the

district attorney or other public agency enforcing the order for the repayment

of the amount owed pursuant to the order.

      4.  If an applicant indicates on the

statement submitted pursuant to subsection 1 that the applicant is subject to a

court order for the support of a child and is not in compliance with the order

or a plan approved by the district attorney or other public agency enforcing

the order for the repayment of the amount owed pursuant to the order, the Board

shall advise the applicant to contact the district attorney or other public

agency enforcing the order to determine the actions that the applicant may take

to satisfy the arrearage.

      (Added to NRS by 1997, 2149; A 2005, 2751, 2807)

      NRS 640.095  Payment of child support:

Submission of certain information by applicant; grounds for denial of license;

duty of Board. [Effective on the date of the repeal of 42 U.S.C. § 666, the

federal law requiring each state to establish procedures for withholding,

suspending and restricting the professional, occupational and recreational

licenses for child support arrearages and for noncompliance with certain

processes relating to paternity or child support proceedings and expires by

limitation 2 years after that date.]

      1.  In addition to any other requirements

set forth in this chapter, an applicant for the issuance or renewal of a

license as a physical therapist or physical therapist’s assistant shall submit

to the Board the statement prescribed by the Division of Welfare and Supportive

Services of the Department of Health and Human Services pursuant to NRS 425.520. The statement must be

completed and signed by the applicant.

      2.  The Board shall include the statement

required pursuant to subsection 1 in:

      (a) The application or any other forms that must

be submitted for the issuance or renewal of the license; or

      (b) A separate form prescribed by the Board.

      3.  A license as a physical therapist or

physical therapist’s assistant may not be issued or renewed by the Board if the

applicant:

      (a) Fails to submit the statement required

pursuant to subsection 1; or

      (b) Indicates on the statement submitted pursuant

to subsection 1 that the applicant is subject to a court order for the support

of a child and is not in compliance with the order or a plan approved by the

district attorney or other public agency enforcing the order for the repayment

of the amount owed pursuant to the order.

      4.  If an applicant indicates on the

statement submitted pursuant to subsection 1 that the applicant is subject to a

court order for the support of a child and is not in compliance with the order

or a plan approved by the district attorney or other public agency enforcing

the order for the repayment of the amount owed pursuant to the order, the Board

shall advise the applicant to contact the district attorney or other public

agency enforcing the order to determine the actions that the applicant may take

to satisfy the arrearage.

      (Added to NRS by 1997, 2149; A 2005, 2751, 2752, 2807,

effective on the date of the repeal of 42 U.S.C. § 666, the federal law

requiring each state to establish procedures for withholding, suspending and

restricting the professional, occupational and recreational licenses for child

support arrearages and for noncompliance with certain processes relating to

paternity or child support proceedings)

      NRS 640.100  Examination and reexamination of applicants: Time; scope; fee.

      1.  The Board shall examine applicants for

licensure as physical therapists at least twice a year at such places as it may

determine.

      2.  The examination must embrace such

subjects as the Board deems necessary to determine the applicant’s

qualifications, and the examination must include a written portion.

      3.  The Board may charge a fee for

examining or reexamining an applicant, based on the Board’s cost.

      4.  Before any applicant may take the

examination a third time, the applicant must meet with the Board to discuss the

possible need for further training or education and must complete any further

training or education determined by the Board to be prerequisite.

      [10:364:1955]—(NRS A 1981, 935; 1989, 1576)

      NRS 640.110  Issuance and display of license; fee for replacement of lost

license or to change name.

      1.  The Board shall license as a physical

therapist each applicant who proves to the satisfaction of the Board his or her

qualifications for licensure.

      2.  The Board shall issue to each applicant

who proves to the satisfaction of the Board his or her qualification for

licensure, a license as a physical therapist. The license authorizes the

applicant to represent himself or herself as a licensed physical therapist and

to practice physical therapy in the State of Nevada subject to the conditions

and limitations of this chapter.

      3.  Each physical therapist shall display

his or her current license in a location which is accessible to the public.

      4.  The Board may charge a fee, not to

exceed $25, to replace a lost license or to change a name on a license.

