For therapists

Arizona PT, OT and SLP guide

Who licenses OTs, PTs and SLPs in Arizona, whether patients need a referral, how AHCCCS pays for children and adults, telehealth and the compacts, the business and records rules, and a launch checklist, every rule quoted from its source.

  • Sources Cited
  • Worksheet Included
  • For Clinicians

For OT, PT and SLP clinics in Arizona: two boards and a department license the disciplines; the licensing law sets a physical therapist’s scope, including diagnosis, and a duty to refer clients on; AHCCCS covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠1,2,3,4

Key takeaways

  • In Arizona, physical therapists are licensed by the Arizona Board of Physical Therapy, occupational therapists by the Arizona Board of Occupational Therapy Examiners and speech-language pathologists by the Arizona Department of Health Services, each under its own licensing law and rules.⁠1,5,6
  • For physical therapy, the licensing law defines the practice of physical therapy to include examining, evaluating and testing persons to determine a diagnosis, a prognosis and a plan of therapeutic intervention, and requires a physical therapist to refer a client to appropriate health care practitioners when symptoms or conditions require services beyond the scope of practice or physical therapy is contraindicated; the board’s rule requires the physical therapist to give the referring practitioner, if any, the assessment, diagnosis and plan of care within one week after the initial evaluation.⁠2,7,8,9
  • AHCCCS covers occupational, physical and speech therapy for children under EPSDT, and its adult coverage follows the limits in its provider manual.⁠3,4,10
  • Telehealth to a patient in Arizona requires authority to practice where the patient is located; the PT Compact, the OT Compact and the ASLP Interstate Compact stand as their commissions state for Arizona.⁠11,12,13,14,15,16,17,18,19
  • Medicare’s plan of care must be certified by a physician or nonphysician practitioner, and since January 2025 a signed order or referral on file can stand in for that signature on an initial plan delivered within 30 days of the evaluation.⁠20
  • Arizona’s records statute requires a health care provider, which includes a person licensed under Title 32 who maintains medical records, to keep an adult patient’s records at least six years after the last service and a child’s records at least three years after the child’s 18th birthday or six years after the last service, whichever is later. The Department of Health Services’ rule requires a speech-language pathologist to keep each client’s records at least 36 months after the service.⁠21,22,23
  • The business entity is registered with the Arizona Corporation Commission, Corporations Division, and the state’s rules on who may own a therapy entity apply.⁠24,25,26,27,28
  • A child under three with a developmental delay is referred to the Arizona Early Intervention Program (AzEIP), which runs separately from an outpatient clinic’s own intake.⁠29

Who licenses OTs, PTs and SLPs in Arizona?

Two boards and a department license the three disciplines in Arizona, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠1,5,6 A clinic that employs more than one discipline keeps three registers, not one.

DisciplineLicensed byLicensing law and rulesRenewal and continuing educationAssistants
Physical therapyArizona Board of Physical TherapyArizona Revised Statutes, Title 32, Chapter 19 (Physical Therapy), A.R.S. §§ 32-2001 to 32-2053; Arizona Administrative Code, Title 4, Chapter 24 (Board of Physical Therapy)Every two years, in a license renewal cycle that ends August 31 of even-numbered years; 20 contact hours of continuing competence per two-year compliance period for a PT, at least 10 of them from Category A activities, and 10 for a PTA, at least six from Category AA licensed PTA may work under a PT’s general supervision, with the PT on call and readily available by telecommunications, which the rule defines as able to respond within 15 minutes; before delegating under general supervision the PT ensures the PTA has at least 2,000 hours of experience under onsite supervision, and a PT supervises no more than three assistive personnel at a time⁠1,30,31,32,33,34,35
Occupational therapyArizona Board of Occupational Therapy ExaminersArizona Revised Statutes, Title 32, Chapter 34 (Occupational Therapy), A.R.S. §§ 32-3401 to 32-3445; Arizona Administrative Code, Title 4, Chapter 43 (Board of Occupational Therapy Examiners)Every two years, for OTs and OTAs; a license not renewed within two years of its issuance expires; 20 clock-hours for an OT and 12 for an OTA per two-year license, completed within the two years before the license expiresAn OTA works under the direction of an OT, who alone prepares the initial treatment plan, delegates duties, assigns the level of supervision and authorizes discharge; supervision is at least routine for an OTA with less than 12 months of experience in a setting or skill, at least general from 12 to 24 months, and at least minimal after 24 months⁠5,36,37,38,39,40
Speech-language pathologyArizona Department of Health ServicesArizona Revised Statutes, Title 36, Chapter 17 (Hearing Aid Dispensers, Audiologists and Speech-Language Pathologists), A.R.S. §§ 36-1901 to 36-1940.11; Arizona Administrative Code, Title 9, Chapter 16, Article 2 (audiologists and speech-language pathologists) and Article 5 (speech-language pathology assistants)Every two years, with a 30-day grace period after a regular license expires; at least 20 hours of continuing education within the 24 months before renewal, in courses related to speech-language pathologyArizona licenses speech-language pathology assistants, who work under the direction and supervision of a licensed SLP with at least two years of full-time experience; the SLP supervises no more than two full-time or three part-time assistants, provides at least 20 percent direct and 10 percent indirect supervision in an assistant’s first 90 days, and after that at least one hour of direct supervision weekly⁠6,41,42,43,44,45

Physical therapists and physical therapist assistants answer to the Arizona Board of Physical Therapy.⁠1,30,31,32,33,34,35 Occupational therapists and occupational therapy assistants answer to the Arizona Board of Occupational Therapy Examiners.⁠5,36,37,38,39,40 Speech-language pathologists answer to the Arizona Department of Health Services.⁠6,41,42,43,44,45 Arizona’s universal licensing statute requires a license under Title 32, which holds the physical therapy and occupational therapy acts, to be issued in the same discipline and practice level to a person who establishes residence in Arizona, holds a license in good standing in another state and has been licensed there for at least one year, among the other conditions the section lists.⁠46,47 A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does an Arizona license renewal require?

Each regulator sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠1,5,6 A renewal missed is a lapse, and the regulator’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see an Arizona PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing law defines the practice of physical therapy to include examining, evaluating and testing persons to determine a diagnosis, a prognosis and a plan of therapeutic intervention, and requires a physical therapist to refer a client to appropriate health care practitioners when symptoms or conditions require services beyond the scope of practice or physical therapy is contraindicated; the board’s rule requires the physical therapist to give the referring practitioner, if any, the assessment, diagnosis and plan of care within one week after the initial evaluation.⁠2,7,8,9 For occupational therapy, the licensing law defines occupational therapy, which includes evaluation, treatment and consultation, and requires a license to practice or assist in the practice of occupational therapy, render occupational therapy services or claim to provide them.⁠48,49,50 For speech-language pathology, the licensure act defines the practice of speech-language pathology and requires an active license in good standing issued by the director of the Department of Health Services to practice it or to claim to be a speech-language pathologist.⁠51,52,53 AHCCCS, as a payer, covers occupational, physical and speech therapy services ordered by a primary care provider or attending physician and included in the member’s individualized plan.⁠9

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠20 AHCCCS’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does AHCCCS pay for pediatric and adult therapy?

