StateLicense NameReq Out of State Online VerificationReq PharmaciesNotes
AK No License Required No - No
AL Pedorthist License Yes Y No F: Licensure requirement effective March 1, 2014. A licensed Orthotist, Prosthetist/Orthotist or Pedorthist may also provide these items. (Added: 12/12/2013)
AR Orthotist or Pedorthist License Yes Y Yes C: If doing custom items, must have an Orthotist/Pedorthist/Prosthetist License issued by AR Dept. of Health. The license can be verified at: http://www.healthy.arkansas.gov/opp/verification/index.php. A license is required for out-of-state suppliers.
AS No License Required No - No
AZ No License Required No - No
CA No License Required No - No
CO No License Required No - No
CT Wholesaler of Drugs, Medical Devices and Cosmetics Registration Yes Y No
DC No License Required No - No
DE No License Required No - No
FL Pharmacist License Yes Y Yes A: The Orthotics, Prosthetics, and Pedorthics license requirement does not apply to a person who is licensed under chapter 458 (Medical Doctors), chapter 459 (Osteopathic Medicine), chapter 460 (Chiropractic Medicine), or chapter 461(Podiatric Medicine).
FL Orthotic Fitter Yes Y No A: The Orthotics, Prosthetics, and Pedorthics license requirement does not apply to a person who is licensed under chapter 458 (Medical Doctors), chapter 459 (Osteopathic Medicine), chapter 460 (Chiropractic Medicine), or chapter 461(Podiatric Medicine).
FL Prosthetist-Orthotist License Yes Y No A: The Orthotics, Prosthetics, and Pedorthics license requirement does not apply to a person who is licensed under chapter 458 (Medical Doctors), chapter 459 (Osteopathic Medicine), chapter 460 (Chiropractic Medicine), or chapter 461(Podiatric Medicine).
FL Pedorthist Yes Y No A: The Orthotics, Prosthetics, and Pedorthics license requirement does not apply to a person who is licensed under chapter 458 (Medical Doctors), chapter 459 (Osteopathic Medicine), chapter 460 (Chiropractic Medicine), or chapter 461(Podiatric Medicine).
GA No License Required No - No
GU No License Required No - No
HI No License Required No - No
IA Pedorthist License Yes Y No B: Effective 1/1/2014, the Iowa Board of Podiatry established the rules to license Orthotists, Prosthetists, and Pedorthists. The licenses are not required of health care practitioners licensed in this state such as physicians, registered nurses, physical therapists, occupational therapists, chiropractors, and pharmacists who engage in the profession or occupation for which they are licensed. For more information, please view the Practice Act including exemptions at https://www.legis.iowa.gov/DOCS/ACO/IC/LINC/Chapter.148F.pdf (Added: 01/31/2014; Rev1: 01/15/2015)
D: Orthotist License is also acceptable.
ID No License Required No - No
IL Orthotist/Pedorthist License Yes Y No D: If supplying orthotic, prosthetic, or pedorthic items, the items must be dispensed under the supervision of a licensed Orthotist, Prosthetist, or Pedorthist. A Pedorthist License is acceptable as long as the orthosis is below the ankle (and foot). A physician, physical therapist, occupational therapist, or advanced practice nurse are also acceptable for supplying orthotic, prosthetic or pedorthic items.
IN No License Required No - No
KS No License Required No - No
KY Pedorthist License Yes Y No D: Exemptions to the Prosthetics, Orthotics & Pedorthics licenses: Chapter 319B does not prohibit a licensed physician, chiropractor, pharmacist, or physical/occupational therapist licensed in this state from engaging in that person's profession pursuant to his or her education and training. A full list of the state’s exemptions can be found at https://pop.ky.gov/newstatic_Info.aspx?static_ID=572&menuid=190
LA No License Required No - No
MA No License Required No - No
MD Residential Service Agency License D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. (8LMM280126) Y Yes C: “Residential service agency” means: (i) Any individual, partnership, firm, association, corporation, or other business entity of any kind that is engaged in a nongovernmental business of employing or contracting with individuals to provide at least one home health care service for compensation to an unrelated sick or disabled individual in the residence of that individual; or (ii) An agency that employs or contracts with individuals directly for hire as home health care providers. A branch office of the agency may operate under the same license that is issued to the agency (One license issued to multiple locations); however, each location must be listed on the branch letter provided with the RSA license from the Office of Health Care Quality (OHCQ). Effective July 1, 2018, the Residential Service Agency License is a non-expiring license.
D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists.