      [11:364:1955]—(NRS A 1959, 194; 1967, 858; 1981, 935;

1987, 852; 1989, 1576)

      NRS 640.120  Temporary license for medical emergency; temporary exemptions

from licensing for certain students and applicants.

      1.  The Board may issue, without

examination, a license to practice physical therapy for a period not to exceed

6 months to any person who meets the qualifications set forth in NRS 640.080, except subsection 3 thereof, upon

certification that the person has been assigned to the State of Nevada on a

temporary basis to assist in a medical emergency. Issuance of the temporary

license is subject to such fees, not to exceed $100, and conditions as the

Board may require.

      2.  A student of physical therapy is not

required to be licensed during his or her clinical training if the work is done

under the direct supervision of a licensed physical therapist.

      3.  A person who has applied for licensure

as a physical therapist and who meets the qualifications set forth in NRS 640.080, except subsection 3 thereof, is

temporarily exempt from licensure and may practice physical therapy during the

period of the temporary exemption if:

      (a) The person has submitted a completed

application for licensure for the first time and the application has been

approved by the Board;

      (b) The Board has approved the person to sit for

the examination required pursuant to NRS 640.100;

      (c) The person has not previously failed an

examination for licensure as a physical therapist;

      (d) The person practices physical therapy under

the supervision of a licensed physical therapist and in accordance with the

provisions of this chapter and the regulations of the Board; and

      (e) The person complies with any other

requirements of the Board to practice physical therapy during the period of the

temporary exemption.

      4.  The temporary exemption authorized by

subsection 3 begins on the date on which the Board notifies the person that he

or she may practice physical therapy under the temporary exemption and

continues until the date of the examination if the person does not take the

examination or until the date on which the Board notifies the person of the

results of the examination. During the period of the temporary exemption, the

person:

      (a) Shall not use as his or her title or

professional credentials any words, letters or insignia except for the words

“graduate of physical therapy.”

      (b) Is subject to the regulatory and disciplinary

authority of the Board to the same extent as a licensed physical therapist.

      [8:364:1955]—(NRS A 1967, 858; 1979, 714; 1981, 936; 1989, 1577; 2005, 695)

      NRS 640.140  Licensing of physical therapist licensed in another state or

territory.  The Board may, in its

discretion, license as a physical therapist, without examination, on the

payment of the required fee, an applicant for licensure who is a physical therapist

registered under the laws of another state or territory, if the requirements

for licensure of physical therapists in the state or territory in which the

applicant was licensed were at the date of licensure substantially equal to the

current requirements of this state.

      [9:364:1955]—(NRS A 1989, 1577)

      NRS 640.150  Renewal; expiration and reinstatement; continuing education;

fees.

      1.  A license to practice physical therapy

expires on July 31 of each year. A physical therapist may renew a license

before its expiration upon:

      (a) Presentation of proof of completion of a

program of continuing education as required by subsection 3;

      (b) Payment of a renewal fee established by the

Board; and

      (c) Submission of all information required to

complete the renewal.

      2.  A license that is not renewed before

July 31 of each year expires. An expired license may be reinstated, at the

discretion of the Board, upon:

      (a) Payment of the annual renewal fee and the

annual expiration fee established by the Board for each year the license is

expired; and

      (b) Submission of all information required to

complete the renewal.

      3.  The Board shall require licensed

physical therapists to complete a program of continuing education as a

requirement for the renewal of licenses. The Board shall, by regulation:

      (a) Prescribe the curriculum;

      (b) Approve the courses of study or training; and

      (c) Establish the fees,

Ê for the

program.

      4.  The Board may, pursuant to subsection

3, establish a fee of not more than $150 to consider approval of a course of

study or training.

      [12:364:1955]—(NRS A 1957, 78; 1967, 859; 1981, 936; 1985, 1411; 1989, 1577; 1997, 2150; 2005, 696, 2752, 2807)

DISCIPLINARY ACTION

      NRS 640.160  Authorized actions; grounds.

