New Jersey PT, OT and SLP guide

For OT, PT and SLP clinics in New Jersey: two licensing bodies license the disciplines, a physical therapist refers a patient on when there is no reasonable progress within 30 days of the first treatment, NJ FamilyCare covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location.⁠^1,2,3,4

Who licenses OTs, PTs and SLPs in New Jersey?

The State Board of Physical Therapy Examiners and the Director of the Division of Consumer Affairs license the three disciplines in New Jersey, and each publishes its own licensing law, rules and renewal cycle.⁠^1,5,6 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the New Jersey State Board of Physical Therapy Examiners.⁠^{1,28,29,30,31} Occupational therapists and occupational therapy assistants answer to the Director of the Division of Consumer Affairs, through the Occupational Therapy Advisory Council.⁠^5,32,33,34 Speech-language pathologists answer to the Director of the Division of Consumer Affairs, in consultation with the Audiology and Speech-Language Pathology Advisory Committee.⁠^6,35,36,37 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 a New Jersey license renewal require?

Each regulator sets its own cycle and any continuing-education 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 a New Jersey 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 Board’s rule requires a licensed physical therapist to refer a patient to a health care professional when the therapist has reason to believe physical therapy is contraindicated or that symptoms or conditions need services outside the physical therapist’s scope of practice, or when the patient has failed to demonstrate reasonable progress within 30 days of the initial treatment; the licensing law makes a failure to refer immediately in the first case an unlawful practice of physical therapy.⁠^2,7,8 For occupational therapy, the Occupational Therapy Licensing Act defines occupational therapy as the evaluation, planning and implementation of a program of purposeful activities to develop or maintain functional skills, and requires a license to practice it or to hold oneself out as an occupational therapist or assistant.⁠^38,39 For speech-language pathology, the licensing act defines the practice of speech-language pathology as the nonmedical and nonsurgical application of measurement, prediction, nonmedical diagnosis, testing, counseling, consultation, habilitation, rehabilitation and instruction for disorders of speech, voice and language, and requires a license to practice it.⁠^40,41

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.⁠¹⁶ NJ FamilyCare’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 NJ FamilyCare pay for pediatric and adult therapy?

NJ FamilyCare is New Jersey’s Medicaid program, run by the Division of Medical Assistance and Health Services, and a clinic enrolls through its provider enrollment route before it bills.⁠⁴² 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.⁠⁴³ Every Medicaid member under 21 is entitled to any medically necessary service, rehabilitative services included, based on medical necessity and not limited in volume, scope or duration regardless of state plan or regulatory limits. Children covered only through NJ FamilyCare B, C and D receive only the treatment services in the plan’s benefit package or specified fee-for-service services. For every member with an autism spectrum disorder diagnosis, the plans provide sensory integration services and physical, occupational and speech therapy.⁠^3,4

NJ FamilyCare’s list of covered health care services includes physical, occupational and speech therapy, and the managed care contract’s benefit package includes outpatient rehabilitation: physical therapy, occupational therapy, speech pathology services and cognitive rehabilitation therapy.⁠^9,10 NJ FamilyCare’s managed care contract requires a health plan to make a prior authorization decision within seven calendar days for a standard request and within 72 hours for an expedited request.⁠⁴⁴ New Jersey began moving Medicaid members from fee-for-service, where providers bill Medicaid directly, to managed care in 1995, and five health plans take part in NJ FamilyCare: Aetna Better Health of New Jersey, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan and Wellpoint.⁠⁴⁵ The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁴⁶

How does NJ FamilyCare want OT, PT and SLP claims coded?

For members eligible for EPSDT, aged 18 months to 21 years, with an autism spectrum disorder diagnosis, the managed care contract covers occupational, physical and speech therapy under any CPT code supported by medical necessity, listing common codes such as 92507 and 92508 for speech therapy, 97165 to 97167 for occupational therapy evaluations and 97161 to 97163 for physical therapy evaluations. Therapy codes are 15-minute units and evaluations are episodes of care, and the coverage leaves out services a school must provide under a child’s IEP.⁠^47,48,49,50 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 NJ FamilyCare pay for therapy in schools?

Under the managed care contract, services an IEP lists as required services, physical therapy for example, are paid for by the school district, and services covered under the Special Education Medicaid Initiative (SEMI), the federal Medicaid program that reimburses local education agencies for special education related services such as physical, occupational and speech therapy, are not the health plan’s responsibility.⁠^51,52 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 NJ FamilyCare cover therapy by telehealth?