ME No License Required No - No
MI No License Required No - No
MN Orthotics License Yes - No B: Effective 1/1/2018, the Minnesota Board of Podiatric Medicine established the rules to license Orthotists, Prosthetists, and Pedorthists. The licenses are not required of health care practitioners licensed in this state including, but not limited to; physicians, osteopathic physician, podiatric physician, chiropractors, physical therapists and occupational therapy practitioners who engage in the profession or occupation for which they are licensed. 3/22/2019
C: Pedorthist License is acceptable as long as the orthosis is for below the ankle (to include the foot).
MO No License Required No - No
MP No License Required No - No
MS Orthotist Certification (BOC) Yes Y No C: No person shall practice orthotics or prosthetics in the state unless he or she is certified as an orthotist, prosthetist, or both, by the American Board of Certification in Orthotics and Prosthetics (ABC) or the Board of Certification in Orthotics and Prosthetics (BOC). (See Agency #2 and 7 for contact information). Chapter 73-22-3 does not prevent any person licensed, registered or certified in this state from engaging in the profession or occupation for which he or she is licensed, registered or certified (MS Code of 1972, Section 73-22-3). A copy of the senate bill 2011 can be found at http://billstatus.ls.state.ms.us/documents/1998/SB/2001-2099/SB2011IN.htm
MS Certified Orthotist (ABC) Yes Y No C: No person shall practice orthotics or prosthetics in the state unless he or she is certified as an orthotist, prosthetist, or both, by the American Board of Certification in Orthotics and Prosthetics (ABC) or the Board of Certification in Orthotics and Prosthetics (BOC). (See Agency #2 and 7 for contact information). Chapter 73-22-3 does not prevent any person licensed, registered or certified in this state from engaging in the profession or occupation for which he or she is licensed, registered or certified (MS Code of 1972, Section 73-22-3). A copy of the senate bill 2011 can be found at http://billstatus.ls.state.ms.us/documents/1998/SB/2001-2099/SB2011IN.htm
MT No License Required No - No
NC No License Required No - No
ND Durable Medical Equipment Retailer License Yes Y No A: Effective August 1, 2013 suppliers (in-state and out-of-state) providing any devices pursuant to a prescription, directly to a consumer, must either hold a pharmacy license, or the new Durable Medical Equipment Retailer license or Medical Gas Retailer license if selling or delivering medical gas and related oxygen equipment, and employ or contract with a North Dakota licensed individual specifically authorized by their practice to prescribe or dispense those devices (i.e. Physicians, Physician Assistants, Pharmacists, Licensed Nurses (LPN and RN), Physical Therapists, Respiratory Therapists). Additionally, suppliers providing custom orthotics, prosthetics, and diabetic footwear must employ or contract with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items.
NE No License Required No - No
NH No License Required No - No
NJ Pedorthist License Yes Y Yes A: A Pedorthist certified by the American Board for Certification (ABC) does not have to be licensed in NJ, but may voluntarily obtain a license through the NJ Board of O&P Examiners. An Orthotist licensed in NJ may also provide these items. Physicians who fall under the scope of practice are exempt.
B: Any person who is licensed to practice medicine and surgery, dentistry or podiatry in New Jersey is exempt.(3/26/2019)
C: Licensed Physical Therapists are exempt. Licensed Occupational Therapists are only exempt if providing upper extremity equipment, finger splints, and hand splints.(3/26/2019)
NM No License Required No - No
NV Medical Devices, Equipment & Gases License Yes Y No D: The Medical Devices, Equipment & Gases License is required of any business engaged as a medical products provider that wishes to sell, lease or otherwise provide medical devices, equipment, supplies, and gases to a consumer in this state. Additionally, suppliers providing custom orthotics or prosthetics must be approved by the Board and submit evidence that the supplier has employed or contracted with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items. The license requirement does not apply to NV licensed Pharmacies, Hospitals, or Health Professionals (i.e. Physicians, Dentists, Podiatrists, Physical Therapists, Occupational Therapist, Registered Nurses or Respiratory Therapists) who sell, lease or otherwise provide medical devices, and gases within the scope of their license or registration in a health care facility other than the facility of the medical equipment provider to a consumer for use by that consumer pursuant to the order of a practitioner.