AHCCCS, the Arizona Health Care Cost Containment System, is Arizona’s Medicaid program, and a clinic enrolls through its provider enrollment route before it bills.⁠54 For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠55 Under EPSDT, AHCCCS covers medically necessary physical, occupational and speech therapy to correct or ameliorate conditions found by screening, on an inpatient or outpatient basis, and outpatient occupational and physical therapy are covered for members under 21. For an EPSDT member under three who needs early intervention, the health plan provides services in the natural environment whenever possible.⁠3,4

Adults 21 and older in acute care have 15 outpatient occupational therapy visits a benefit year to restore a skill or level of function and 15 to acquire a new one, physical therapy carries the same two 15-visit limits for acute and ALTCS adults, a visit is the therapy received in one day, and outpatient speech therapy is covered for all members based on medical necessity.⁠10 For fee-for-service members, the AHCCCS billing manual says covered outpatient occupational and physical therapy need no prior authorization, and refers to the therapy policy for limits.⁠56 AHCCCS operates under an integrated managed care model in which contracted health plans coordinate and pay for physical and behavioral health care. Its AHCCCS Complete Care plan list (revised June 30, 2026) names Arizona Complete Health - Complete Care Plan, Banner-University Family Care, Molina Healthcare, Mercy Care, Blue Cross Blue Shield of Arizona Health Choice and UnitedHealthcare Community Plan, each serving the counties the list gives.⁠57,58 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠59

How does AHCCCS want OT, PT and SLP claims coded?

AHCCCS counts outpatient therapy on the same day, with the same or different providers, as a single visit. A speech-language pathologist is identified as the treating AHCCCS registered provider and bills under their individual NPI, a licensed speech-language pathology assistant bills under their own NPI as the servicing provider, and the member’s individualized plan is reviewed at least every 62 days by the PCP, attending physician or a nonphysician practitioner.⁠60,61,62,63 The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does AHCCCS pay for therapy in schools?

Through its Direct Service Claiming program, AHCCCS covers certain Medicaid services that a participating local education agency gives Medicaid-eligible students when they are medically necessary under an IEP, an IFSP or another medical plan of care. Physical, occupational and speech therapists may act as both ordering and rendering providers.⁠64 A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does AHCCCS cover therapy by telehealth?

AHCCCS health plans and fee-for-service programs cover medically necessary covered services delivered by telehealth by AHCCCS registered providers, may apply only the limits that apply to the same service in person, and pay telemedicine at the same level of payment as the equivalent in-person service.⁠65 The telehealth section below covers the state’s own rules for the session itself.

What are Arizona’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠11 Arizona’s telehealth law names the physical therapy, occupational therapy and speech-language pathology licensing chapters among those whose licensees are health care providers, requires the treating provider to obtain verbal or written informed consent before delivering care by telehealth, and lets a provider not licensed in Arizona serve a person in Arizona by telehealth after registering with the Arizona board or agency that licenses comparable providers.⁠66,67,68

CompactArizona’s statusSource
PT Compact (physical therapy)Member: the commission lists Arizona among its 38 member states (October 30, 2026)The PT Compact Commission⁠12,13
OT Compact (occupational therapy)Member not yet issuing privileges: the commission’s Before You Apply table, which leaves out non-member states, lists Arizona as Not Yet accepting OT Compact applications (October 30, 2026)The OT Compact Commission⁠14,15
ASLP Interstate Compact (speech-language pathology and audiology)Member, with both of Arizona’s delegate seats (audiology and speech-language pathology) shown as appointment pending on the commission’s roster; the commission says registration for compact privileges is open for practitioners licensed in Louisiana, Ohio, Tennessee and West Virginia, so Arizona is not yet issuing privileges (October 30, 2026); Arizona’s compact law took effect after December 31, 2025The ASLP-IC Commission⁠16,17,18,19

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠12,13 Arizona’s telehealth coverage statutes require hospital and medical service corporations, health care services organizations, disability insurers and group or blanket disability insurers to cover a health care service provided through telehealth if it would be covered in person, to apply only the limits that apply in person, and to reimburse at the same level of payment for equivalent services whether provided through audio-visual telehealth or in person.⁠69,70,71,72

Which business steps are specific to Arizona?

The entity is registered with the Arizona Corporation Commission, Corporations Division, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠24 Arizona’s professional corporation law defines a professional service as one that may be lawfully rendered only by a person licensed or otherwise authorized by an Arizona licensing authority. Separately, a business entity whose owners include anyone not licensed or certified to provide physical therapy in Arizona may offer physical therapy only after registering with the Board of Physical Therapy, with a separate registration for each branch office, renewed by August 31 of odd-numbered years.⁠25,26,27,28 State tax registration is with the Arizona Department of Revenue, for transaction privilege tax and employer withholding.⁠73 Arizona’s transaction privilege tax, commonly called a sales tax, is a tax on the vendor for the privilege of doing business, and various business activities are subject to it. A business selling a product or engaging in a service subject to the tax would likely need a license from the Department of Revenue and from its city, and the department says a service business may or may not be subject to the tax.⁠74,75 Every Arizona employer of workers regularly employed in the same business, including those employed for only part of the year, is subject to the workers’ compensation law and must secure compensation, by insuring with an authorized carrier or by proving to the Industrial Commission its financial ability to pay directly or through an approved pool.⁠76,77 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.

What record and privacy rules apply in Arizona?

Arizona’s records statute requires a health care provider, which includes a person licensed under Title 32 who maintains medical records, to keep an adult patient’s records at least six years after the last service and a child’s records at least three years after the child’s 18th birthday or six years after the last service, whichever is later. The Department of Health Services’ rule requires a speech-language pathologist to keep each client’s records at least 36 months after the service.⁠21,22,23 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠78,79

Arizona makes medical records and payment records privileged and confidential, lets a health care provider disclose them only as state or federal law authorizes or with written authorization signed by the patient or the patient’s health care decision maker, and leaves other federal and state confidentiality laws in effect.⁠80 Arizona’s breach notification statute requires a person conducting business in Arizona that owns, maintains or licenses unencrypted and unredacted computerized personal information to investigate a security incident promptly and, if there has been a breach, to notify the affected individuals within 45 days of that determination, and, when more than 1,000 individuals must be notified, the three largest nationwide consumer reporting agencies, the attorney general and the director of the Arizona Department of Homeland Security.⁠81 Arizona’s child abuse reporting statute requires the persons it lists, including any person who has responsibility for the care or treatment of the minor, to report immediately to a peace officer or the Department of Child Safety when they reasonably believe a minor has been abused or neglected. Its vulnerable adult statute names speech, physical and occupational therapists among those who must immediately report suspected abuse, neglect or exploitation to a peace officer or adult protective services.⁠82,83

Which Arizona rules shape a pediatric clinic?

