NC Physical Therapist License Defense Attorney
Understanding the Board
Facing a complaint or disciplinary action from the North Carolina Board of Physical Therapy Examiners is one of the most serious threats to your professional career. Unlike client disputes or malpractice claims, regulatory actions impact your license, your ability to practice, and your reputation in your community.
A well-crafted defense isn’t optional — it’s essential. This page is designed to give you a deep, authoritative overview of how the NC PT Board works, what kinds of conduct leads to discipline, how investigations and hearings proceed, and how an attorney focused on licensing defense can help you protect your license and livelihood.
The Board Process
When a complaint is filed with the North Carolina Board of Physical Therapy Examiners (NCBPTE), the Board first requests a detailed written statement from the complainant describing the alleged conduct or issue involving the licensee.
Once the complaint is received, the Board will notify the physical therapist or physical therapist assistant and typically provide a redacted copy of the complaint. The licensee is then provided an opportunity to provide their response, explaining their version of events and providing any supporting documentation.
In some cases, the licensee may also be invited to appear before the Board’s Investigative Committee to answer questions or clarify issues.
This stage is a critical opportunity to control the narrative and present mitigating information that could help the Board see the situation in context. A well-prepared response—crafted with the help of an experienced licensing defense attorney—can often make the difference between a client’s discipline.
After reviewing the complaint, response, and investigation findings, the Board may offer a proposed resolution, which could include public or private discipline such as a reprimand, probation, or other remedial measures. Before accepting any proposed action, the licensee should carefully review the terms with their attorney to ensure the outcome is fair and minimizes long-term impact on their career.
If the proposed outcome is unfavorable or involves a license suspension or revocation, the matter may proceed to a formal administrative hearing—a quasi-judicial proceeding similar to a trial—where the licensee and their counsel can present evidence, call witnesses, and cross-examine the Board’s witnesses.
The Complaint & Board Authority
Anyone may file a complaint against a physical therapist or PTA alleging violation of the Practice Act or Board Rules. However, anonymous complaints cannot be pursued (i.e., the Board must have identifying information). This is different from other boards in North Carolina who will investigate regardless of whether the complainant is identified.
The Board’s Practice Act is located in: N.G. Gen. Stat. § 90-270.90 — 90-270.106. And the Board’s Administrative Code is located at, Title 21 N.C. Admin. Code Chapter 48. Each of these govern the Board’s actions.
Steps to Take— If You’re Under Investigation or Received a Complaint
Don’t ignore the notice or delay — procedural deadlines matter; missing them may waive rights.
Preserve all documentation and communications — charts, emails, billing, supervision notes, treatment plans.
Do not personally reach out to complainants, witnesses, or investigators — let your attorney manage communication.
Avoid deleting, altering, or destroying records — that can be a separate violation.
Request legal counsel immediately — with experience in PT licensing defense.
Review your professional liability (E&O) or malpractice policy — see whether defense costs might be covered.
Appealing a Board Decision
If you disagree with the NC Board of Physical Therapy Examiners’ final decision, you have the right to appeal within 30 days to the Superior Court in your county or in Wake County (where the Board is located).
Our firm assists with:
Reviewing the administrative record for appealable issues
Drafting the written notice of appeal
Preparing court filings and arguments for review
Appeals are time-sensitive — missing the 30-day deadline can forfeit your right to challenge the Board’s decision.
Take the Next Step
Your license represents years of education, training, and dedication. A single complaint or misunderstanding should not jeopardize your career.
If you are under investigation by the North Carolina Board of Physical Therapy Examiners or have been notified of a complaint, contact our office today. We provide free and confidential consultations.