N.J.S.A. 30:4D-6k requires the State Medicaid and NJ FamilyCare programs to cover and pay for services delivered through telemedicine or telehealth on the same basis as in-person services, at a provider reimbursement rate that does not exceed the in-person rate. The managed care contract has the plans reimburse a provider validly licensed in New Jersey so long as either the provider or the patient is located in New Jersey.⁠^53,54 The telehealth section below covers the state’s own rules for the session itself.

What are New Jersey’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 N.J.S.A. 45:1-62 lets a health care provider who establishes a proper provider-patient relationship provide services remotely by telemedicine, requires a provider using telemedicine or telehealth to be validly licensed, certified or registered under Title 45 to provide such services in New Jersey, and holds those services to the same standard of care as in-person settings.⁠^55,56

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 N.J.S.A. 26:2S-29 requires a carrier offering a health benefits plan in New Jersey to cover and pay for services delivered through telemedicine or telehealth on the same basis as in-person services, at a provider reimbursement rate that does not exceed the in-person rate, with no deductible, copayment or coinsurance above the in-person amount, and bars a carrier from restricting the location or setting of the distant or originating site.⁠⁵⁷

Which business steps are specific to New Jersey?

The entity is registered with the Division of Revenue and Enterprise Services (New Jersey Department of the Treasury), and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²⁰ Physical therapists may form a professional corporation under the Professional Service Corporation Act, which names physical therapists among the professions it covers and requires each shareholder to be licensed to render the same or a closely allied professional service. Only a natural person may be licensed as a PT or PTA, and each PT or PTA employed by a corporation or other business entity takes professional responsibility for the clinic it provides. Only an individual may be licensed in occupational therapy, and a firm, partnership, association or corporation may offer occupational therapy services only if a licensed individual renders them. Only individuals may be licensed in speech-language pathology, and a person who employs licensed individuals in the direct practice may engage in it without a license after filing a statement with the director.⁠^{21,22,23,24,25} State tax registration is with Form NJ-REG, filed with the Division of Revenue and Enterprise Services.⁠^58,59 New Jersey’s Sales and Use Tax Act taxes the receipts from retail sales of tangible personal property and certain services, and the Division of Taxation’s guide lists professional services (doctor, lawyer, etc.) as exempt. Diabetic supplies, prosthetic devices and durable medical equipment for home use are exempt, and mobility enhancing equipment such as canes, crutches and wheelchairs is exempt when sold under a doctor’s prescription. A business selling taxable items or services must collect and remit the tax.⁠^60,61 Every employer except the state, a municipality, county or school district must make sufficient provision for complete payment of any obligation to an injured employee by one of the methods sections 34:15-77 and 34:15-78 set out. An employer who fails to provide that protection is guilty of a disorderly persons offense, and of a crime of the fourth degree when the failure is knowing.⁠^62,63 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 New Jersey?

The physical therapy rule requires patient records to be kept at least seven years from the date of the last entry, the occupational therapy rule requires client records to be kept at least seven years from the date of the last entry, and the speech-language pathology rule requires records to be kept at least seven years from the most recent entry.⁠^17,18,19 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.⁠^64,65

N.J.S.A. 56:8-163 requires a business that conducts business in New Jersey to disclose a breach of security of computerized records holding personal information to each New Jersey resident affected, in the most expedient time possible and without unreasonable delay, and to report the breach to the Division of State Police before disclosing it to the customer.⁠⁶⁶ N.J.S.A. 9:6-8.10 requires any person having reasonable cause to believe that a child has been subjected to child abuse, including sexual abuse, to report it immediately to the Division of Child Protection and Permanency.⁠⁶⁷

Which New Jersey rules shape a pediatric clinic?

The New Jersey Early Intervention System serves families with developmental concerns about children under the age of 3, and a child from birth to 36 months who is not meeting developmental milestones is referred by calling NJEIS toll-free at 888-653-4463.⁠^26,27 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. N.J.S.A. 17B:27-46.1ii requires a group health insurance policy to cover screening and diagnosing autism or another developmental disability. When that is the insured’s primary diagnosis, it covers medically necessary occupational, physical and speech therapy prescribed through a treatment plan, which may not be denied because the treatment is not restorative. For an insured under 21 whose primary diagnosis is autism, it covers behavioral interventions based on applied behavioral analysis, with no limit on visits and a maximum benefit of $36,000 a calendar year through 2011, adjusted each year since 2012 by the consumer price index.⁠⁶⁸ The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which New Jersey rules shape an adult clinic?