The Arizona Early Intervention Program (AzEIP), established under Part C of the Individuals with Disabilities Education Act, is Arizona’s statewide system of services and support for families with infants and toddlers who have disabilities or delays. Anyone concerned that a child is not reaching milestones can refer the child online, by email or by phone.⁠29 A child who turns three moves from early intervention to the school district’s evaluation, and a private clinic’s services run beside both systems rather than inside them. Arizona’s autism coverage statute bars a group disability insurer from excluding a treatment, which includes diagnosis, assessment and services, or imposing dollar limits, deductibles and coinsurance based solely on an autism spectrum disorder diagnosis, and requires coverage of medically necessary behavioral therapy, including applied behavior analysis, provided or supervised by a licensed or certified provider. It does not apply to a policy issued to an individual or a small employer, and a parallel section applies to hospital and medical service corporations.⁠84,85 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which Arizona rules shape an adult clinic?

Medicare claims from Arizona go to Noridian Healthcare Solutions, LLC, the Medicare Administrative Contractor for Jurisdiction F, Parts A and B (Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming), whose local coverage articles for therapy are the ones an Arizona clinic reads.⁠86,87 AHCCCS’s adult therapy rules are in the Medicaid section above.

Which associations and directory pages serve Arizona?

The state chapters are the Arizona Physical Therapy Association (APTA Arizona) for physical therapy, the Arizona Occupational Therapy Association for occupational therapy and the Arizona Speech-Language-Hearing Association for speech-language pathology.⁠88,89,90 On DrSensory, families browse Arizona clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.⁠91

Which Arizona cities have DrSensory city pages?

Beyond its three Arizona pages, the directory publishes city pages for 9 Arizona cities, 27 pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠91

How many Arizona PT, OT and SLP clinics does DrSensory list?

DrSensory lists 207 PT, OT and SLP clinics in Arizona, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠91

Is your clinic one of the 207?

An unclaimed listing shows what public records hold: the name, address, phone and therapy. A claimed listing carries the Claimed and verified badge and the clinic’s own name, address, phone, hours, website, therapies, ages served and insurance accepted, corrected in the clinic’s own editor.

Claiming starts with finding the listing and confirming the clinic’s email with a six-digit code. Claiming is free. Nothing is charged. The subscription, the one paid tier, adds a description, photos, clinicians, reviews and family messages, at $349.99 a year or $29.99 a month for the first location.

Claim your listingSee the pricing

Where does each requirement come from, and what does the clinic do?

RequirementWhere it comes fromWhat the clinic doesSource
A license for each clinicianArizona Board of Physical Therapy, Arizona Board of Occupational Therapy Examiners, Arizona Department of Health ServicesVerify every license on the regulator’s site and enter its renewal date in the register1,5,6,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45
Referral or direct accessThe licensing law for each disciplineSet the intake rule per discipline; keep the payer’s rule beside it2,7,8,9,48,49,50,51,52,53
Medicaid enrollment and coverageThe Arizona Health Care Cost Containment System (AHCCCS)Enroll, read the provider manual’s therapy sections, note who issues authorizations3,4,54
Medicare plan of care42 CFR 424.24Certify every plan, or hold the signed order or referral on file with the plan delivered within 30 days20
Telehealth across a state lineThe patient’s state and the compactsConfirm the patient’s location each session; hold a license or a privilege there11,12,13
The business entityThe Arizona Corporation Commission, Corporations DivisionChoose the entity the state’s law allows and register it24,25,26,27,28
Record retentionState law, Medicare and HIPAAKeep the longest period that applies21,22,23,78

Which templates does an Arizona launch need?

Arizona launch checklist. Each line names its source so the clinic can re-read the rule when it changes.

  • Physical therapy licenses verified with the Arizona Board of Physical Therapy; renewal dates and continuing-education hours entered in the register
  • Occupational therapy licenses verified with the Arizona Board of Occupational Therapy Examiners; the same
  • Speech-language pathology licenses verified with the Arizona Department of Health Services; the same
  • The intake rule for referrals set per discipline from the licensing law, with the payer’s rule beside it
  • AHCCCS enrollment filed; the provider manual’s therapy sections and who issues authorizations noted
  • Medicare enrollment and the plan-of-care routine in place
  • Telehealth: the patient-location check at every session; licenses or compact privileges for every state served
  • The entity registered with the Arizona Corporation Commission, Corporations Division; the ownership rule read
  • The state’s sales-tax rule on services and on goods sold to patients read; a seller’s permit where the clinic sells goods
  • Record retention set to the longest period that applies
  • The early-intervention and school pathways known to intake, with the referral routes
  • The Medicare contractor’s therapy articles bookmarked
  • The state association memberships decided

License and renewal register. One line per clinician.

  • Clinician: [their name]
  • Discipline and board or department: [physical therapy, occupational therapy or speech-language pathology; the board or department]
  • License number: [as the board or department lists it]
  • Renewal date: [the date]
  • Continuing-education hours due and completed: [hours due by the board or department’s rule; hours completed to date]
  • Compact privileges held: [the states and the privilege numbers, if any]
  • Checked on the board or department’s site: [the date and by whom]

Payer register. One line per payer the clinic bills.

  • Payer: [AHCCCS, a managed care plan, Medicare through Noridian Healthcare Solutions, LLC, a commercial plan]
  • Enrollment or contract status and effective date: [the status; the date]
  • Referral rule: [what the payer requires]
  • Authorization rule and who issues it: [what needs authorization; who issues it]
  • Telehealth rule: [covered services and modifiers]
  • Fee schedule location and date read: [where; when]
  • Owner: [who keeps this line current]

How might two Arizona clinics plan a launch?

A pediatric occupational therapy clinic in Phoenix. Hypothetical; a planning exercise, not a claim about demand in Phoenix.

  • Licensing: the owner and one occupational therapy assistant are verified with the Arizona Board of Occupational Therapy Examiners; the assistant’s supervision rule from the board goes into the staffing plan.
  • Referrals: the licensing law’s rule for occupational therapy sets the intake script; AHCCCS’s referral and authorization rules sit beside it.
  • Medicaid: enrollment is filed before the first family is scheduled, and the program’s authorization rule for children, quoted above, is written into the scheduling routine.
  • Early intervention: families with children under three are told how the referral to the Arizona Early Intervention Program (AzEIP) works and that the clinic’s services run beside it.
  • Records: the chart policy is set on day one at or above the longest retention period that applies.

An adult physical therapy clinic in Tucson. Hypothetical; a planning exercise, not a claim about demand in Tucson.

  • Licensing: two physical therapists verified with the Arizona Board of Physical Therapy; one holds a PT Compact privilege for a neighboring state, which the telehealth policy records.
  • Referrals: the licensing law’s referral rule sets the intake script; Medicare’s plan-of-care routine is written before the first Medicare patient, with the signed order or referral held on file where the referring practitioner sends one.
  • Medicare: enrollment through Noridian Healthcare Solutions, LLC; the contractor’s therapy articles are read for the codes the clinic bills.
  • Telehealth: the patient-location check is part of every video session’s note; a patient who travels out of state is seen only where the clinic holds authority.
  • Business: the entity is registered with the Arizona Corporation Commission, Corporations Division in the form the state’s law allows, and the local business license is filed with the city.

Frequently asked questions

Can I practice in Arizona on a compact privilege from another state?

