North Carolina therapy practice guide: PT, OT and SLP

For OT, PT and SLP clinics in North Carolina: three state boards license the disciplines; the licensing law defines physical therapy as the evaluation or treatment of any person, with a duty to refer conditions beyond its scope; NC Medicaid 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 North Carolina?

Three state boards license the three disciplines in North Carolina, 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.

Physical therapists and physical therapist assistants answer to the North Carolina Board of Physical Therapy Examiners.⁠^{1,31,32,33,34,35,36} Occupational therapists and occupational therapy assistants answer to the North Carolina Board of Occupational Therapy.⁠^{5,37,38,39,40,41,42,43} Speech-language pathologists answer to the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists.⁠^{6,44,45,46,47,48} 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 North Carolina license renewal require?

Each board 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 board’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 North Carolina 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 Physical Therapy Practice Act defines physical therapy as the evaluation or treatment of any person, including the interpretation and implementation of referrals from licensed medical doctors or dentists, and makes it unlawful to practice physical therapy and fail to refer to a licensed medical doctor or appropriate healthcare professional a patient whose condition is beyond a physical therapist’s scope; NC Medicaid, as a payer, requires a verbal or written order before all outpatient therapy services.⁠^2,7,8 For occupational therapy, the Occupational Therapy Practice Act defines occupational therapy as a health care profession providing evaluation, treatment and consultation, and makes it unlawful for a person not licensed under the Act to engage in its clinic; NC Medicaid, as a payer, requires a verbal or written order from an enrolled physician, osteopath, podiatrist, nurse midwife, physician assistant or nurse practitioner before all outpatient therapy services.⁠^49,50,51 For speech-language pathology, the licensure act defines the practice of speech and language pathology to include measurement, testing, evaluation and treatment of disorders of speech, voice, language, communication, cognitive-communication and swallowing, and requires a current license, or registration as an assistant, to practice it; NC Medicaid, as a payer, requires a verbal or written order before all outpatient therapy services.⁠^52,53,54

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 NC Medicaid’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 NC Medicaid pay for pediatric and adult therapy?

NC Medicaid is North Carolina’s Medicaid program, run by the North Carolina Department of Health and Human Services (NC Medicaid, Division of Health Benefits), and a clinic enrolls through its provider enrollment route before it bills.⁠⁵⁵ 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.⁠⁵⁶ For beneficiaries under 21, NC Medicaid’s EPSDT provision lets service limits in its coverage policies be exceeded when the provider’s documentation shows the service is medically necessary to correct or ameliorate a defect, physical or mental illness, or condition, though prior approval still applies. Physical, occupational and speech therapy visits are set by medical necessity within authorization periods of no more than six calendar months.⁠^3,4

For beneficiaries 21 and older, NC Medicaid covers outpatient therapy only from home health agencies, hospital outpatient facilities, independent practitioners and physician offices, and limits medically necessary treatment to 30 visits a calendar year combined across occupational and physical therapy habilitative services, 30 for their rehabilitative services, and 30 each for habilitative and rehabilitative speech therapy.⁠^9,10 NC Medicaid requires prior approval from the DHHS utilization review contractor before any outpatient therapy treatment begins, but not for an evaluation or re-evaluation visit. The written evaluation report must be completed within three months of the requested start date, and for adults one request covers up to 12 treatment visits and six months.⁠^57,58,59 Since July 1, 2021, most NC Medicaid beneficiaries have received their Medicaid services through NC Medicaid Managed Care, choosing a health plan and getting care through its network, while some remain in NC Medicaid Direct. The therapy policy refers beneficiaries enrolled in a Prepaid Health Plan to that plan for questions about benefits.⁠^60,61 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁶²

How does NC Medicaid want OT, PT and SLP claims coded?

NC Medicaid’s outpatient therapy policy files professional claims on the CMS-1500 (837P), with separate claims for evaluation and for treatment and for each type of service. A telehealth claim carries modifier GT and the provider’s usual place of service code, timed codes follow the CMS unit table (one unit for 8 through 22 minutes), and an OT and PT co-treatment billed as one visit splits the session time and never exceeds its length. The evaluation codes it marks telehealth-eligible are 97161 to 97164 for physical therapy, 97165 to 97168 for occupational therapy and 92521 to 92524 for speech-language pathology.⁠^{63,64,65,66,67,68,69} 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 NC Medicaid pay for therapy in schools?

NC Medicaid’s School-Based Services policy covers audiology, occupational therapy, physical therapy, speech-language pathology, behavioral health and nursing services delivered to Medicaid beneficiaries in the school environment, billed by the local education agency and provided by its employed or contracted personnel.⁠⁷⁰ 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 NC Medicaid cover therapy by telehealth?

NC Medicaid lets select outpatient therapy services be delivered by telehealth when the beneficiary or a legally authorized representative gives informed consent, the care is safe and effective with a parent, guardian or caregiver present if necessary, and in-person care is available on request. Telehealth must never be used solely to increase therapist productivity.⁠^71,72 The telehealth section below covers the state’s own rules for the session itself.