Medicare claims from New Jersey go to Novitas Solutions, the Medicare Administrative Contractor for Jurisdiction L (Delaware, the District of Columbia, Maryland, New Jersey and Pennsylvania), whose local coverage articles for therapy are the ones a New Jersey clinic reads.⁠⁶⁹ NJ FamilyCare’s adult therapy rules are in the Medicaid section above.

Which associations and directory pages serve New Jersey?

The state chapters are APTA New Jersey for physical therapy, the New Jersey Occupational Therapy Association for occupational therapy and the New Jersey Speech-Language Hearing Association for speech-language pathology.⁠^70,71,72 On DrSensory, families browse New Jersey 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.⁠⁷³

Which New Jersey cities have DrSensory city pages?

Beyond its three New Jersey pages, the directory publishes city pages for 2 New Jersey cities, 6 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.⁠⁷³

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

DrSensory lists 42 PT, OT and SLP clinics in New Jersey, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠⁷³

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

Which templates does a New Jersey launch need?

How might two New Jersey clinics plan a launch?

Sources

1. New Jersey Division of Consumer Affairs. New Jersey State Board of Physical Therapy Examiners. Checked October 30, 2026.
2. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:39A-2.5, Referral of patients and consultation standards for licensed physical therapists. Checked October 30, 2026.
   Show the passageHide the passage

   “(a) A licensed physical therapist shall refer a patient to a health care professional ... evaluation or intervention has reason to believe that physical therapy is contraindicated or symptoms or conditions are present that require services outside the scope of practice of the licensed physical therapist; or 2. When the patient has failed to demonstrate reasonable progress within 30 days of the date of the initial treatment.”
3. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 4.2.6, EPSDT Services. Checked October 30, 2026.
   Show the passageHide the passage

   “All Medicaid covered beneficiaries under the age of twenty-one (21), including those receiving Managed Long Term Services and Supports, shall be entitled to receive any medically necessary service including physician and hospital services, home care services (including personal care and private duty nursing), medical equipment and supplies, rehabilitative services, vision care, hearing services, dental care and any other type of remedial care recognized under state law or specified by the Secretary of the Department of Health and Human Services. The need for these services shall be based upon medical necessity and shall not be limited in volume, scope or duration, regardless of established state plan or regulatory limitations. ... For children eligible solely through NJ FamilyCare B, C and D, coverage includes all preventive screening and diagnostic services, medical examinations, immunizations, dental, vision, lead screening and hearing services. Includes only those treatment services identified through the examination that are included under the Contractor’s benefit package or specified services through the FFS program.”
4. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 4.2.6, EPSDT Services. Checked October 30, 2026.
   Show the passageHide the passage

   “For all beneficiaries with an Autism Spectrum Disorder (ASD) diagnosis, the Contractor shall provide Applied Behavioral Analysis (ABA) (beginning April 1, 2020), augmentative and alternative communication services and devices, Sensory Integration (SI) services, allied health services (physical therapy, occupational therapy and speech therapy), and Developmental Relationship based services including but not limited to DIR, DIR-Floortime and the Greenspan approach therapy (beginning July 1, 2020).”
5. New Jersey Division of Consumer Affairs. Occupational Therapy Advisory Council. Checked October 30, 2026.
6. New Jersey Division of Consumer Affairs. Audiology and Speech-Language Pathology Advisory Committee. Checked October 30, 2026.
7. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.34c, Failure to refer patient, certain circumstances, unlawful practice. Checked October 30, 2026.
   Show the passageHide the passage

   “It shall be considered an unlawful practice of physical therapy if a physical therapist does not immediately refer an individual to a health care professional licensed to practice dentistry, podiatry or medicine and surgery, or other appropriate licensed health care professional, if the physical therapist has reasonable cause to believe that physical therapy is contraindicated or symptoms or conditions are present, including, but not limited to, nonmuscular and nonskeletal symptoms or conditions and conditions of the central nervous system, that require services outside the scope of a physical therapist’s practice.”
8. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.13, Definitions. Checked October 30, 2026.
   Show the passageHide the passage

   “"Physical therapy" and "physical therapy practice" mean the identification of physical impairment, movement-related functional limitation, or balance disorder that occurs as a result of injury or congenital or acquired disability, or other physical dysfunction through examination, evaluation and diagnosis of the physical impairment or movement-related functional limitation and the establishment of a prognosis for the resolution or amelioration thereof, and treatment of the physical impairment or movement-related functional limitation ...”
9. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 4.1, Covered Services. “30. Outpatient Rehabilitation – Physical therapy, occupational therapy, speech pathology services, and cognitive rehabilitation therapy.” Checked October 30, 2026.
10. New Jersey Division of Medical Assistance and Health Services. Health Care Services Covered by NJ FamilyCare. “Health Care Services Covered by NJ FamilyCare ... Physical, occupational and speech therapy ...” Checked October 30, 2026.
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.
    Show the passageHide the passage