Only as the compact’s commission states for Arizona: the table above gives each compact’s status, and a privilege is issued for a specific member state under that state’s licensing law, not as a national license.⁠12,13,14,15,16,17,18,19

Does AHCCCS cover therapy for adults?

Within its own rules: the provider manual sets what is covered for adults, with the limits and authorization requirements quoted in the Medicaid section, while children’s coverage runs under EPSDT.⁠10,55

Do patients in Arizona need a referral before therapy?

The licensing law answers per discipline and the referral section quotes each rule; a payer may still require a referral or a certified plan of care the law does not, so the intake script carries both rules.⁠2,7,8,9,20

Can I treat an Arizona patient by telehealth from another state?

Only with authority to practice in Arizona, since licensure follows the patient’s location; a compact privilege is one route where the compact is live for the state.⁠11,12,13

How long must an Arizona clinic keep therapy records?

For a physical or occupational therapist licensed under Title 32, at least six years after an adult’s last service, and for a child at least three years past the 18th birthday or six years after the last service, whichever is later (A.R.S. § 12-2297). For a speech-language pathologist, the Department of Health Services’ rule sets at least 36 months after the service.⁠21,22,23 Medicare’s 7-year and HIPAA’s 6-year rules cover other documents and do not shorten it.⁠78,79

Which entity can an Arizona therapy clinic form?

An entity filed with the Arizona Corporation Commission’s Corporations Division (articles of organization for an LLC, articles of incorporation for a corporation). A physical therapy business with any owner not licensed or certified to provide physical therapy also registers with the Board of Physical Therapy.⁠25,26,27,28 Registration with the Arizona Corporation Commission, Corporations Division follows the choice.⁠24

How is a young child referred to early intervention in Arizona?

Through the Arizona Early Intervention Program (AzEIP) at the Arizona Department of Economic Security; a referral can be made online, by email or by phone.⁠29

Where do families find Arizona therapy clinics on DrSensory?

On the state’s occupational therapy, physical therapy and speech therapy pages and on the city pages listed above, built from the clinic addresses the directory holds; a clinic’s listing appears on the pages of its own address, and a paid listing adds the clinic’s own description, hours and specialties.⁠91,92

