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.

User Login Information
Technical Support: 866-353-3468 or support@alabamainteractive.org
Policy Related Questions: 888-726-9743 or info@pt.alabama.gov
Version 1.1.3