    “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) ... New Jersey ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
13. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.34h, Physical Therapy Licensure Compact. “The State of New Jersey enacts and enters into the Physical Therapy Licensure Compact with all other jurisdictions that legally join in the compact in the form substantially 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.” Checked October 30, 2026.
15. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLPCompact. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
16. 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.
    Show the passageHide the passage

    “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.”.
17. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:39A-3.1, Patient records. “(e) Patient records shall be maintained for at least seven years from the date of the last entry, unless another agency ...” Checked October 30, 2026.
18. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:44K-10.1, Preparation and maintenance of client records. “(d) The permanent client record of occupational therapy services shall be retained for at least seven years from the date of the last entry, unless otherwise ...” Checked October 30, 2026.
19. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:44C-8.1, Recordkeeping. “... for at least seven years from date of the most recent entry.” Checked October 30, 2026.
20. New Jersey Division of Revenue and Enterprise Services. Division of Revenue and Enterprise Services. Checked October 30, 2026.
21. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 14A:17-3, Terms defined (The Professional Service Corporation Act). Checked October 30, 2026.
    Show the passageHide the passage

    “(1) "Professional service" shall mean any type of personal service to the public which requires as a condition precedent to the rendering of such service the obtaining of a license or other legal authorization and which prior to the passage of this act and by reason of law could not be performed by a corporation. By way of example and without limiting the generality thereof, the personal services which come within the provisions of this act are the personal services rendered by certified public accountants, architects, optometrists, ophthalmic dispensers and technicians, professional engineers, land surveyors, land planners, chiropractors, physical therapists, registered professional nurses, psychologists, dentists, osteopaths, physicians and surgeons ... (2) "Professional corporation" means a corporation which is organized under this act for the sole and specific purpose of rendering the same or closely allied professional service as its shareholders, each of whom must be licensed or otherwise legally authorized within this State to render such professional service ...”
22. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.34e, Permitted licensees, natural person; regulations. Checked October 30, 2026.
    Show the passageHide the passage

    “No person other than a natural person shall be licensed as, hold itself out to be licensed as, or practice as, a physical therapist or a physical therapist assistant. Every physical therapist or physical therapist assistant employed by a corporation or other business entity shall assume professional responsibility for the practice of physical therapy or acting as a physical therapist assistant that is provided under the auspices of the corporation or other business entity.”
23. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.59, Licensing required for occupational therapists. Checked October 30, 2026.
    Show the passageHide the passage

    “... b. Only an individual may be licensed to practice occupational therapy within the State. No firm, partnership, association or corporation may advertise or otherwise offer to provide or convey the impression that it is providing occupational therapy services unless an individual holding a current valid license pursuant to the provisions of this act shall be rendering the occupational therapy services.”
24. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:3B-16, Practice without licensure if licensed practitioners employed. Checked October 30, 2026.
    Show the passageHide the passage

    “Nothing in this act shall prohibit any person from engaging in the practice of audiology or speech-language pathology without licensure if he employs licensed individuals in the direct practice of audiology or of speech-language pathology. Such a person shall file a statement with the director, on a form approved by the director that he submits himself to the rules and regulations of the director and the provisions of this act which are applicable to him.”
25. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:3B-2, Definitions. “... c. "Person" means any individual, corporation, partnership, trust, association or other organization, except that only individuals may be licensed under P.L.1983, c.420 (C.45:3B-1 et seq.).” Checked October 30, 2026.
26. New Jersey Department of Health. Department of Health | Early Intervention. “Families with developmental concerns about children under the age of 3 may seek assistance from the Early Intervention System.” Checked October 30, 2026.
27. New Jersey Department of Health. Babies & Toddlers Can’t Wait! (Early Intervention referral poster). “If an infant or toddler (birth to 36 months) is not meeting developmental milestones or if a family has other developmental concerns, call now. To Refer Your Child: New Jersey Early Intervention System (NJEIS) TOLL-FREE: 888-653-4463 ...” Checked October 30, 2026.
28. New Jersey Division of Consumer Affairs, State Board of Physical Therapy Examiners. Frequently Asked Questions. “The renewal period is biennial. All physical therapy and physical therapist assistant licenses expire every two years on January 31 of any even-numbered year, regardless of the date of initial licensure.” Checked October 30, 2026.
29. New Jersey Division of Consumer Affairs, State Board of Physical Therapy Examiners. Frequently Asked Questions. Checked October 30, 2026.
    Show the passageHide the passage

