Rosters Request (List of Licensees, names and addresses only)
The Maryland Board of Physical Therapy Examiners offers a name and address listing of active physical therapist and physical therapist assistants. These alphabetical lists are for purchase and will be emailed in an excel format.
Please click on the Roster Request Form and fill out the type of list (s) you wish to purchase.
Print the form after filling it out.
To pay by check, mail the Roster Request Form and a check or money order to the Board.
To pay by credit card, click the corresponding credit card payment link below and make your payment online. E-Mail the Roster Request Form and a copy of the credit card receipt to the Board at email@example.com. Place "Roster Purchase Request" in the subject line. The request will not be processed without a copy of the receipt.
All Physical Therapists (In & Out of State)
All Physical Therapist (In State Only)
All Physical Therapist Assistants
Public Information: This notice is given to comply with State Government Article §10-624 (as amended by Chapter 4, Acts 2000, effective October 1, 2000):
The information collected on the license application form and the license renewal form is collected for the purposes of the Board's functions under the Md. Health Gen. Code Ann., Title 10. Failure to provide the information may result in the denial of your application for an initial or renewed license. You have a right to inspect, amend, and correct this information. The Board may permit inspection of this information, or make it available to others, only as permitted by Federal and State law. The Board may sell or provide a list of licensees' names and addresses to professional associations and other entities. Under the Maryland Public Information Act, Md. State Government Code Ann. 10-617, you may request in writing that your name be omitted from such lists.