Sources

  1. Arizona Board of Physical Therapy. Arizona Board of Physical Therapy. Checked October 30, 2026.
  2. Arizona State Legislature. Arizona Revised Statutes § 32-2041. “A. A physical therapist shall refer a client to appropriate health care practitioners if the physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice or if physical therapy is contraindicated.” Checked October 30, 2026.
  3. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 430: Early and Periodic Screening, Diagnostic, and Treatment Services (effective October 1, 2026). Checked October 30, 2026.
    Show the passageHide the passage
    “16. Medically Necessary Therapies AHCCCS covers medically necessary therapies including physical therapy, occupational therapy, and speech therapy, necessary to correct or ameliorate defects, physical and mental illnesses, and conditions discovered by the screening services. Therapies are covered under both an inpatient and outpatient basis when medically necessary. For EPSDT-eligible members under the age of three years identified by the PCP as needing early intervention services, the Contractor is required to provide services in the natural environment whenever possible.”
  4. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). “... a. The Outpatient OT services are covered for ALTCS members and members under the age of 21, ... 2. Outpatient PT services are covered for members under the age of 21 ...” Checked October 30, 2026.
  5. Arizona Board of Occupational Therapy Examiners. Arizona Board of Occupational Therapy Examiners. Checked October 30, 2026.
  6. Arizona Department of Health Services. Arizona Department of Health Services. Checked October 30, 2026.
  7. Arizona State Legislature. Arizona Revised Statutes § 32-2001. Checked October 30, 2026.
    Show the passageHide the passage
    “13. "Practice of physical therapy" means: (a) Examining, evaluating and testing persons who have mechanical, physiological and developmental impairments, functional limitations and disabilities or other health and movement related conditions in order to determine a diagnosis, a prognosis and a plan of therapeutic intervention and to assess the ongoing effects of intervention, including ordering imaging.”
  8. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 4, Chapter 24, Board of Physical Therapy (Supp. 25-3, September 30, 2025), R4-24-301. Checked October 30, 2026.
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    “R4-24-301. Lawful Practice A. A physical therapist shall provide the referring practitioner, if any, with information from the patient assessment, diagnosis, and plan of care. Within one week after a patient is initially evaluated, the physical therapist shall provide this information ...”
  9. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). Checked October 30, 2026.
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    “The Contractor and FFS Programs shall cover Occupational Therapy (OT), Physical Therapy (PT), and Speech Therapy (ST) services that are ordered by a Primary Care Provider (PCP) or attending physician and shall be included in the member’s individualized plan.”
  10. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). Checked October 30, 2026.
    Show the passageHide the passage
    “... b. The Outpatient OT services are covered for Acute members, 21 years of age and older as follows: i. 15 OT visits per benefit year for the purpose of restoring a skill or level of function and maintaining that skill or level of function once restored, ii. 15 OT visits per benefit year for the purpose of acquiring a new skill or a new level of function and maintaining that skill or level of function once acquired: ... iii. For the purposes of Section 2.b., a visit is considered to be OT services received in one day. ... a. Outpatient PT services are covered for adult members, 21 years of age and older (Acute and ALTCS) as specified in AAC R9-22-215 and AAC R9-28-206 as follows: i. 15 PT visits per benefit year for the purpose of restoring a skill or level of function and maintaining that skill or level of function once restored, and ... ii. 15 PT visits per benefit year for the purpose of acquiring a new skill or a new level of function and maintaining that level of function once acquired: ... Any ST is covered on an outpatient basis for all members based on medical necessity.”
  11. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
  12. PT Compact Commission. PT Compact Map. “Member States (38) Alabama Alaska Arizona ...” Checked October 30, 2026.
  13. Arizona State Legislature. Arizona Revised Statutes § 32-2053. “The physical therapy licensure compact is adopted and enacted into law as follows ...” Checked October 30, 2026.
  14. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... Arizona Not Yet ...” Checked October 30, 2026.
  15. Arizona State Legislature. Arizona Revised Statutes § 32-3431. “The occupational therapy licensure compact model legislation is adopted and enacted into law as follows ...” Checked October 30, 2026.
  16. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Arizona Audiology Appointment Pending Arizona SLP Appointment Pending ...” Checked October 30, 2026.
  17. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
  18. Arizona State Legislature. Arizona Revised Statutes § 36-1940.11. “36-1940.11. Audiologists and speech-language pathologists; compact SECTION 1. PURPOSE A. The purpose of this compact is to facilitate the interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
  19. Arizona State Legislature. Laws 2025, Chapter 179 (Senate Bill 1075). “Sec. 8. Effective date This act is effective from and after December 31, 2025. APPROVED BY THE GOVERNOR MAY 13, 2025.” Checked October 30, 2026.
  20. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
  21. Arizona State Legislature. Arizona Revised Statutes § 12-2297. Checked October 30, 2026.
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    “A. Unless otherwise required by statute or by federal law, a health care provider shall retain the original or copies of a patient’s medical records as follows: 1. If the patient is an adult, for at least six years after the last date the adult patient received medical or health care services from that provider. 2. If the patient is a child, either for at least three years after the child’s eighteenth birthday or for at least six years after the last date the child received medical or health care services from that provider, whichever date occurs later.”
  22. Arizona State Legislature. Arizona Revised Statutes § 12-2291. “5. "Health care provider" means: (a) A person who is licensed pursuant to title 32 and who maintains medical records.” Checked October 30, 2026.
  23. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 9, Chapter 16, Department of Health Services, Occupational Licensing (Supp. 26-1, March 31, 2026), R9-16-211. Checked October 30, 2026.
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    “C. A licensee shall maintain the following records according to A.R.S. § 32-3211 for each client for at least 36 months after the date the licensee provided a service or dispensed a product while engaged in the practice of audiology ...”
  24. Arizona Corporation Commission. Corporations Division (Business Services). Checked October 30, 2026.
  25. Arizona State Legislature. Arizona Revised Statutes § 10-2201. “6. "Professional service" means a service that may be lawfully rendered only by a person licensed or otherwise authorized by a licensing authority in this state to render the service.” Checked October 30, 2026.
  26. Arizona State Legislature. Arizona Revised Statutes § 32-2030. Checked October 30, 2026.
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    “A. A business entity shall not offer physical therapy services pursuant to this chapter unless: 1. The business entity is registered with the board pursuant to this section. 2. The physical therapy services are conducted by a licensee pursuant to this chapter. ... C. A business entity must file a separate registration application and pay a fee for each branch office in this state. D. A registration expires on August 31 of odd-numbered years in accordance with the physical therapist professional licensing schedule.”
  27. Arizona State Legislature. Arizona Revised Statutes § 32-2001. Checked October 30, 2026.
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    “3. "Business entity" means a business organization that has an ownership that includes any persons who are not licensed or certified to provide physical therapy services in this state, that offers to the public professional services regulated by the board and that is established pursuant to the laws of any state or foreign country.”
  28. Arizona Corporation Commission. Ten Steps to Starting a Business. “6. File with the Arizona Corporation Commission Corporations Division Submit your formation documentation with the A.C.C. ... If you are forming an LLC, you will submit Articles of Organization. If you are forming a corporation, you will submit Articles of Incorporation.” Checked October 30, 2026.
  29. Arizona Department of Economic Security. Arizona Early Intervention Program (AzEIP). Checked October 30, 2026.
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    “Make a Referral If you are concerned a child is not reaching appropriate milestone(s), refer the child to AzEIP. Refer a child online Refer a child by email Phone: (888) 592-0140 ... The Arizona Early Intervention Program (AzEIP) is Arizona’s statewide system. It offers services and support for families with infants and toddlers. This includes children from birth to age two who have disabilities or delays. AzEIP is established by Part C of the Individuals with Disabilities Education Act (IDEA).”
  30. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 4, Chapter 24, Board of Physical Therapy (Supp. 25-3, September 30, 2025), R4-24-101. “10. "Compliance period" means the two-year license renewal cycle that ends August 31 of even-numbered years.” Checked October 30, 2026.
  31. Arizona State Legislature. Arizona Revised Statutes § 32-2027. “A. A licensee shall renew the license pursuant to board rules.” Checked October 30, 2026.
  32. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 4, Chapter 24, Board of Physical Therapy (Supp. 25-3, September 30, 2025), R4-24-401. Checked October 30, 2026.
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    “A. Except as provided in subsection (G), a licensed physical therapist shall earn 20 contact hours of continuing competence for each compliance period to be eligible for license renewal. 1. The licensed physical therapist shall earn at least 10 contact hours from Category A continuing competence activities. ... B. Except as provided in subsection (G), a licensed physical therapist assistant shall earn 10 contact hours of continuing competence for each compliance period to be eligible for license renewal. 1. The licensed physical therapist assistant shall earn at least six contact hours from Category A continuing competence activities.”