    “Yes. N.J.A.C. 13:39A-9.2(a) requires that every licensed physical therapist and physical therapist assistant complete 30 credits of continuing education which must include four credits of jurisprudence and professional ethics for each biennial renewal period. ... If I was licensed during the first year of the biennial renewal period (February 1st of every even year through January 31st of every odd year), how many continuing education credits do I need to complete before my license expires? You must complete a minimum of 15 of the 30 required credits of continuing education for that biennial renewal period. ... If I was licensed during the second year of the biennial renewal period (February 1st of every odd year through January 31st of every even year), how many continuing education credits do I need to complete before my license expires? You are exempt from completing continuing education credits for that biennial renewal period.”
30. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.20, Supervision of physical therapist assistants; guidelines. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. No physical therapist shall supervise more physical therapist assistants at any one time than in the opinion of the board can be adequately supervised. Under usual circumstances the maximum number of physical therapist assistants that may be supervised by a physical therapist shall be two, except that, upon application, the board may permit the supervision of a greater number of physical therapist assistants if it feels there would be adequate supervision and the public health and safety would be served. b. A licensed physical therapist assistant may initiate patient physical therapy treatment consistent with the role of a physical therapist assistant, as defined by the board or otherwise provided in P.L.1983, c.296 (C.45:9-37.11 et seq.) or P.L.2003, c.18 (C.45:9-37.34b et al.), only at the discretion of, and under the direct or general supervision of, a licensed physical therapist, as specified in P.L.2017, c.121 (C.45:9-37.34g et al.). A licensed physical therapist shall make an onsite visit and actively participate in the treatment of the patient at least every six patient visits or every 14 days, whichever occurs first.”
31. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.13, Definitions. Checked October 30, 2026.
    Show the passageHide the passage

    “"General supervision" means supervision by a physical therapist in which: the physical therapist shall be available at all times by telecommunications but is not required to be on-site for direction and supervision; and the supervising physical therapist assesses on an ongoing basis the ability of the physical therapist assistant to perform the selected interventions as directed.”
32. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.64, Issuance of license. Checked October 30, 2026.
    Show the passageHide the passage

    “Except in the case of a temporary license issued pursuant to section 17 of this act, all licenses shall be issued for a two-year period upon the payment of the licensing fee prescribed by the director, and shall be renewed upon the filing of a renewal application and the payment of a licensing renewal fee.”
33. New Jersey Division of Consumer Affairs. Rules of the Occupational Therapy Advisory Council, adopted May 20, 2019 (51 N.J.R. 769(b)), N.J.A.C. 13:44K-8.6. Checked October 30, 2026.
    Show the passageHide the passage

    “(b) A licensee shall renew his or her license for a period of two years from the last expiration date. The licensee shall submit a renewal application to the Council, along with the renewal fee set forth in N.J.A.C. 13:44K-11.1, prior to the date of license expiration.”
34. New Jersey Division of Consumer Affairs. Rules of the Occupational Therapy Advisory Council, adopted May 20, 2019 (51 N.J.R. 769(b)), N.J.A.C. 13:44K-6.1 to 6.3. Checked October 30, 2026.
    Show the passageHide the passage

    “(a) A licensed occupational therapy assistant or temporary licensed occupational therapist shall provide occupational therapy services only under the supervision of a licensed occupational therapist pursuant to the provisions of this subchapter. ... (c) The supervising occupational therapist shall retain responsibility for the occupational therapy care of the client being treated by the licensed occupational therapy assistant ... (a) Prior to supervising any person engaged in the practice of occupational therapy services, a licensed occupational therapist shall have at least 1,200 hours of work experience obtained in no less than one year and within three consecutive years of practice. (b) A licensed occupational therapist shall not supervise more than five licensees, including occupational therapy assistants, temporary licensed occupational therapists, or temporary licensed occupational therapy assistants. ... (d) Notwithstanding the provisions of (b) and (c) above, a licensed occupational therapist shall not supervise more than seven persons at one time. (e) A designated supervisor shall maintain a written plan of supervision ... provided, however, that a designated supervisor shall provide close supervision for any occupational therapy assistant who has been engaged in the practice of occupational therapy services for less than one year on a full-time basis.”
35. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:3B-9, Issuance; duration; renewal. “The director, in consultation with the committee, shall issue a license to practice audiology or speech-language pathology to all applicants who meet the established qualifications. Licenses shall be effective for a period not to exceed 2 years and may be renewed biennially.” Checked October 30, 2026.
36. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:44C-6.2, Allocation of credit. “(a) Except as set forth in (b) below, applicants for biennial license renewal shall complete 20 credit hours of continuing education related to ...” Checked October 30, 2026.
37. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:44C-4.1, Renewal of license. “(a) Licenses shall be renewed biennially on a form provided by the Committee. Each applicant for renewal shall attest that the continuing education requirements of N.J.A.C. 13:44C-6.1 have been completed during the prior biennial period.” Checked October 30, 2026.
38. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.53, Definitions. Checked October 30, 2026.
    Show the passageHide the passage

