Skip to main content
The New York State Education Department (“SED”) Office of the Professions (“OP”) is alerting everyone to a vishing scam that has been brought to our attention. Phishing—or “vishing”—scams impersonate SED employees or websites attempting to collect licensure and personal information from the licensee. If you receive an inquiry which you believe to be suspicious do not provide any information. To verify if the inquiry was from OP, contact us directly. You may report any suspicious communication received to the Federal Trade Commission.
  • NYSED Homepage
  • Disclaimer
  • Contact Us
  • NYSED Employment
  • Board Members Only

Form 3 - Certification of Physical Therapist or Physical Therapist Assistant Licensure in Another State

If you are or have been licensed as a physical therapist or physical therapist assistant in another state or U.S. territory, you must also submit Form 3 to verify your license. A separate Form 3 must be sent directly from each jurisdiction in which you currently or previously held a license.

  • Section I: Complete this section of the form before sending it to the licensing authority. Make sure to include any fee required by that licensing authority for the certification or verification of a license. Be sure to sign and date item 7.
  • Section II: The state or U.S. territory in which you have previously applied for a license or been issued a license must complete this section and forward it directly to The Office of the Professions. The licensing authority must apply an original signature and stamp or seal and return the form directly to:

    The NYS Education Department
    Office of the Professions
    Division of Professional Licensing Services
    Physical Therapy Unit
    89 Washington Avenue
    Albany, NY 12234-1000.

Note: A Form 3 is not required for licenses/certificates issued by the New York State Education Department. Also, If the certification/verification documentation provided by a U.S. jurisdictions contains the same information requested in the Form 3, completion of a Form 3 for that jurisdiction is not necessary. For certification/verification documentation that does not contain the same information, a Form 3 will need to be completed for that jurisdiction.

Electronic Verification of Licensure, Certification and/or Examination

The Office of the Professions (OP) will accept electronic verifications of licensure, certification and examination completion from other licensing authorities located in the United States provided that:

  • OP can independently authenticate that the verification is received directly from the licensing authority.
  • The applicant had no opportunity to directly access or alter the verification before it is sent or transmitted.
  • Any licensing authority verification submissions should be made electronically to DPLSVerif@nysed.gov.*

*DO NOT use this email to submit a question, as we will be unable to provide a response. Submit a Contact Us Form for questions regarding specific applications or to check the status of a licensure application.