NY No License Required No - No
OH Pedorthist License Yes Y No G: Licensed Orthotists or Prosthetists may also provide diabetic shoes and inserts (custom and non-custom). Per Ohio Code 4779.02, exemptions to practice orthotics, prosthetics, or pedorthics include the following professionals: Individuals who hold a current, valid license, certificate, or registration issued under Chapter 4723 (Nurses), 4730 (Physician Assistants), 4731 (Physicians; Limited Practitioners), 4734 (Chiropractors), 4755 (Physical Therapists; Occupational Therapists; Athletic Trainers), or 4729 (Pharmacists) and are practicing within their scope of practice under statutes and rules regulating each individual’s profession. (Effective: 06/06/2001; Rev: 07/25/2018)
OK Pedorthist License Yes Y Yes E: A Pedorthist license is not required for licensed orthotist and/or prosthetist, physicians, chiropractors, and physical therapists engaged in the practice or practices for which the person is licensed. A registered pharmacist may be exempt if he or she has the proper training to fit, measure, and dispense diabetic footwear.
OR No License Required No - No
PA Pedorthist License No Y No F: An Orthotist License is acceptable for Prefabricated (Custom Fitted) items as well as Diabetic Shoes and Inserts (regular and custom). A Pedorthist is acceptable for orthoses (custom fabricated or fitted) below the knee only. Edited 11/07/16
PA Drug & Device Registration, Category of Devices No Y No A: The Drug & Device Registration is required for medical device retailers located in Pennsylvania that are physically receiving, storing and handling, shipping medical devices/equipment, DME, or surgical supplies at the Pennsylvania storefront, warehouse, etc. The Drug & Device Registration does not apply to in state licensed healthcare facilities, pharmacies, and physicians/practitioners dispensing devices directly to their own patients within their respective scope of practice or license; out of state medical device retailers nor practitioners (i.e., physicians) /pharmacies supplying their own patients.
PR No License Required No - No
RI No License Required No - No
SC No License Required No - No
SD No License Required No - No
TN Orthotist License Yes Y Yes C: A license to provide custom orthotics or prosthetics is not required of a health care practitioner licensed under Title 63, such as a physician or nurse who is acting within his or her lawful scope of practice. A full list of the state’s exemptions can be found at https://publications.tnsosfiles.com/rules/1155/1155-04.20170723.pdf.
TN Pedorthist License Yes Y Yes C: A license to provide custom orthotics or prosthetics is not required of a health care practitioner licensed under Title 63, such as a physician or nurse who is acting within his or her lawful scope of practice. A full list of the state’s exemptions can be found at https://publications.tnsosfiles.com/rules/1155/1155-04.20170723.pdf.
TX Orthotist License - Practitioner Yes Y No C: Custom-made or custom-fitted items must be provided by a “Licensed Prosthetist” or “Licensed Orthotist/Prosthetist” in a State licensed “Accredited Facility. The Texas O&P statute exempts certain license holders: (1) a podiatrist practicing under Chapter 202; (2) a chiropractor practicing under Chapter 201; (3) an occupational therapist practicing under Chapter 454; or (4) a physical therapist practicing under Chapter 453. A Board for Certification (BOC) Pedorthist’s scope of practice is limited to below the ankle. A pharmacist licensed by the Texas State Board of Pharmacy or a person who is working under the direct supervision of a pharmacist may practice orthotics.
E: The Texas O&P Board issued a statement that any individual who custom fits a diabetic or other shoe through means of moldable inserts or other methods, regardless of where the final shoe is manufactured, is practicing orthotics per Sections 605.002 (3), (4), (12), and (14).and must either be licensed under the Texas Orthotics and Prosthetics Act or exempt. Exemptions include only physical therapists, occupational therapists, chiropractors, podiatrists, pharmacists, and certified pedorthists who provide devices that affect the anatomical ankle and below. With the exception of certified pedorthists, the listed professionals may operate and provide orthotic devices under the auspices of their own Acts as defined in state law.
TX Prosthetist/Orthotist Accredited Facility License Yes Y No C: Custom-made or custom-fitted items must be provided by a “Licensed Prosthetist” or “Licensed Orthotist/Prosthetist” in a State licensed “Accredited Facility. The Texas O&P statute exempts certain license holders: (1) a podiatrist practicing under Chapter 202; (2) a chiropractor practicing under Chapter 201; (3) an occupational therapist practicing under Chapter 454; or (4) a physical therapist practicing under Chapter 453. A Board for Certification (BOC) Pedorthist’s scope of practice is limited to below the ankle. A pharmacist licensed by the Texas State Board of Pharmacy or a person who is working under the direct supervision of a pharmacist may practice orthotics.
UT No License Required No - No
VA No License Required No - No
VI No License Required No - No
VT No License Required No - No
WA No License Required No - No
WI No License Required No - No
WV No License Required No - No
WY No License Required No - No