    “"Occupational therapy" means the evaluation, planning, and implementation of a program of purposeful activities to develop or maintain functional skills necessary to achieve the maximal physical or mental functioning, or both, of the individual in the person’s daily occupational performance. ... These services are provided to individuals or groups through medical, health, educational and social systems.”
39. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.59, Licensing required for occupational therapists. “... a. No person shall practice occupational therapy, whether or not compensation is received or expected, or represent himself as an occupational therapist or occupational therapy assistant, unless the person holds a valid license to practice in this State.” Checked October 30, 2026.
40. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:3B-2, Definitions. Checked October 30, 2026.
    Show the passageHide the passage

    “"Practice of speech-language pathology" means the nonmedical and nonsurgical application of principles, methods, and procedures of measurement, prediction, nonmedical diagnosis, testing, counseling, consultation, habilitation, and rehabilitation and instruction related to the development and disorders of speech, voice, and language for the purpose of preventing, ameliorating, and modifying these disorders and conditions in individuals or groups of individuals with speech, language, or hearing disabilities, or to individuals or groups of individuals for whom these conditions must be ruled out.”
41. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:3B-15, Prohibition of representation as practitioner by unlicensed person. “No person shall practice or hold himself out as being able to practice audiology or speech-language pathology in this State unless he is licensed in accordance with the provisions of this act.” Checked October 30, 2026.
42. New Jersey Medicaid Management Information System (NJMMIS). Provider Enrollment Application. Checked October 30, 2026.
43. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
    Show the passageHide the passage

    “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.”.
44. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 3. “The Contractor shall make a prior authorization decision within seven (7) calendar days for standard requests and seventy-two (72) hours for expedited requests.” Checked October 30, 2026.
45. New Jersey Division of Medical Assistance and Health Services. NJ Medicaid & Managed Care. Checked October 30, 2026.
    Show the passageHide the passage

    “In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. ... Five health plans (also known as MCOs) participate in New Jersey’s NJ FamilyCare Medicaid program. They are: Aetna Better Health of New Jersey Fidelis Care Horizon NJ Health UnitedHealthcare Community Plan Wellpoint (formerly Amerigroup New Jersey)”
46. New Jersey Medicaid Management Information System (NJMMIS). Rate and Code Information. Checked October 30, 2026.
47. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Appendix, Allied Health (Occupational, Physical, Speech and Language). Checked October 30, 2026.
    Show the passageHide the passage

    “Services are limited to individuals eligible for EPSDT who are diagnosed with Autism Spectrum Disorder (ASD) by a Qualified Healthcare Professional (QHP). • Services are limited to members between the ages of 18 months and 21 years of age. • Covered services do not include services required to be provided in school as part of a child’s Individual Education Plan (IEP). ... Unit of Service: Evaluation and re-evaluation are episodes of care. Therapy codes are 15 minutes.”
48. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Appendix, Allied Health (Occupational, Physical, Speech and Language). “Speech Therapy: any CPT code supported by medical necessity. Common coding includes: 92506- evaluation of speech, language, voice, communication and/or auditory processing 92507/92508- speech, language and hearing therapy ...” Checked October 30, 2026.
49. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Appendix, Allied Health (Occupational, Physical, Speech and Language). “Occupational Therapy: Any OT CPT code supported by medical necessity. Common coding includes: 97165 to 97167- evaluation by complexity 97168- re-evaluation ...” Checked October 30, 2026.
50. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Appendix, Allied Health (Occupational, Physical, Speech and Language). “Physical Therapy: all PT CPT codes supported by medical necessity. Common coding includes: 97161-97163 (Evaluation by complexity) 97164- re-evaluation ...” Checked October 30, 2026.
51. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 4. Checked October 30, 2026.
    Show the passageHide the passage