      1.  The Board, after notice and a hearing

as required by law, and upon any ground enumerated in subsection 2, may take

one or more of the following actions:

      (a) Refuse to issue a license or temporary

license to any applicant.

      (b) Refuse to renew the license or temporary

license of any person.

      (c) Suspend or revoke the license or temporary

license of any person.

      (d) Place any person who has been issued a

license or temporary license on probation.

      (e) Impose an administrative fine which does not

exceed $5,000 on any person who has been issued a license.

      2.  The Board may take action pursuant to

subsection 1 if an applicant or person who has been licensed pursuant to this

chapter:

      (a) Is habitually drunk or is addicted to the use

of a controlled substance.

      (b) Has been convicted of violating any state or

federal law relating to controlled substances.

      (c) Is, in the judgment of the Board, guilty of

immoral or unprofessional conduct.

      (d) Has been convicted of any crime involving

moral turpitude.

      (e) Has been convicted of violating any of the

provisions of NRS 616D.200, 616D.220, 616D.240 or 616D.300 to 616D.440, inclusive.

      (f) Is guilty, in the judgment of the Board, of

gross negligence in his or her practice as a physical therapist which may be

evidenced by claims of malpractice settled against a practitioner.

      (g) Has obtained or attempted to obtain a license

by fraud or material misrepresentation.

      (h) Has been declared insane by a court of

competent jurisdiction and has not thereafter been lawfully declared sane.

      (i) Has entered into any contract or arrangement

which provides for the payment of an unearned fee to any person following his

or her referral of a patient.

      (j) Has employed as a physical therapist any

unlicensed physical therapist or physical therapist whose license has been

suspended.

      (k) Has had a license to practice physical

therapy suspended, revoked or in any way limited by another jurisdiction.

      (l) Is determined to be professionally

incompetent by the Board.

      (m) Has violated any provision of this chapter or

the Board’s regulations.

      (n) Has operated a medical facility, as defined

in NRS 449.0151, at any time during

which:

             (1) The license of the facility was

suspended or revoked; or

             (2) An act or omission occurred which

resulted in the suspension or revocation of the license pursuant to NRS 449.160.

Ê This

paragraph applies to an owner or other principal responsible for the operation

of the facility.

      [14:364:1955]—(NRS A 1971, 2044; 1975, 119; 1981,

598, 937; 1983, 1541; 1987, 1569; 1989, 1578; 1993, 794, 888; 1995, 548; 2003, 3456; 2005, 782; 2009, 895; 2011, 858)

      NRS 640.1605  Suspension of license for failure to pay child support or comply

with certain subpoenas or warrants; reinstatement of license. [Effective until

2 years after the date of the repeal of 42 U.S.C. § 666, the federal law requiring

each state to establish procedures for withholding, suspending and restricting

the professional, occupational and recreational licenses for child support

arrearages and for noncompliance with certain processes relating to paternity

or child support proceedings.]

      1.  If the Board receives a copy of a court

order issued pursuant to NRS 425.540

that provides for the suspension of all professional, occupational and

recreational licenses, certificates and permits issued to a person who is the

holder of a license as a physical therapist or physical therapist’s assistant,

the Board shall deem the license issued to that person to be suspended at the

end of the 30th day after the date on which the court order was issued unless

the Board receives a letter issued to the holder of the license by the district

attorney or other public agency pursuant to NRS

425.550 stating that the holder of the license has complied with the

subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

      2.  The Board shall reinstate a license as

a physical therapist or physical therapist’s assistant that has been suspended

by a district court pursuant to NRS 425.540

if the Board receives a letter issued by the district attorney or other public

agency pursuant to NRS 425.550 to the

person whose license was suspended stating that the person whose license was

suspended has complied with the subpoena or warrant or has satisfied the

arrearage pursuant to NRS 425.560.

      (Added to NRS by 1997, 2149; A 2005, 2807)

      NRS 640.161  Complaint: Filing; contents; review by Board; retention.

      1.  A complaint against any person who has

been licensed pursuant to this chapter may be initiated by the Board or may be

filed with the Board by any member or agent of the Board or any aggrieved

person.