  33. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 4, Chapter 24, Board of Physical Therapy (Supp. 25-3, September 30, 2025), R4-24-101 and R4-24-303. Checked October 30, 2026.
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    “30. "Readily available," as used in the definition of "general supervision" prescribed under A.R.S. § 32-2001, means a supervising physical therapist is able to respond within 15 minutes to a communication from a physical therapist assistant providing a selected treatment intervention under general supervision. ... C. A physical therapist shall not supervise more than three assistive personnel at any time. ... D. Before delegating performance of a selected treatment intervention to a physical therapist assistant working under general supervision, the supervising physical therapist shall ensure the physical therapist assistant: 1. Is licensed under this Chapter, and 2. Has completed at least 2,000 hours of experience as a physical therapist assistant working with patients under onsite supervision.”
  34. Arizona State Legislature. Arizona Revised Statutes § 32-2043. “B. A physical therapist assistant who is licensed pursuant to this chapter may provide physical therapy services under the general supervision of a physical therapist who is licensed pursuant to this chapter.” Checked October 30, 2026.
  35. Arizona State Legislature. Arizona Revised Statutes § 32-2001. “5. "General supervision": (a) Means that the supervising physical therapist is on call and is readily available via telecommunications when the physical therapist assistant is providing treatment interventions. (b) Includes supervision provided through telehealth as defined in section 36-3601.” Checked October 30, 2026.
  36. Arizona State Legislature. Arizona Revised Statutes § 32-3426. “A. Except as provided in section 32-4301, a license issued under this chapter is subject to renewal every two years and expires unless renewed.” Checked October 30, 2026.
  37. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 4, Chapter 43, Board of Occupational Therapy Examiners (Supp. 00-1, March 31, 2000), R4-43-202. “C. Unless otherwise required by A.R.S. § 32-3202, a license that is not renewed within 2 years of the date of issuance expires by operation of law.” Checked October 30, 2026.
  38. Arizona Board of Occupational Therapy Examiners. Continuing Education. Checked October 30, 2026.
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    “R4-43-203. Continuing Education for Renewal of License A. A licensee shall complete continuing education for renewal of a license as follows: 1. Occupational Therapist, 20 clock-hours for renewal of a 2-year license; and 2. Occupational Therapy Assistant, 12 clock-hours for renewal of a 2-year license. B. A licensee shall complete the continuing education clock hours in subsection (A) within the 2-year period before the date the licensee’s license expires ...”
  39. Arizona Secretary of State, Administrative Rules Division. Arizona Administrative Code, Title 4, Chapter 43, Board of Occupational Therapy Examiners (Supp. 00-1, March 31, 2000), R4-43-401. Checked October 30, 2026.
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    “A. Only a licensed occupational therapist shall: 1. Prepare an initial treatment plan, initiate or re-evaluate a client or patient’s treatment plan, or authorize in writing a change of a treatment plan; 2. Delegate duties to a licensed occupational therapy assistant, designate an assistant’s duties, and assign a level of supervision; and 3. Authorize a patient discharge. ... C. A supervising occupational therapist shall supervise a licensed occupational therapy assistant as follows: 1. Not less than routine supervision if the occupational therapy assistant has less than 12 months work experience in a particular practice setting or with a particular skill. 2. Not less than general supervision if the occupational therapy assistant has more than 12 months but less than 24 months of experience in a particular practice setting or with a particular skill. 3. Not less than minimal supervision if an occupational therapy assistant has more than 24 months of experience in a particular practice setting or with a particular skill.”
  40. Arizona State Legislature. Arizona Revised Statutes § 32-3441. “F. In all settings in which occupational therapy services are provided, an occupational therapy assistant, during evaluation, intervention and outcome and discharge planning: 1. Must sign all clinical documentation performed by students. 2. Must be under the direction of an occupational therapist.” Checked October 30, 2026.
  41. Arizona State Legislature. Arizona Revised Statutes § 36-1904. Checked October 30, 2026.
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    “A. The director shall issue a regular license to each applicant who meets the requirements of this chapter. A regular license is valid for two years. B. A licensee shall renew a regular license every two years on payment of the renewal fee prescribed in section 36-1908. There is a thirty-day grace period after the expiration of a regular license.”
  42. Arizona Department of Health Services. Licensing for Professions & Occupations (BLPO): Speech & Hearing Professionals, Continuing Education. “A licensed speech-language pathologist shall complete at least 20 continuing education hours in speech-language pathology related courses. ... A speech-language pathologist assistant shall comply with the requirements in A.R.S. § 36-1904.” Checked October 30, 2026.
  43. Arizona State Legislature. Arizona Revised Statutes § 36-1904. “D. When renewing a regular license in audiology or in speech-language pathology, the licensee shall provide proof of having completed at least twenty hours of continuing education within the prior twenty-four months.” Checked October 30, 2026.
  44. Arizona State Legislature. Arizona Revised Statutes § 36-1940.04. Checked October 30, 2026.
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    “E. All services provided by a speech-language pathology assistant shall be performed under the direction and supervision of a speech-language pathologist who is licensed pursuant to this chapter. F. A licensed speech-language pathologist who supervises or directs the services provided by a speech-language pathology assistant shall: 1. Have at least two years of full-time professional experience as a licensed speech-language pathologist. 2. Provide direction and supervision to not more than two full-time or three part-time speech-language pathology assistants at one time. ... (a) At least twenty percent direct supervision and ten percent indirect supervision of all the time that the speech-language pathology assistant is providing services during the individual’s first ninety days of employment. ... Minimum ongoing supervision after the first ninety days shall include documentation of direct and indirect supervision provided by the supervising speech-language pathologist and shall include at least one hour of direct supervision weekly and as much indirect supervision as needed to maintain the delivery of quality services.”
  45. Arizona State Legislature. Arizona Revised Statutes § 36-1907. “B. A person shall not engage in performing the duties of a speech-language pathology assistant or claim to be a speech-language pathology assistant unless the person holds an active license in good standing issued by the director as provided by this chapter.” Checked October 30, 2026.
  46. Arizona State Legislature. Arizona Revised Statutes § 32-4302. Checked October 30, 2026.
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    “A. Notwithstanding any other law, an occupational or professional license or certificate shall be issued, in the discipline applied for and at the same practice level as determined by the regulating entity, pursuant to this title to a person who establishes residence in this state ... if all of the following apply: 1. The person is currently licensed or certified in at least one other state in the discipline applied for and at the same practice level as determined by the regulating entity and the license or certification is in good standing in all states in which the person holds a license or certification. 2. The person has been licensed or certified by another state for at least one year.”
  47. Arizona Board of Occupational Therapy Examiners. Licensure by Universal License Recognition. Checked October 30, 2026.
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    “Complete an application for licensure by universal license recognition if ALL of the following apply: You have proof of established residency in Arizona You currently hold a license as an occupational therapist or occupational therapy assistant in a state other than Arizona and have held it at least one year ...”
  48. Arizona State Legislature. Arizona Revised Statutes § 32-3421. Checked October 30, 2026.
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    “A. Except as provided by section 32-3422, a person shall not do any of the following in this state unless licensed pursuant to this chapter: 1. Practice or assist in the practice of occupational therapy. 2. Claim to be an occupational therapist, an occupational therapy assistant or a provider of occupational therapy services. 3. Render occupational therapy services.”
  49. Arizona State Legislature. Arizona Revised Statutes § 32-3401. Checked October 30, 2026.
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    “6. "Occupational therapy" means the use of therapeutic activities or modalities to promote engagement in activities with individuals who are limited by physical or cognitive injury or illness, psychosocial dysfunction, developmental or learning disabilities, sensory processing or modulation deficits or the aging process in order to achieve optimum functional performance, maximize independence, prevent disability and maintain health. Occupational therapy includes evaluation, treatment and consultation based on the client’s temporal, spiritual and cultural values and needs.”
  50. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). Checked October 30, 2026.
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    “The Contractor and FFS Programs shall cover Occupational Therapy (OT), Physical Therapy (PT), and Speech Therapy (ST) services that are ordered by a Primary Care Provider (PCP) or attending physician and shall be included in the member’s individualized plan.”
  51. Arizona State Legislature. Arizona Revised Statutes § 36-1907. Checked October 30, 2026.