    “Those services which are included in the IEP as required services are paid for by the school district, e.g. physical therapy. Services covered under the Special Education Medicaid Initiative (SEMI) program, or not included in Article 4.1 of this contract, or not available under EPSDT are not the Contractor’s responsibility.”
52. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 1, Definitions. “SEMI--Special Education Medicaid Initiative, a federal Medicaid program that allows for reimbursement to local education agencies for certain special education related services (e.g., physical therapy, occupational therapy, and speech therapy).” Checked October 30, 2026.
53. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 30:4D-6k, State Medicaid, NJ FamilyCare programs to provide coverage, payment. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. The State Medicaid and NJ FamilyCare programs shall provide coverage and payment for health care services delivered to a benefits recipient through telemedicine or telehealth, on the same basis as, and at a provider reimbursement rate that does not exceed the provider reimbursement rate that is applicable, when the services are delivered through in-person contact and consultation in New Jersey, provided the services are otherwise covered when delivered through in-person contact and consultation in New Jersey.”
54. New Jersey Division of Medical Assistance and Health Services. NJ FamilyCare Managed Care Contract (January 2026), Article 4, Telemedicine, Teledentistry and Telehealth. Checked October 30, 2026.
    Show the passageHide the passage

    “Contractors shall authorize and reimburse for any service provided by a health care provider who is validly licensed, certified, or registered with the Department of Health (annually) to provide such services in the State of New Jersey so long as either the provider or patient are located in New Jersey at the time the services were provided.”
55. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:1-62, Provision of health care through use of telemedicine, telehealth; requirements for provider. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. Unless specifically prohibited or limited by federal or State law, a health care provider who establishes a proper provider-patient relationship with a patient may remotely provide health care services to a patient through the use of telemedicine. ... b. Any health care provider who uses telemedicine or engages in telehealth while providing health care services to a patient, shall: (1) be validly licensed, certified, or registered, pursuant to Title 45 of the Revised Statutes, to provide such services in the State of New Jersey ... d. (1) Any health care provider providing health care services using telemedicine or telehealth shall be subject to the same standard of care or practice standards as are applicable to in-person settings.”
56. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:1-62(c)(5). “Consent may be oral, written, or digital in nature, provided that the chosen method of consent is deemed appropriate under the standard of care.” Checked October 30, 2026.
57. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 26:2S-29, Carrier offering a health benefits plan to provide coverage, payment. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. A carrier that offers a health benefits plan in this State shall provide coverage and payment for health care services delivered to a covered person through telemedicine or telehealth, on the same basis as, and at a provider reimbursement rate that does not exceed the provider reimbursement rate that is applicable, when the services are delivered through in-person contact and consultation in New Jersey, provided the services are otherwise covered under the plan when delivered through in-person contact and consultation in New Jersey. ... b. A carrier may limit coverage to services that are delivered by health care providers in the health benefits plan’s network, but may not charge any deductible, copayment, or coinsurance for a health care service, delivered through telemedicine or telehealth, in an amount that exceeds the deductible, copayment, or coinsurance amount that is applicable to an in-person consultation. In no case shall a carrier: (1) impose any restrictions on the location or setting of the distant site used by a health care provider to provide services using telemedicine and telehealth or on the location or setting of the originating site where the patient is located when receiving services using telemedicine and telehealth ...”
58. New Jersey Division of Revenue and Enterprise Services. Getting Registered. Checked October 30, 2026.
59. New Jersey Division of Taxation. New Jersey Sales Tax Guide, Tax Topic Bulletin S&U-4 (Rev. 07/22). Checked October 30, 2026.
    Show the passageHide the passage

    “Any person or organization engaged in a business, trade, profession, or occupation in New Jersey must register with the State for tax purposes by filing a Business Registration Application, Form NJ-REG, at least 15 business days before starting business or opening an additional place of business in this State.”
60. New Jersey Division of Taxation. New Jersey Sales Tax Guide, Tax Topic Bulletin S&U-4 (Rev. 07/22). Checked October 30, 2026.
    Show the passageHide the passage

    “The New Jersey Sales and Use Tax Act imposes a tax on the receipts from every retail sale of tangible personal property, specified digital products, and the sale of certain services, except as otherwise provided in the Act. ... Diabetic supplies, prosthetic devices, and durable medical equipment for home use are exempt from Sales Tax. Mobility enhancing equipment also is exempt when sold pursuant to a doctor’s prescription. ... Examples of mobility enhancing equipment include: Canes Crutches Hand Controls for Vehicles Wheelchairs ... Professional Services (doctor, lawyer, etc.) ... E ...”
61. New Jersey Division of Taxation. New Jersey Sales Tax Guide, Tax Topic Bulletin S&U-4 (Rev. 07/22). “In general, every New Jersey business selling taxable items or services must collect and remit New Jersey Sales Tax when sales are completed by delivery to a New Jersey location or performance of the service in this State.” Checked October 30, 2026.
62. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 34:15-71, Employer’s obligation to injured employee. Checked October 30, 2026.
    Show the passageHide the passage