      2.  The complaint must allege one or more

of the grounds enumerated in NRS 640.160 and must

contain a statement of facts showing that a provision of this chapter or the

Board’s regulations has been violated. The complaint must be sufficiently

detailed to enable the respondent to understand the allegations.

      3.  The complaint must be in writing and

may be filed anonymously. If a complaint is filed anonymously, the Board may

accept the complaint but may refuse to consider the complaint if anonymity of

the complainant makes processing the complaint impossible or unfair to the

person who is the subject of the complaint. The original complaint and two

copies must be filed with the Board.

      4.  The Board shall review each complaint.

If a complaint shows a substantial violation of a provision of this chapter or

the Board’s regulations, the Board shall proceed with a hearing on the

complaint pursuant to the provisions of chapter

622A of NRS.

      5.  The Board shall retain all complaints

filed with the Board pursuant to this section for at least 10 years, including,

without limitation, any complaints not acted upon.

      (Added to NRS by 1981, 931; A 1989, 1579; 2005, 782; 2009, 896; 2013, 2241)

      NRS 640.162  Commencement of disciplinary proceedings required for certain

violations of Industrial Insurance Act.  Notwithstanding

the provisions of chapter 622A of NRS, if

the Board receives a report pursuant to subsection 5 of NRS 228.420, a disciplinary proceeding

regarding the report must be commenced within 30 days after the Board receives

the report.

      (Added to NRS by 1981, 932; A 1993, 795; 2005, 783)

      NRS 640.163  Subpoenas.

      1.  The Board or any member thereof may

issue subpoenas for the attendance of witnesses and the production of books and

papers.

      2.  The district court, in and for the

county in which any hearing is held, may compel the attendance of witnesses,

the giving of testimony and the production of books and papers as required by

any subpoena issued by the Board.

      3.  If any witness refuses to attend or

testify or produce any books or papers required by a subpoena, the Board may

file a petition ex parte with the district court, setting forth that:

      (a) Due notice has been given of the time and

place for the attendance of the witness or the production of the books or

papers;

      (b) The witness has been subpoenaed in the manner

prescribed by this chapter;

      (c) The witness has failed or refused to attend

or produce the books or papers required by the subpoena before the Board in the

cause or proceeding named in the subpoena, or has refused to answer questions

propounded to him or her in the course of the hearing; and

      (d) The Board therefore requests an order of the

court compelling the witness to attend and testify or produce the books or

papers before the Board.

      4.  The court, upon such a petition, shall

enter an order directing the witness to appear before the court at a time and

place fixed by the court in the order, and then and there to show cause why the

witness has not attended or testified or produced the books or papers before

the Board. The time may not be more than 10 days after the date of the order. A

certified copy of the order must be served upon the witness.

      5.  If the court determines that the

subpoena was regularly issued by the Board, the court shall thereupon enter an

order that the witness appear before the Board at the time and place fixed in

the order, and testify or produce the required books or papers. Failure to obey

the order is a contempt of the court which issued it.

      (Added to NRS by 1981, 932)

      NRS 640.164  Fees and mileage for witness.  Each

witness who appears by order of the Board is entitled to receive for his or her

attendance the same fees and mileage allowed by law to a witness in a civil

case. The amount must be paid by the party who requested the subpoena. When any

witness, who has not been required to attend at the request of any party, is

subpoenaed by the Board, his or her fees and mileage must be paid from the

funds of the Board.

      (Added to NRS by 1981, 932)

UNLAWFUL ACTS; ENFORCEMENT; PENALTIES

      NRS 640.169  Unlawful to practice physical therapy without license;

exceptions; civil penalties.

      1.  Except as otherwise provided in NRS 629.091 and 640.120,

it is unlawful for any person to practice physical therapy in this State unless

the person holds a license or a temporary license issued pursuant to this

chapter. A person who violates the provisions of this subsection is guilty of a

gross misdemeanor.

      2.  In addition to any criminal penalty

that may be imposed for a violation of subsection 1, the Board, after notice

and hearing, may:

      (a) Issue an order against any person who has

violated subsection 1 imposing an administrative penalty of not more than

$5,000 for each violation. Any administrative penalty collected pursuant to

this paragraph must be deposited in the State General Fund.