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    “A. A person shall not engage in the practice of fitting and dispensing hearing aids, audiology or speech-language pathology or display a sign or in any other way advertise or claim to be a hearing aid dispenser, an audiologist or a speech-language pathologist unless the person holds an active license in good standing issued by the director as provided in this chapter.”
  52. Arizona State Legislature. Arizona Revised Statutes § 36-1901. “20. "Practice of speech-language pathology" means: (a) Rendering or offering to render to an individual or groups of individuals who have or are suspected of having disorders of communication service in speech-language pathology, including prevention, identification, evaluation, consultation, habilitation, rehabilitation, instruction and research.” Checked October 30, 2026.
  53. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). Checked October 30, 2026.
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    “The Contractor and FFS Programs shall cover Occupational Therapy (OT), Physical Therapy (PT), and Speech Therapy (ST) services that are ordered by a Primary Care Provider (PCP) or attending physician and shall be included in the member’s individualized plan.”
  54. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Provider Enrollment Applications and Revalidations. Checked October 30, 2026.
  55. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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    “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
  56. Arizona Health Care Cost Containment System (AHCCCS). Fee-For-Service Provider Billing Manual, Chapter 10: Individual Practitioner Services (revised April 29, 2026). Checked October 30, 2026.
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    “Prior Authorization No PA is required for covered outpatient occupational therapy services. Refer to AMPM Policy 310-X for limitations. ... Prior Authorization No PA is required for covered outpatient physical therapy services. Refer to AMPM Policy 310-X for limitations.”
  57. Arizona Health Care Cost Containment System (AHCCCS). About AHCCCS. Checked October 30, 2026.
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    “Built on a system of competition and choice, AHCCCS is a $21 billion program that operates under an integrated managed care model, through a Research and Demonstration 1115 Waiver. Contracted health plans coordinate and pay for physical and behavioral health care services delivered by more than 93,000 health care providers to more than 2.2 million Arizonans.”
  58. Arizona Health Care Cost Containment System (AHCCCS). Available Health Plans (revised June 30, 2026). Checked October 30, 2026.
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    “Revised 2026-6-30 AHCCCS COMPLETE CARE (ACC) HEALTH PLANS AHCCCS Complete Care Health Plan Member Services Phone Number Member Resources Counties Served Arizona Complete Health - Complete Care Plan ... Banner-University Family Care ... Molina Healthcare ... Mercy Care ... Blue Cross Blue Shield of Arizona Health Choice ... UnitedHealthcare Community Plan ...”
  59. Arizona Health Care Cost Containment System (AHCCCS). Fee-For-Service Fee Schedules. Checked October 30, 2026.
  60. Arizona Health Care Cost Containment System (AHCCCS). Fee-For-Service Provider Billing Manual, Chapter 10: Individual Practitioner Services (revised April 29, 2026). Checked October 30, 2026.
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    “Service limits will be applied to outpatient occupational therapy (OT) codes for AHCCCS enrolled members as follows: • Services occurring on the same day with either the same or different providers will count as a single visit. ... A qualified Speech-Language Pathology Assistant (SLPA) must be licensed by the Arizona Department of Health Services (ADHS). The SLPA must be identified as the servicing provider and bill for services under his/her individual NPI number.”
  61. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). “2. The SLP shall be identified as the treating AHCCCS registered provider and bill for services under their individual National Provider Identifier (NPI) number (a group ID number shall be utilized to direct payment).” Checked October 30, 2026.
  62. Arizona Health Care Cost Containment System (AHCCCS). Fee-For-Service Provider Billing Manual, Chapter 10: Individual Practitioner Services (revised April 29, 2026). Checked October 30, 2026.
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    “Benefit limits apply to outpatient physical therapy (PT) for acute and ALTCS members 21 years of age and older as follows: • Services occurring on the same day with either the same or different providers will count as a single visit.”
  63. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 310-X: Occupational, Physical, and Speech Therapies (effective October 1, 2025). “The individualized plan shall be reviewed at least every 62 days (bimonthly) by the member’s PCP attending physician or nonphysician practitioner ...” Checked October 30, 2026.
  64. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 710: School Based Claiming Program (effective August 15, 2025). Checked October 30, 2026.
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    “III. POLICY Through the DSC Program, AHCCCS provides coverage of certain Medicaid 1905(a) benefits/services rendered to Title XIX Medicaid eligible student beneficiaries ("students") that require physical and/or behavioral health services identified as medically necessary in an Individualized Education Program (IEP), Individualized Family Service Plan ( IFSP), or other medical plan of care. ... 5. Physical Therapy (PT) and Occupational Therapy (OT): For the purposes of the DSC program, Physical Therapists and Occupational Therapists may operate as both ordering and rendering providers. ... 6. Speech Language Pathology Services: For the purposes of the DSC program, Speech Therapists may operate as both ordering and rendering provider.”
  65. Arizona Health Care Cost Containment System (AHCCCS). AHCCCS Medical Policy Manual, Policy 320-I: Telehealth (effective October 1, 2023). Checked October 30, 2026.
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    “The Contractor and Fee-For-Service ( FFS) programs shall cover medically necessary, non-experimental, and cost-effective services delivered via telehealth by AHCCCS registered providers for AHCCCS covered services. ... The Contractor and FFS programs may not limit or deny the coverage of services provided through telehealth and may apply only the same limits or exclusions on a service provided through telehealth that are applicable to an in-person encounter for the same service ... The Contractor and FFS Programs shall reimburse providers at the same level of payment for equivalent services as identified by Healthcare Common Procedure Coding System (HCPCS) whether provided via telemedicine or in-person office/facility setting.”
  66. Arizona State Legislature. Arizona Revised Statutes § 36-3606. Checked October 30, 2026.
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    “A. A health care provider who is not licensed in this state may provide telehealth services to a person located in this state if the health care provider complies with all of the following: 1. Registers with this state’s applicable health care provider regulatory board or agency that licenses comparable health care providers in this state on an application prescribed by the board or agency ...”
  67. Arizona State Legislature. Arizona Revised Statutes § 36-3602. “A. Except as provided in subsection G of this section, before a health care provider delivers health care through telehealth, the treating health care provider shall obtain verbal or written informed consent, including by electronic means, from the patient or the patient’s health care decision maker.” Checked October 30, 2026.
  68. Arizona State Legislature. Arizona Revised Statutes § 36-3601. Checked October 30, 2026.
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    “2. "Health care provider": (a) Means a person who is licensed pursuant to title 32, chapter 7, 8, 13, 14, 15, 15.1, 16, 17, 18, 19, 19.1, 25, 27, 29, 33, 34, 35, 39, 41 or 42, or chapter 4, article 6 of this title, chapter 6, article 7 of this title or chapter 17 of this title.”
  69. Arizona State Legislature. Arizona Revised Statutes § 20-841.09. Checked October 30, 2026.
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    “A. All contracts issued, delivered or renewed in this state must provide coverage for health care services that are provided through telehealth if the health care service would be covered were it provided through an in-person encounter between the subscriber and a health care provider and provided to a subscriber receiving the service in this state. ... 1. Except as otherwise provided in this subsection, a corporation may not limit or deny the coverage of health care services provided through telehealth, including ancillary services, and may apply only the same limits or exclusions on a health care service provided through telehealth that are applicable to an in-person encounter for the same health care service ... 2. Except as otherwise provided in this paragraph, a corporation shall reimburse health care providers at the same level of payment for equivalent services as identified by the healthcare common procedure coding system, whether provided through telehealth using an audio-visual format or in-person care.”
  70. Arizona State Legislature. Arizona Revised Statutes § 20-1057.13. Checked October 30, 2026.
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    “A. An evidence of coverage issued, delivered or renewed by a health care services organization in this state must provide coverage for health care services that are provided through telehealth if the health care service would be covered were it provided through an in-person encounter between the enrollee and a health care provider and provided to an enrollee receiving the service in this state. ... 1. Except as otherwise provided in this subsection, a health care services organization may not limit or deny the coverage of health care services provided through telehealth, including ancillary services, and may apply only the same limits or exclusions on a health care service provided through telehealth that are applicable to an in-person encounter for the same health care service ... 2. Except as otherwise provided in this paragraph, a health care services organization shall reimburse health care providers at the same level of payment for equivalent services as identified by the healthcare common procedure coding system, whether provided through telehealth using an audio-visual format or in-person care.”