What are North Carolina’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 The occupational therapy board says an occupational therapy practitioner may deliver evaluation, treatment and consultation by telecommunication and must hold a North Carolina license to serve a client who is in North Carolina, and the licensing law treats unlicensed electronic practice from another state as practice without a North Carolina license. The speech and language board’s telepractice rule makes telepractice the practice of the profession at both the patient site and the provider site and requires notice to the patient, or the guardian of a minor, including the right to refuse. The Physical Therapy Licensure Compact places the practice of physical therapy in the state where the patient is located at the time of the encounter.⁠^{73,74,75,76,77}

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.⁠^12,13,14,15

Which business steps are specific to North Carolina?

The entity is registered with the North Carolina Secretary of State, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²⁴ Occupational therapists and speech and language pathologists may form a professional corporation under the Professional Corporation Act (General Statutes Chapter 55B), whose list of professional services names both licensing laws. Every share must be held by a licensee, at least one incorporator, one director and one officer must be licensees, the licensing board certifies the share ownership for the articles of incorporation, and the corporation renders one specific type of professional service. The occupational therapy board’s rules require each incorporator to be a licensed occupational therapist and the articles to be filed with the board before they are filed with the Secretary of State.⁠^25,26,27,28 State tax registration is with the North Carolina Department of Revenue, for a business that sells tangible personal property at retail or provides taxable services.⁠⁷⁸ North Carolina’s sales and use tax law exempts sales of prosthetic devices for human use and of mobility enhancing equipment, durable medical equipment and durable medical supplies sold on prescription. A business that sells tangible personal property at retail or provides taxable services must register with the Department of Revenue for a Certificate of Registration.⁠^79,80 North Carolina’s Workers’ Compensation Act covers private employments in which three or more employees are regularly employed in the same business or establishment, and every employer subject to it must insure its liability with an authorized insurer or obtain a self-insurance license from the Commissioner of Insurance.⁠^81,82 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 North Carolina?

The speech and language board’s rules require records of professional services to be kept for at least three years, and NC Medicaid requires every enrolled provider to keep the records of services claimed for at least five full years from the date of service, and longer once an audit or records request is received. The physical therapy board’s rules require a physical therapist to give patients their records within 30 days of a request.⁠^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.⁠^83,84

G.S. 75-65 requires a business that owns or licenses North Carolina residents’ personal information, in any form, to notify affected people of a security breach without unreasonable delay after discovering it, and, when it gives that notice, to notify the Consumer Protection Division of the Attorney General’s Office without unreasonable delay.⁠⁸⁵ G.S. 7B-301 requires any person or institution with cause to suspect that a juvenile is abused, neglected or dependent, or has died from maltreatment, to report it to the director of the department of social services in the county where the juvenile lives or is found, and makes a knowing or wanton failure to report a Class 1 misdemeanor.⁠⁸⁶

Which North Carolina rules shape a pediatric clinic?

The North Carolina Infant-Toddler Program serves families and their children from birth to three who have special needs, through sixteen Children’s Developmental Services Agencies working with local providers. Anyone with concerns about a child may make a referral by phone, email, fax, letter, in person at the local agency or with the NC ITP Referral Form, and parental consent is not required to refer.⁠^29,30 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. G.S. 58-3-192 requires health benefit plans to cover screening, diagnosis and treatment of autism spectrum disorder, and treatment includes therapeutic care by licensed speech therapists, occupational therapists and physical therapists when a physician or psychologist orders it as medically necessary. Adaptive behavior treatment may be subject to an annual dollar maximum indexed since 2017 and limited to ages 18 and younger, coverage may not be denied because a treatment is habilitative or educational, and the section does not apply to non-grandfathered individual and small group plans subject to the essential health benefit requirement.⁠^87,88,89 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which North Carolina rules shape an adult clinic?

Medicare claims from North Carolina go to Palmetto GBA, the Medicare Administrative Contractor for Jurisdiction M, Part B (North Carolina, South Carolina, Virginia and West Virginia), whose local coverage articles for therapy are the ones a North Carolina clinic reads.⁠⁹⁰ NC Medicaid’s adult therapy rules are in the Medicaid section above. The North Carolina Industrial Commission’s Medical Fees Section reviews and adjusts workers’ compensation medical bills under the Commission’s Medical Fee Schedule, which it updates each year. The schedule effective January 1, 2026 places codes 97161 and 97165 in its Physical Medicine category.⁠^91,92

Which associations and directory pages serve North Carolina?

The state chapters are APTA North Carolina for physical therapy, the North Carolina Occupational Therapy Association for occupational therapy and the North Carolina Speech, Hearing and Language Association for speech-language pathology.⁠^93,94,95 On DrSensory, families browse North Carolina 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.⁠⁹⁶

Which North Carolina cities have DrSensory city pages?