      (b) Issue and serve on the person an order to

cease and desist until the person obtains from the Board the proper license or

otherwise demonstrates that he or she is no longer in violation of subsection

1. An order to cease and desist must include a telephone number with which the

person may contact the Board.

      (c) Issue a citation to the person. A citation

issued pursuant to this paragraph must be in writing, describe with

particularity the nature of the violation and inform the person of the

provisions of this paragraph. Each activity in which the person is engaged

constitutes a separate offense for which a separate citation may be issued. To

appeal a citation, the person must submit a written request for a hearing to

the Board not later than 30 days after the date of issuance of the citation.

      (d) Impose any combination of the penalties set

forth in paragraphs (a), (b) and (c).

      (Added to NRS by 1981, 933; A 1989, 1579; 1995, 753; 2005, 697; 2013, 2241)

      NRS 640.1695  Practicing or offering to practice without license: Reporting

requirements of Board.  Unless the

Board determines that extenuating circumstances exist, the Board shall forward

to the appropriate law enforcement agency any substantiated information

submitted to the Board concerning a person who practices or offers to practice

physical therapy or as a physical therapist’s assistant without the appropriate

license issued pursuant to the provisions of this chapter.

      (Added to NRS by 2013, 2240)

      NRS 640.170  Penalty for unauthorized use of letters, words or insignia.  A person who is not licensed under this

chapter as a physical therapist, or whose license has been suspended, revoked

or has expired and who uses in connection with his or her name the words or

letters “L.P.T.,” “Licensed Physical Therapist,” “R.P.T.,” “Registered Physical

Therapist,” “P.T.,” “Physical Therapist,” or any other letters, words or

insignia indicating or implying that the person is a licensed physical

therapist, or who in any other way, orally, or in writing, or in print, by

sign, directly or by implication, represents himself or herself as a licensed

physical therapist, is guilty of a misdemeanor.

      [15:364:1955]—(NRS A 1959, 194; 1989, 1579)

      NRS 640.180  False oath or affirmation; fraudulent representation to obtain

license; penalty.  A person who

makes a willfully false oath or affirmation in any case in which an oath or

affirmation is required by this chapter, or who obtains or attempts to obtain a

license by any fraudulent representation, is guilty of a misdemeanor.

      [16:364:1955]—(NRS A 1989, 1580)

      NRS 640.190  Restriction on practice of other forms of healing.  This chapter does not authorize a physical

therapist, whether licensed or not, to practice medicine, osteopathic medicine,

homeopathic medicine, chiropractic or any other form or method of healing.

      [17:364:1955]—(NRS A 1975, 119; 1977, 965; 1981, 938;

1983, 1493; 1985,

1412; 1987,

1314; 1989,

1580)

      NRS 640.210  Enforcement: Duties of Board; injunction.

      1.  The Board shall investigate every

supposed violation of this chapter coming to its notice and shall report to the

proper district attorney all cases that in the judgment of the Board warrant

prosecution.

      2.  Whenever any person has engaged or is

about to engage in any acts or practices which constitute or will constitute an

offense against this chapter, the district court of any county, on application

of the Board, may issue an injunction or any other order restraining such

conduct. Proceedings under this subsection shall be governed by Rule 65 of the Nevada Rules of

Civil Procedure, except that no bond or undertaking shall be required in any

action commenced by the Board.

      [20:364:1955]—(NRS A 1959, 195)

PHYSICAL THERAPISTS’ ASSISTANTS

      NRS 640.230  Qualifications of applicant.  To

be eligible for licensing by the Board as a physical therapist’s assistant, an

applicant must:

      1.  Be at least 18 years old.

      2.  Be of good moral character.

      3.  Have graduated from an approved high

school.

      4.  Have completed an educational curriculum

approved by the Board for a physical therapist’s assistant.

      5.  Pass an examination designated by the

Board or be entitled to licensing without examination as provided in NRS 640.270 or 640.275.

      (Added to NRS by 1971, 1125; A 1981, 938; 1989, 1580; 1993, 2545)

      NRS 640.240  Requirements for educational curriculum.

