Welcome to the Alabama Board of Physical Therapy License Name Change/Reprint Application.
This service provides capabilities for licensed Physical Therapists or Physical Therapist Assistants to update their personal information and reprint an updated license certificate.
Cost per license name change/reprint is $1.00.
Please login to update your information currently on file with the Board. You will also have the option to reprint your updated license certificate.
If a licensee is interested in an Official Reprint of their licensee, please fill out an Affidavit of License form, include a $10 money order, and mail request to the Board office. Normal turnaround time is within 10 days.
IMPORTANT NOTE: If you are eligible to renew your license at this time, please complete your license renewal PRIOR to beginning the name change application.
Click HERE for the ALBPT License Renewal application.