Beyond its three North Carolina pages, the directory publishes city pages for 9 North Carolina cities, 24 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.⁠⁹⁶

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

DrSensory lists 197 PT, OT and SLP clinics in North Carolina, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠⁹⁶

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

Which templates does a North Carolina launch need?

How might two North Carolina clinics plan a launch?

Sources

1. North Carolina. North Carolina Board of Physical Therapy Examiners. Checked October 30, 2026.
2. North Carolina General Assembly. G.S. 90-270.90. (Effective October 1, 2026) Definitions.. Checked October 30, 2026.
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   “(4) "Physical therapy" means the evaluation or treatment of any person by the use of physical, chemical, or other properties of heat, light, water, electricity, sound, massage, or therapeutic exercise, or other rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental disability. Physical therapy includes the performance of specialized tests of neuromuscular function, administration of specialized therapeutic procedures, interpretation and implementation of referrals from licensed medical doctors or dentists, and establishment and modification of physical therapy programs for patients.”
3. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). Checked October 30, 2026.
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   “Service limitations on scope, amount, duration, frequency, location of service, and other specific criteria described in clinical coverage policies may be exceeded or may not apply as long as the provider’s documentation shows that the requested service is medically necessary "to correct or ameliorate a defect, physical or mental illness, or a condition" [health problem] ... 1. If the service, product, or procedure requires prior approval, the fact that the beneficiary is under 21 years of age does NOT eliminate the requirement for prior approval.”
4. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “Physical and Occupational therapy services are limited to the number of medically necessary visits within an authorization period. An authorization period cannot exceed a timeframe of six calendar months.” Checked October 30, 2026.
5. North Carolina. North Carolina Board of Occupational Therapy. Checked October 30, 2026.
6. North Carolina. North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists. Checked October 30, 2026.
7. North Carolina General Assembly. G.S. 90-270.102. (Effective October 1, 2026) Unlawful practice.. Checked October 30, 2026.
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   “Except as otherwise authorized in this Article, if any person, firm, or corporation shall: ... (4) Practice physical therapy and fail to refer to a licensed medical doctor or appropriate healthcare professional any patient whose medical condition should have, at the time of evaluation or treatment, been determined to be beyond the scope of practice of a physical therapist; ... said person, firm, or corporation shall be guilty of a Class 1 misdemeanor.”
8. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “a. A verbal or written order must be obtained prior to all OST services.” Checked October 30, 2026.
9. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). Checked October 30, 2026.
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   “a. A total maximum of 30 treatment visits per calendar year combined across occupational and physical therapy habilitative services. b. A total maximum of 30 treatment visits per calendar year combined across occupational and physical therapy rehabilitative services. c. A total maximum of 30 treatment visits per calendar year for speech therapy habilitative services. d. A total maximum of 30 treatment visits per calendar year for speech therapy rehabilitative services.”
10. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “Medicaid covers medically necessary OST services for beneficiaries over 21 years of age only when provided by home health agencies, hospital outpatient facilities, independent practitioner providers, and physician offices.” 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.
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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. “North Carolina 06/08/2017 Date Enacted 07/01/2019 Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
13. PT Compact Commission. PT Compact Map. “Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
14. PT Compact Commission. PT Compact Map. “Jurisprudence Exam Requirement Must be passed within 30 days after CP issued (Initial & Renewal)” Checked October 30, 2026.
15. North Carolina General Assembly. Chapter 90 - Article 18F, Physical Therapy Licensure Compact. “The purpose of this Compact is to facilitate the interstate practice of physical therapy with the goal of improving public access to physical therapy services.” Checked October 30, 2026.
16. 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. ... State Accepting OT Applications? ... North Carolina Not Yet ...” Checked October 30, 2026.
17. North Carolina General Assembly. Chapter 90 - Article 18I, Occupational Therapy Licensure Compact. “The purpose of this Compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
18. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates State Affiliation Name ... North Carolina Audiology ... North Carolina SLP ...” Checked October 30, 2026.
19. North Carolina General Assembly. Chapter 90 - Article 22A, Interstate Compact For Audiology And Speech Pathology. “The purpose of this Compact is to facilitate 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.
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. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 64 .0209 Adequacy of Records. “(c) Records of professional services rendered shall be maintained for a minimum period of three years.” Checked October 30, 2026.
22. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 10A NCAC 22F .0107 Record Retention. Checked October 30, 2026.
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    “All Title XIX and Title XXI providers shall keep and maintain all Medicaid and NC Health Choice financial, medical, or other records necessary to disclose the nature and extent of services furnished to Medicaid and NC Health Choice recipients and claimed for reimbursement. These records shall be retained for a period of not less than five full years from the date of service, unless a longer retention period is required by applicable federal or state law, regulations, or data retention agreements. Upon notification of an audit or upon receipt of a request for records, all records related to the audit or records request shall be retained until notification that the investigation has been concluded.”
23. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 48C .0102 Responsibilities. Checked October 30, 2026.
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    “(n) A physical therapist shall, upon request by the patient of record, provide the original or copies of the patient’s treatment record to the patient, or to the patient’s designee. ... The documents requested shall be provided within 30 days of the request and shall not be contingent upon current, past, or future physical therapy treatment or payment of services.”
24. North Carolina Secretary of State. Business Registration. Checked October 30, 2026.
25. North Carolina General Assembly. G.S. 55B-2. Definitions.. Checked October 30, 2026.
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    “(6) The term "professional service" means any type of personal or professional service of the public which requires as a condition precedent to the rendering of such service the obtaining of a license from a licensing board as herein defined, and pursuant to the following provisions of the General Statutes: ... Article 18D, "Occupational Therapy," Article 22, "Licensure Act for Speech and Language Pathologists and Audiologists,"”
26. North Carolina General Assembly. G.S. 55B-4. Formation of corporation.. Checked October 30, 2026.
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    “(1) At least one incorporator shall be a "licensee" as hereinabove defined in G.S. 55B-2(2). (2) All of the shares of stock of the corporation shall be owned and held by a licensee, or licensees, as hereinabove defined in G.S. 55B-2(2), except as otherwise permitted in G.S. 55B-6. (3) At least one director and one officer shall be a "licensee" as hereinabove defined in G.S. 55B-2(2). (4) The articles of incorporation, in addition to the requirements of Chapter 55, shall designate the personal services to be rendered by the professional corporation and shall be accompanied by a certification by the appropriate licensing board that the ownership of the shares of stock is in compliance with the requirements of G.S. 55B-4(2) and G.S. 55B-6.”
27. North Carolina General Assembly. G.S. 55B-14. Types of professional services.. “(a) A professional corporation shall render only one specific type professional service, and such services as may be ancillary thereto, and shall not engage in any other business or profession ...” Checked October 30, 2026.
28. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 38 .0702 Prerequisites for Incorporation. Checked October 30, 2026.
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    “(1) The incorporator, whether one or more, of a professional corporation shall be licensed to practice occupational therapy in North Carolina as an occupational therapist. (2) Before the filing of the articles of incorporation with the Secretary of State, the incorporators shall file with the administrator of the Board a copy of the original articles of incorporation ...”
29. North Carolina Department of Health and Human Services. North Carolina Infant-Toddler Program (NC ITP) | NCDHHS. Checked October 30, 2026.
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    “The North Carolina Early Intervention Section (NCEI) is a part of NCDHHS’ Division of Child and Family Well-Being. It is the lead agency for the North Carolina Infant-Toddler Program (NC ITP). The NC ITP provides support and services for families and their children, birth to three who have special needs. ... Sixteen Children’s Developmental Services Agencies (CDSAs) across North Carolina work with local service providers to help families help their children succeed.”
30. North Carolina Department of Health and Human Services. About NC ITP | NCDHHS. Checked October 30, 2026.
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    “Anyone with concerns about a child may refer him or her to the ITP. ... Referrals to the ITP can be made by phone, email, fax, letter, in person at your CDSA, or by completing and submitting the NC ITP Referral Form to your CDSA. ... Parental consent is not required to make a referral.”
31. North Carolina General Assembly. G.S. 90-270.99. (Effective October 1, 2026) Renewal of license; lapse; revival.. Checked October 30, 2026.
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    “(a) Every licensed physical therapist or physical therapist assistant shall, from November 1 through January 31 at close of business of every year, apply to the Board for a renewal of licensure and pay to the secretary-treasurer the prescribed fee. If January 31 is not a business day, the renewal deadline shall be the next succeeding business day. Licenses that are not so renewed shall automatically lapse.”
32. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 48G .0106 Continuing Competence Requirement. Checked October 30, 2026.
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    “(b) For individuals whose date of initial licensure is after January 1, 2009, commencing on January 1 following the date of initial licensure, each physical therapist must accumulate 30 points and each physical therapist assistant must accumulate 20 points of continuing competence activities during the reporting period to be eligible for license renewal.”
33. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 48G .0105 Definitions. “(12) "Reporting period" means a 25 month period commencing on January 1 during which the licensee must complete all continuing competence requirements.” Checked October 30, 2026.
34. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 48G .0109 Continuing Competence Activities. “(1) A registered attendee at courses or conferences offered live in real time by approved providers earns one point for each contact hour.” Checked October 30, 2026.
35. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 48C .0102 Responsibilities. Checked October 30, 2026.
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    “(j) A physical therapist shall clinically supervise only that number of assistive personnel, including physical therapist assistants, physical therapy aides, and students completing clinical requirements, as the physical therapist determines is appropriate for providing safe and effective patient interventions at all times. (k) If a physical therapist assistant or physical therapy aide is involved in the patient care plan, a physical therapist shall reassess a patient every 60 days or 13 visits, whichever occurs first.”