      1.  For the purposes of NRS 640.230, the Board shall not approve any

educational curriculum for a physical therapist’s assistant unless the

curriculum includes elementary or intermediate courses in clinical, anatomical,

biological and physical sciences and is:

      (a) At least a 2-year program requiring a minimum

of 60 academic semester credits at a college accredited by a recognized

accrediting agency; or

      (b) A curriculum which is provided by the Armed

Forces of the United States.

      2.  The Board may refuse to approve any

educational curriculum for physical therapist’s assistants if the curriculum

does not include such courses in theory and procedures as determined by the

Board to be necessary for these assistants.

      (Added to NRS by 1971, 1125; A 1981, 938; 1989, 1580; 1993, 2545; 2005, 697)

      NRS 640.250  Application for license: Contents; fee.  Unless

he or she is entitled to a license under NRS 640.270,

a person who desires to be licensed as a physical therapist’s assistant must:

      1.  Apply to the Board, in writing, on a

form furnished by the Board. The application for licensure as a physical

therapist’s assistant must also be signed by the supervising physical therapist

of the applicant.

      2.  Include in the application evidence,

under oath, satisfactory to the Board, that he or she possesses the

qualifications required by NRS 640.230 other than

having passed the examination.

      3.  Pay to the Board at the time of filing

the application a fee set by a regulation of the Board in an amount not to

exceed $200.

      4.  Submit to the Board with the

application a complete set of fingerprints which the Board may forward to the

Central Repository for Nevada Records of Criminal History for submission to the

Federal Bureau of Investigation for its report.

      5.  Submit such documentation and proof as

the Board may require.

      6.  Pay the fee for examination of the

applicant as the Board may establish.

      7.  Submit all other information required

to complete the application.

      (Added to NRS by 1971, 1125; A 1981, 938; 1989, 1580; 1997, 2150; 2003, 2861; 2005, 2753, 2807)

      NRS 640.260  Issuance and display of license; fee for replacement of lost

license or to change name; duration of validity of license.

      1.  The Board shall license as a physical

therapist’s assistant each applicant who proves to the satisfaction of the

Board his or her qualifications for a license.

      2.  The Board shall issue to each qualified

applicant a license that authorizes the applicant to represent himself or

herself as a physical therapist’s assistant and to practice as that assistant.

      3.  Each physical therapist’s assistant

shall display his or her current license in a location which is accessible to

the public.

      4.  The Board may charge a fee, not to

exceed $25, to replace a lost license or to change a name on a license.

      5.  A license as a physical therapist’s

assistant is valid as long as a supervising physical therapist supervises the

physical therapist’s assistant.

      (Added to NRS by 1971, 1125; A 1981, 939; 1987, 852; 1989, 1581; 1993, 2546)

      NRS 640.270  Licensing of physical therapist’s assistant licensed in another

state or territory.  The Board may

license as a physical therapist’s assistant, without examination, on the

payment of the required fee, an applicant who is licensed as a physical

therapist’s assistant under the laws of another state or territory whose

requirements at the date of licensure were substantially equal to the current

requirements of this state.

      (Added to NRS by 1971, 1125; A 1981, 939; 1989, 1581; 1993, 2546)

      NRS 640.275  Temporary license for medical emergency; temporary exemptions

from licensing for certain students and applicants.

      1.  The Board may issue, without

examination, a temporary license to practice as a physical therapist’s

assistant to a person who:

      (a) Meets all of the other qualifications of NRS 640.230; and

      (b) Certifies that he or she has been assigned to

the State of Nevada on a temporary basis to assist in a medical emergency.

      2.  The Board may charge a fee, not to

exceed $100, for the issuance of a temporary license.

      3.  A student who is enrolled in a program

to become a physical therapist’s assistant is not required to be licensed

during his or her clinical training if the work is performed under the direct

supervision of a physical therapist.