    “Every employer, except the state or a municipality, county or school district, who is now or hereafter becomes subject to the provisions of article 2 of this chapter (s. 34:15-7 et seq.), as therein provided, shall forthwith make sufficient provision for the complete payment of any obligation which he may incur to an injured employee, or his dependents under the provisions of said article 2, by one of the methods hereinafter set forth in sections 34:15-77 and 34:15-78 of this title.”
63. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 34:15-79, Penalties for failure to carry insurance. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. An employer who fails to provide the protection prescribed in this article, who misrepresents one or more employees as independent contractors, or who provides false, incomplete or misleading information concerning the number of employees, shall be guilty of a disorderly persons offense and, if the failure, misrepresentation or provision of false, incomplete or misleading information is knowing, shall be guilty of a crime of the fourth degree ...”
64. 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.
    Show the passageHide the passage

    “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.”.
65. 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.
    Show the passageHide the passage

    “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.”.
66. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 56:8-163, Disclosure of breach of security to customers. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. Any business that conducts business in New Jersey, or any public entity that compiles or maintains computerized records that include personal information, shall disclose any breach of security of those computerized records following discovery or notification of the breach to any customer who is a resident of New Jersey whose personal information was, or is reasonably believed to have been, accessed by an unauthorized person. The disclosure to a customer shall be made in the most expedient time possible and without unreasonable delay ... c. (1) Any business or public entity required under this section to disclose a breach of security of a customer’s personal information shall, in advance of the disclosure to the customer, report the breach of security and any information pertaining to the breach to the Division of State Police in the Department of Law and Public Safety for investigation or handling ...”
67. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 9:6-8.10, Report of abuse. “Any person having reasonable cause to believe that a child has been subjected to child abuse, including sexual abuse, or acts of child abuse shall report the same immediately to the Division of Child Protection and Permanency by telephone or otherwise.” Checked October 30, 2026.
68. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 17B:27-46.1ii, Group health insurance policy to provide benefits for treatment of autism or other developmental disability. Checked October 30, 2026.
    Show the passageHide the passage

    “... a. The insurer shall provide coverage for expenses incurred in screening and diagnosing autism or another developmental disability. b. When the insured’s primary diagnosis is autism or another developmental disability, the insurer shall provide coverage for expenses incurred for medically necessary occupational therapy, physical therapy, and speech therapy, as prescribed through a treatment plan. Coverage of these therapies shall not be denied on the basis that the treatment is not restorative. c. When the insured is under 21 years of age and the insured’s primary diagnosis is autism, the insurer shall provide coverage for expenses incurred for medically necessary behavioral interventions based on the principles of applied behavioral analysis and related structured behavioral programs, as prescribed through a treatment plan, subject to the provisions of this subsection. (1) Except as provided in paragraph (3) of this subsection, the benefits provided pursuant to this subsection shall be provided to the same extent as for any other medical condition under the policy, but shall not be subject to limits on the number of visits that an insured may make to a provider of behavioral interventions. ... (3) (a) The maximum benefit amount for an insured in any calendar year through 2011 shall be $36,000. (b) Commencing on January 1, 2012, the maximum benefit amount shall be subject to an adjustment, to be promulgated by the Commissioner of Banking and Insurance and published in the New Jersey Register no later than February 1 of each calendar year, which shall be equal to the change in the consumer price index for all urban consumers for the nation ...”
69. Novitas Solutions. Medicare JL Home. “Medicare JL ... Providers in DC, DE, MD, NJ & PA ... Medicare: Jurisdiction L website ...” Checked October 30, 2026.
70. APTA New Jersey. APTA New Jersey (the state association's site). Checked October 30, 2026.
71. the New Jersey Occupational Therapy Association. the New Jersey Occupational Therapy Association (the state association's site). Checked October 30, 2026.
72. the New Jersey Speech-Language Hearing Association. the New Jersey Speech-Language Hearing Association (the state association's site). Checked October 30, 2026.
73. DrSensory. Occupational therapy clinics in New Jersey, 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.
74. 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 New Jersey, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.