  71. Arizona State Legislature. Arizona Revised Statutes § 20-1376.05. Checked October 30, 2026.
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    “A. All policies issued, delivered or renewed by a disability insurer in this state must provide coverage for health care services that are provided through telehealth if the health care service would be covered were it provided through an in-person encounter between the insured and a health care provider ... 1. Except as otherwise provided in this subsection, a disability insurer may not limit or deny the coverage of health care services provided through telehealth, including ancillary services, and may apply only the same limits or exclusions on a health care service provided through telehealth that are applicable to an in-person encounter for the same health care service ... 2. Except as otherwise provided in this paragraph, a disability insurer shall reimburse health care providers at the same level of payment for equivalent services as identified by the healthcare common procedure coding system, whether provided through telehealth using an audio-visual format or in-person care.”
  72. Arizona State Legislature. Arizona Revised Statutes § 20-1406.05. Checked October 30, 2026.
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    “A. All policies issued, delivered or renewed by a group disability insurer or a blanket disability insurer in this state must provide coverage for health care services that are provided through telehealth if the health care service would be covered were it provided through an in-person encounter between the insured and a health care provider and provided to an insured receiving the service in this state. ... 1. Except as otherwise provided in this subsection, a group or blanket disability insurer may not limit or deny the coverage of health care services provided through telehealth, including ancillary services, and may apply only the same limits or exclusions on a health care service provided through telehealth that are applicable to an in-person encounter for the same health care service ... 2. Except as otherwise provided in this paragraph, a group or blanket disability insurer shall reimburse health care providers at the same level of payment for equivalent services as identified by the healthcare common procedure coding system, whether provided through telehealth using an audio-visual format or in-person care.”
  73. Arizona Department of Revenue. Business. Checked October 30, 2026.
  74. Arizona Department of Revenue. Transaction Privilege Tax. Checked October 30, 2026.
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    “Although commonly referred to as a sales tax, the Arizona transaction privilege tax (TPT) is actually a tax on a vendor for the privilege of doing business in the state. Various business activities are subject to transaction privilege tax and must be licensed. If a business is selling a product or engaging in a service subject to TPT, a license from the Arizona Department of Revenue (ADOR) would likely be needed as well as a transaction privilege tax or business/occupational license from the city or cities in which the business is based and/or operates.”
  75. Arizona Department of Revenue. Business. “Please note: A service business may or may not be subject to regulatory licensing, TPT and/or business licensing.” Checked October 30, 2026.
  76. Arizona State Legislature. Arizona Revised Statutes § 23-902. Checked October 30, 2026.
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    “A. Employers subject to this chapter are the state, each county, city, town, municipal corporation and school district and every person who employs any workers or operatives regularly employed in the same business or establishment under contract of hire, including covered employees pursuant to a professional employer agreement, except domestic servants. ... For the purposes of this subsection, "regularly employed" includes all employments, whether continuous throughout the year, or for only a portion of the year, in the usual trade, business, profession or occupation of an employer.”
  77. Arizona State Legislature. Arizona Revised Statutes § 23-961. Checked October 30, 2026.
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    “A. Employers shall secure workers’ compensation to their employees in one of the following ways: 1. By insuring and keeping insured the payment of such compensation with an insurance carrier authorized by the director of the department of insurance and financial institutions to write workers’ compensation insurance in this state. 2. By furnishing to the commission satisfactory proof of financial ability to pay the compensation directly or through a workers’ compensation pool approved by the commission in the amount and manner and when due as provided in this chapter.”
  78. Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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    “A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”.
  79. Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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    “Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”.
  80. Arizona State Legislature. Arizona Revised Statutes § 12-2292. Checked October 30, 2026.
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    “A. Unless otherwise provided by law, all medical records and payment records, and the information contained in medical records and payment records, are privileged and confidential. A health care provider may only disclose that part or all of a patient’s medical records and payment records as authorized by state or federal law or written authorization signed by the patient or the patient’s health care decision maker. B. This article does not limit the effect of any other federal or state law governing the confidentiality of medical records and payment records.”
  81. Arizona State Legislature. Arizona Revised Statutes § 18-552. Checked October 30, 2026.
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    “A. If a person that conducts business in this state and that owns, maintains or licenses unencrypted and unredacted computerized personal information becomes aware of a security incident, the person shall conduct an investigation to promptly determine whether there has been a security system breach. B. If the investigation results in a determination that there has been a security system breach, the person that owns or licenses the computerized data, within forty-five days after the determination, shall: 1. Notify the individuals affected pursuant to subsection E of this section and subject to the needs of law enforcement as provided in subsection D of this section. 2. If the breach requires notification of more than one thousand individuals, notify both: (a) The three largest nationwide consumer reporting agencies. (b) The attorney general and the director of the Arizona department of homeland security ...”
  82. Arizona State Legislature. Arizona Revised Statutes § 13-3620. Checked October 30, 2026.
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    “A. Any person who reasonably believes that a minor is or has been the victim of physical injury, abuse, child abuse, a reportable offense or neglect that appears to have been inflicted on the minor by other than accidental means ... shall immediately report or cause reports to be made of this information to a peace officer, to the department of child safety ... "person" means: 1. Any physician, physician’s assistant, optometrist, dentist, osteopathic physician, chiropractor, podiatrist, behavioral health professional, nurse, psychologist, counselor or social worker who develops the reasonable belief in the course of treating a patient. ... 5. Any other person who has responsibility for the care or treatment of the minor.”
  83. Arizona State Legislature. Arizona Revised Statutes § 46-454. Checked October 30, 2026.
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    “A. A health professional, emergency medical technician, home health provider, hospital intern or resident, speech, physical or occupational therapist, long-term care provider, ... who has a reasonable basis to believe that abuse, neglect or exploitation of the vulnerable adult has occurred shall immediately report or cause reports to be made of such reasonable basis to a peace officer or to the adult protective services central intake unit.”
  84. Arizona State Legislature. Arizona Revised Statutes § 20-1402.03. Checked October 30, 2026.
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    “A. A group disability insurer shall not: 1. Exclude or deny coverage for a treatment or impose dollar limits, deductibles and coinsurance provisions based solely on the diagnosis of autism spectrum disorder. For the purposes of this paragraph, "treatment" includes diagnosis, assessment and services. 2. Exclude or deny coverage for medically necessary behavioral therapy services. To be eligible for coverage, behavioral therapy services shall be provided or supervised by a licensed or certified provider. B. This section does not: 1. Apply to a policy that is issued to an individual or a small employer. ... 2. "Behavioral therapy" means interactive therapies derived from evidence based research, including applied behavior analysis ...”
  85. Arizona State Legislature. Arizona Revised Statutes § 20-826.04. “A. A hospital service corporation or medical service corporation shall not: 1. Exclude or deny coverage for a treatment or impose dollar limits, deductibles and coinsurance provisions based solely on the diagnosis of autism spectrum disorder.” Checked October 30, 2026.
  86. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction F (JF). “Contract Awardee: Noridian Healthcare Solutions, LLC , Contract Number 75FCMC25CJ010 ... JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming ...” Checked October 30, 2026.
  87. Noridian Healthcare Solutions. Jurisdiction F - Part B - JF Part B - Noridian. “Jurisdiction F - Medicare Part B Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming ...” Checked October 30, 2026.
  88. the Arizona Physical Therapy Association (APTA Arizona). the Arizona Physical Therapy Association (APTA Arizona) (the state association's site). Checked October 30, 2026.
  89. the Arizona Occupational Therapy Association. the Arizona Occupational Therapy Association (the state association's site). Checked October 30, 2026.
  90. the Arizona Speech-Language-Hearing Association. the Arizona Speech-Language-Hearing Association (the state association's site). Checked October 30, 2026.
  91. DrSensory. Occupational therapy clinics in Arizona, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 30, 2026.
  92. DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in Arizona, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.