      4.  A person who has applied for licensure

as a physical therapist’s assistant and who meets the qualifications set forth

in NRS 640.230, except subsection 5 thereof, is

temporarily exempt from licensure and may practice as a physical therapist’s

assistant during the period of the temporary exemption if:

      (a) The person has submitted a completed

application for licensure for the first time and the application has been

approved by the Board;

      (b) The Board has approved the person to sit for

the examination required pursuant to NRS 640.230;

      (c) The person has not previously failed an

examination for licensure as a physical therapist’s assistant;

      (d) The person practices as a physical

therapist’s assistant under the direct supervision of a supervising physical

therapist and in accordance with the provisions of this chapter and the

regulations of the Board; and

      (e) The person complies with any other

requirements of the Board to practice as a physical therapist’s assistant

during the period of the temporary exemption.

      5.  The temporary exemption authorized by

subsection 4 begins on the date on which the Board notifies the person that he

or she may practice as a physical therapist’s assistant under the temporary

exemption and continues until the date of the examination if the person does

not take the examination or until the date on which the Board notifies the

person of the results of the examination. During the period of the temporary

exemption, the person:

      (a) Shall not use as his or her title or

professional credentials the words, letters or insignia “P.T.A.” or “Physical

Therapist’s Assistant,” or any other letters, words or insignia indicating or

implying that he or she is a licensed physical therapist’s assistant.

      (b) Is subject to the regulatory and disciplinary

authority of the Board to the same extent as a licensed physical therapist’s

assistant.

      (Added to NRS by 1993, 2543; A 2005, 697)

      NRS 640.280  Renewal of license; expiration and reinstatement; continuing

education; fees.

      1.  The license of a physical therapist’s

assistant expires on July 31 of each year. A physical therapist’s assistant may

renew a license before its expiration upon:

      (a) Presentation of proof of completion of a

program of continuing education as required by subsection 3;

      (b) Payment of the renewal fee established by the

Board; and

      (c) Submission of all information required to

complete the renewal.

      2.  A license that is not renewed before

July 31 of each year expires. The Board may reinstate an expired license upon

payment of the annual renewal fee and the annual expiration fee established by

the Board for each year the license is expired.

      3.  The Board shall require each physical

therapist’s assistant to complete a program of continuing education as a

prerequisite for the renewal of a license. The Board shall prescribe the

curriculum and approve the courses of study or training for that program.

      (Added to NRS by 1971, 1126; A 1981, 939; 1987, 852; 1989, 1581; 1993, 2546; 1997, 2151; 2005, 2753, 2807)

      NRS 640.290  Supervision.  A

person licensed as a physical therapist’s assistant may assist in the practice

of physical therapy only under the direct supervision of a supervising physical

therapist, as regulated by the Board and subject to the conditions and

limitations of NRS 640.230 to 640.300, inclusive.

      (Added to NRS by 1971, 1126; A 1981, 939; 1989, 1581; 1993, 2546)

      NRS 640.300  Penalty for unauthorized use of letters, words or insignia.  Any person:

      1.  Who is not licensed under NRS 640.230 to 640.300,

inclusive, as a physical therapist’s assistant;

      2.  Whose license has been suspended or

revoked; or

      3.  Whose license has expired and has not

been reinstated,

Ê and who uses

in connection with his or her name the words or letters “P.T.A.” or “Physical

Therapist’s Assistant,” or any other letters, words or insignia indicating or

implying that he or she is a licensed physical therapist’s assistant, or who in

any other way, orally, or in writing, or in print, by sign, directly, or by

implication, represents himself or herself as a licensed physical therapist’s

assistant, is guilty of a misdemeanor.

      (Added to NRS by 1971, 1126; A 1981, 939; 1989, 1581; 1993, 2547)

PHYSICAL THERAPISTS’ TECHNICIANS

      NRS 640.310  Supervision by physical therapist while performing treatments

related to physical therapy.

      1.  A physical therapist shall provide

immediate supervision of a physical therapist’s technician while the technician

performs treatments related to physical therapy which have been directed by the

physical therapist.

      2.  As used in this section, “treatment”

does not include secretarial, clerical or housekeeping activities, the

transportation of a patient or the dressing or undressing of a patient.

      (Added to NRS by 1993, 2543)