36. North Carolina General Assembly. G.S. 90-270.90. (Effective October 1, 2026) Definitions.. Checked October 30, 2026.
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    “(3) "Physical therapist assistant" means any person who assists in the practice of physical therapy in accordance with the provisions of this Article, and who works under the supervision of a physical therapist by performing such patient-related activities assigned by a physical therapist which are commensurate with the physical therapist assistant’s education and training, but an assistant’s work shall not include the interpretation and implementation of referrals from licensed medical doctors or dentists, the performance of evaluations, or the determination or major modification of treatment programs.”
37. North Carolina Board of Occupational Therapy. North Carolina Board of Occupational Therapy | Online Renewal. “Online renewals begin April 1 and end June 30th of every year. Renewals can ONLY be completed online.” Checked October 30, 2026.
38. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 38 .0302 License Renewal. “(b) Licenses not renewed by June 30 are expired.” Checked October 30, 2026.
39. North Carolina General Assembly. G.S. 90-270.75. Renewal of license.. Checked October 30, 2026.
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    “Licenses issued under this Article shall be subject to annual renewal upon completion of continuing education and competency requirements as may be required by the Board, upon the payment of a renewal fee specified under G.S. 90-270.77 and in compliance with this Article, and shall expire unless renewed in the manner prescribed by the Board.”
40. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 38 .0802 Continuing Competence Requirements for Licensure. Checked October 30, 2026.
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    “(a) Licensed occupational therapists and occupational therapy assistants applying for license renewal shall document having earned a minimum of 15 points for approved continuing competence activities between July 1 of the preceding year and June 30 of the current year. ... (b) For each renewal period, the licensee shall document completion of at least one contact hour of a qualified activity for maintaining continuing competence related to ethics in the practice of occupational therapy that shall be included in the total points for the year.”
41. North Carolina Board of Occupational Therapy. North Carolina Board of Occupational Therapy | Online Renewal. “if this is your first renewal, you are not required to provide CCA points (unless you have been notified by the Board that you are required to submit CCA points) ...” Checked October 30, 2026.
42. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 38 .0103(21) Definitions (Supervision). Checked October 30, 2026.
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    “(a) "General supervision," which is required for all occupational therapy assistants by an occupational therapist. It includes a variety of types and methods of supervision and may include observation, modeling, co-treatment, discussions, teaching, instruction, phone conversations, videoconferencing, written correspondence, electronic exchanges, and other telecommunication technology. Methods of observation include face-to-face, synchronous or asynchronous videoconferencing. ... General supervision shall be required at least monthly; and (b) "Direct supervision," which is required for all unlicensed personnel and volunteers. It means the Occupational Therapy supervisor must be within audible and visual range of the client and unlicensed personnel and available for immediate physical intervention. Videoconferencing is not allowed for direct supervision.”
43. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 38 .0904 Documentation of Supervision. “(b) Supervision must reflect a review of all aspects of the occupational therapy assistant’s practice. In any situation, the occupational therapist is ultimately responsible for all delegated services.” Checked October 30, 2026.
44. North Carolina General Assembly. G.S. 90-300. Renewal of licenses.. Checked October 30, 2026.
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    “A licensee shall annually pay to the Board a fee in an amount established by the General Assembly for a renewal of his license. A 30-day grace period shall be allowed after expiration of a license during which the license may be renewed on payment of a fee in an amount established by the General Assembly.”
45. North Carolina General Assembly. G.S. 90-298.1. Registered assistant.. “A registration of an assistant must be renewed annually. To renew the registration of an assistant, the licensee who supervises the assistant must submit an application for renewal and pay the renewal fee.” Checked October 30, 2026.
46. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 64 .0218 Continuing Education. Checked October 30, 2026.
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    “Beginning January 1, 2009 each licensee must complete 30 hours every three years of continuing professional education in their fields sponsored by the American Speech-Hearing-Language Association, the North Carolina Speech-Hearing-Language Association, or the North Carolina Department of Public Instruction; or other courses approved by the Board as similar to courses offered by any of these organizations.”
47. North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists. Continuing Education - North Carolina Board of Examiners for SLPA. Checked October 30, 2026.
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    “Each licensee will have a three-year cycle to complete the required 30 CEU hours. You may elect to have your CEU cycle synced with your ASHA cycle. ... If you would like to change your CEU cycle this change can only be done once.”
48. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 64 .1003 Licensee Requirements. Checked October 30, 2026.
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    “(a) Licensees who register an Assistant must have held a current, permanent license in North Carolina for two years or equivalent qualifications from another state. Temporary license holders shall not register Assistants. ... (1) Before assigning a treatment tasks to an Assistant, the Licensee must have first evaluated the patient, written a general treatment plan, and provided the Assistant with a written session protocol ... (3) For every patient encounter (screening or treatment) in which an Assistant provides service, there must be legible signatures of the Assistant and one Supervising Licensee. ... (6) When patient services are being rendered by an Assistant, the Supervising Licensee must be accessible to the Assistant in order to assure that direct observation and supervision can occur when necessary.”
49. North Carolina General Assembly. G.S. 90-270.67. Definitions.. “(4) Occupational therapy. - A health care profession providing evaluation, treatment and consultation to help individuals achieve a maximum level of independence by developing skills and abilities interfered with by disease, emotional disorder, physical injury, the aging process, or impaired development.” Checked October 30, 2026.
50. North Carolina General Assembly. G.S. 90-270.78. False representation of license prohibited.. “(a) It is unlawful for any person who is not licensed in accordance with this Article or whose license has been suspended, revoked or not renewed by the Board to: (1) Engage in the practice of occupational therapy.” Checked October 30, 2026.
51. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). Checked October 30, 2026.
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    “a. A verbal or written order must be obtained prior to all OST services. ... b. The OST service must be ordered by one of these NC Medicaid enrolled practitioners: 1. Medical Doctor (MD); 2. Doctor of Osteopathic Medicine (DO); 3. Doctor of Podiatric Medicine (DPM); 4. Certified Nurse Midwife (CNM); 5. Physician Assistant (PA); or 6. Nurse Practitioner (NP).”
52. North Carolina General Assembly. G.S. 90-293. Definitions.. Checked October 30, 2026.
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    “(7) The practice of speech and language pathology. - The application of principles, methods, and procedures for the measurement, testing, evaluation, prediction, counseling, treating, instruction, habilitation, or rehabilitation related to the development and disorders of speech, voice, language, communication, cognitive-communication, and swallowing for the purpose of identifying, preventing, ameliorating, or modifying such disorders.”
53. North Carolina General Assembly. G.S. 90-294. License required; Article not applicable to certain activities.. Checked October 30, 2026.
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    “(b) No person may practice or hold himself or herself out as being able to practice speech and language pathology or audiology in this State unless the person holds a current, unsuspended, unrevoked license issued by the Board or is registered with the Board as an assistant.”
54. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “a. A verbal or written order must be obtained prior to all OST services.” Checked October 30, 2026.
55. North Carolina Department of Health and Human Services, NC Medicaid. Provider Enrollment | NC Medicaid. Checked October 30, 2026.
56. 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.”.
57. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). Checked October 30, 2026.
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    “Prior approval (PA) is required prior to the start of all treatment services. The provider shall submit a request to the DHHS utilization review contractor to start the PA process. ... A written evaluation report must be completed within three months of the requested treatment start date. When continued treatment is requested, an annual re-evaluation of the beneficiary’s status and performance must be documented in a written evaluation report.”
58. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “Prior approval is not required for an evaluation visit.” Checked October 30, 2026.
59. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “Prior approval (PA) can be obtained for up to 12 therapy treatment visits and six months in a single PA request. Each reauthorization request must document the efficacy of treatment.” Checked October 30, 2026.
60. North Carolina Department of Health and Human Services, NC Medicaid. Transformation | NC Medicaid. “On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan’s network of doctors. Some beneficiaries remain NC Medicaid Direct.” Checked October 30, 2026.
61. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “To all beneficiaries enrolled in a Prepaid Health Plan (PHP): for questions about benefits and services available on or after implementation, please contact your PHP.” Checked October 30, 2026.
62. North Carolina Department of Health and Human Services, NC Medicaid. Download Fee Schedules - DHB Fee Schedule & Covered Codes Portal. Checked October 30, 2026.
63. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). Checked October 30, 2026.
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    “Note: Separate CMS-1500 claim forms/837P transactions must be filed for evaluation and treatment services, and for each type of service provided. Because individual and group speech therapy are considered the same type of service, they can be listed on the same claim form.”
64. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). Checked October 30, 2026.
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    “Telehealth Claims: Modifier GT must be appended to the CPT or HCPCS code to indicate that a service has been provided via interactive audio-visual communication. ... Telehealth claims should be filed with the provider’s usual place of service code(s).”
65. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). “Timed units billed must meet CMS regulations: 1 unit: ≥8 minutes through 22 minutes 2 units: ≥23 minutes through 37 minutes ...” Checked October 30, 2026.
66. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). Checked October 30, 2026.
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    “For co-treatment by OT and PT for a single beneficiary as a single visit, billing shall not exceed the total treatment session length. OT and PT must split the time and bill only timed CPT codes.”
67. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). Checked October 30, 2026.
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    “Physical Therapy Evaluation Code Unit of Service Telehealth Eligible Service 92610 (1 unit = 1 event) No 97161 (1 unit = 1 event) Yes 97162 (1 unit = 1 event) Yes 97163 (1 unit = 1 event) Yes 97164 (1 unit = 1 event) Yes ...”
68. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). Checked October 30, 2026.
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    “Occupational Therapy Evaluation Code Unit of Service Telehealth Eligible Service 92610 (1 unit = 1 event) No 96125 (1 unit = 1 hour) No 97165 (1 unit = 1 event) Yes 97166 (1 unit = 1 event) Yes 97167 (1 unit = 1 event) Yes 97168 (1 unit = 1 event) Yes ...”
69. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services, Attachment A (amended October 1, 2026). Checked October 30, 2026.
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    “Speech/Language Evaluation Code Unit of Service Telehealth Eligible Service 92521 (1 unit = 1 event) Yes 92522 (1 unit = 1 event) Yes 92523 (1 unit = 1 event: 2 areas assessed) Yes 92524 (1 unit = 1 event) Yes ...”
70. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No.: 10C, School-Based Services (SBS) Provided by Local Education Agencies (LEAs) (amended October 1, 2026). Checked October 30, 2026.
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    “School-Based Services (SBS) Provided by Local Education Agencies (LEAs) are direct healthcare services provided to a Medicaid beneficiary in the school environment. These services are designed to improve access to medically necessary physical and behavioral healthcare. SBS are billed by the LEA and are provided by employed or contracted personnel of the LEA. School-Based Services (SBS) include the following: a. Audiology (AUD); b. Occupational Therapy (OT); c. Physical Therapy (PT); d. Speech-Language Pathology (SLP); e. Behavioral Health; and f. Nursing Services.”
71. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). Checked October 30, 2026.
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    “Select services within this clinical coverage policy may be provided via telehealth. ... For a beneficiary to receive telehealth services, the following criteria must be met: a. Informed consent for telehealth service delivery must be provided by the beneficiary or their legally authorized representative; b. Telehealth must be safe and effective, with the beneficiary’s parent, guardian, or caregiver present if necessary; c. Telehealth delivery does not compromise efficacy of care; d. In-person care must be made available if requested by the beneficiary ...”
72. North Carolina Department of Health and Human Services, NC Medicaid. Clinical Coverage Policy No: 10A, Outpatient Specialized Therapy (OST) Services (amended October 1, 2026). “e. Telehealth must be used in the best interest of the beneficiary and not as a convenience for the therapist; and f. Telehealth must never be used solely to increase therapist productivity.” Checked October 30, 2026.
73. North Carolina Board of Occupational Therapy. North Carolina Board of Occupational Therapy | Telehealth. Checked October 30, 2026.
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    “An occupational therapy practitioner may deliver evaluation, treatment, and consultation through telecommunication and information technologies. ... An occupational therapy practitioner is required to be licensed in North Carolina if the practitioner provides occupational therapy services to a client who is in North Carolina.”
74. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 64 .0219 Telepractice. “(g) Notification of telepractice services shall be provided to the patient and guardian if the patient is a minor or under guardianship. The notification shall include the right to refuse telepractice services and options for alternate service delivery.” Checked October 30, 2026.
75. North Carolina General Assembly. G.S. 90-270.78. False representation of license prohibited.. Checked October 30, 2026.
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    “(b) Any person who resides in another state or foreign country and who, by use of electronic or other medium, performs any of the acts described as the practice of occupational therapy pursuant to this Article, but is not licensed pursuant to this Article, shall be regarded as practicing occupational therapy without a North Carolina license and is subject to the provisions of this Article and appropriate regulation by the Board.”
76. North Carolina Office of Administrative Hearings (North Carolina Administrative Code). 21 NCAC 64 .0219 Telepractice. Checked October 30, 2026.
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    “(d) Telepractice constitutes the practice of Speech and Language Pathology and Audiology in both the patient site and provider site. Providers must hold a license in the state of the provider site and shall be in compliance with the statutory and regulatory requirements of the patient site.”
77. North Carolina General Assembly. G.S. 90-270.120. Purpose. (Article 18F, Physical Therapy Licensure Compact). “The practice of physical therapy occurs in the state where the patient/client is located at the time of the patient/client encounter.” Checked October 30, 2026.
78. North Carolina Department of Revenue. Register A Business | NCDOR. Checked October 30, 2026.
79. North Carolina General Assembly. G.S. 105-164.13. Retail sales and use tax.. Checked October 30, 2026.
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    “The sale at retail and the use, storage, or consumption in this State of the following items are specifically exempted from the tax imposed by this Article: ... (12) Sales of any of the following: a. Prosthetic devices for human use. b. Mobility enhancing equipment sold on a prescription. c. Durable medical equipment sold on prescription. d. Durable medical supplies sold on prescription.”
80. North Carolina Department of Revenue. Who Should Register for Sales and Use Tax? | NCDOR. Checked October 30, 2026.
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    “Every business, person, or facilitator engaged in business in North Carolina of one or more of the following must register online or by mail with the Department to obtain a Certificate of Registration: Selling tangible personal property at retail. Selling and providing taxable services.”
81. North Carolina General Assembly. G.S. 97-2. Definitions.. “(1) Employment. - The term "employment" includes employment by the State and all political subdivisions thereof, and all public and quasi-public corporations therein and all private employments in which three or more employees are regularly employed in the same business or establishment ...” Checked October 30, 2026.
82. North Carolina General Assembly. G.S. 97-93. Employers required to carry insurance or prove financial ability to pay for benefits; employers required to post notice; self-insured employers regulated by Commissioner of Insurance.. Checked October 30, 2026.
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    “(a) Every employer subject to the provisions of this Article relative to the payment of compensation shall either: (1) Insure and keep insured his liability under this Article in any authorized corporation, association, organization, or in any mutual insurance association formed by a group of employers so authorized; or ... (3) Obtain a license from the Commissioner of Insurance under Article 5 of this Chapter or under Article 47 of Chapter 58 of the General Statutes.”
83. 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.”.
84. 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.”.
85. North Carolina General Assembly. G.S. 75-65. Protection from security breaches.. Checked October 30, 2026.
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    “(a) Any business that owns or licenses personal information of residents of North Carolina or any business that conducts business in North Carolina that owns or licenses personal information in any form (whether computerized, paper, or otherwise) shall provide notice to the affected person that there has been a security breach following discovery or notification of the breach. The disclosure notification shall be made without unreasonable delay ... (e1) In the event a business provides notice to an affected person pursuant to this section, the business shall notify without unreasonable delay the Consumer Protection Division of the Attorney General’s Office of the nature of the breach ...”
86. North Carolina General Assembly. G.S. 7B-301. Duty to report abuse, neglect, dependency, or death due to maltreatment.. Checked October 30, 2026.
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    “(a) Any person or institution who has cause to suspect that any juvenile is abused, neglected, or dependent, as defined by G.S. 7B-101, or has died as the result of maltreatment, shall report the case of that juvenile to the director of the department of social services in the county where the juvenile resides or is found. The report may be made orally, by telephone, or in writing. ... (b) Any person or institution who knowingly or wantonly fails to report the case of a juvenile as required by subsection (a) of this section, or who knowingly or wantonly prevents another person from making a report as required by subsection (a) of this section, is guilty of a Class 1 misdemeanor.”
87. North Carolina General Assembly. G.S. 58-3-192. Coverage for autism spectrum disorder.. Checked October 30, 2026.
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    “(8) Therapeutic care. - Direct or consultative services provided by a licensed speech therapist, licensed occupational therapist, licensed physical therapist, licensed clinical social worker, licensed clinical mental health counselor, or licensed marriage and family therapists. (9) Treatment for autism spectrum disorder. - Any of the following care for an individual diagnosed with autism spectrum disorder, or equipment related to that care, ordered by a licensed physician or a licensed psychologist who determines the care to be medically necessary: ... (b) Except as provided in subsection (c) of this section, health benefit plans shall provide coverage for the screening, diagnosis, and treatment of autism spectrum disorder.”
88. North Carolina General Assembly. G.S. 58-3-192. Coverage for autism spectrum disorder.. Checked October 30, 2026.
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    “(c) Coverage for adaptive behavior treatment under this section may be subject to a maximum benefit of up to forty thousand dollars ($40,000) per year and may be limited to individuals 18 years of age or younger. Beginning in 2017 and for subsequent years, the amount shall be indexed using the Consumer Price Index for All Urban Consumers for the South Region and shall be rounded to the nearest whole thousand dollars. ... (d) Coverage under this section may not be denied on the basis that the treatments are habilitative or educational in nature.”
89. North Carolina General Assembly. G.S. 58-3-192. Coverage for autism spectrum disorder.. “(g) Nothing in this section shall apply to non-grandfathered health plans in the individual and small group markets that are subject to the requirement to cover the essential health benefit package under 45 C.F.R. § 147.150(a).” Checked October 30, 2026.
90. Palmetto GBA. Palmetto GBA - Jurisdiction M Part B. “Jurisdiction M Part B MAC Part B Providers in North and South Carolina, Virginia and West Virginia ...” Checked October 30, 2026.
91. North Carolina Industrial Commission. Medical Fees Section | North Carolina Industrial Commission. Checked October 30, 2026.
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    “The Medical Fees Section reviews bills for medical services provided as a result of a workers’ compensation claim when a medical provider, employee, attorney, or carrier or employer requests assistance. Medical bills are reviewed and adjusted in accordance with the Industrial Commission’s Medical Fee Schedule and then returned to the requesting party. The Medical Fees Section assists in resolving medical fee disputes and updates the Medical Fee Schedule annually.”
92. North Carolina Industrial Commission. Medical Fee Schedule Eff. January 1, 2026 | North Carolina Industrial Commission. “CODE MOD NCIC Category Assignment Description NC Non-Facility Rate NC Facility Rate ... 97161 Physical Medicine ... 97165 Physical Medicine ...” Checked October 30, 2026.
93. APTA North Carolina. APTA North Carolina (the state association's site). Checked October 30, 2026.
94. the North Carolina Occupational Therapy Association. the North Carolina Occupational Therapy Association (the state association's site). Checked October 30, 2026.
95. the North Carolina Speech, Hearing and Language Association. the North Carolina Speech, Hearing and Language Association (the state association's site). Checked October 30, 2026.
96. DrSensory. Occupational therapy clinics in North Carolina, 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.
97. 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 North Carolina, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.