On April 25th, 2014 the Arizona physical therapy statute was ammended to include dry needling within the physical therapy scope of practice.

Click here to read guidelines

July 1st. 2014: Delaware passed a bill that redefines and expands the ‘practice of physical therapy’ and ‘athletic training’ to include the use of dry needling treatment. Read the bill

Click here to read guidelines

2011 Dry needling added to GA PT practice act; only state to have in statute.

Physical therapists; by statute; are not allowed to puncture the skin of a patient for any purpose.

The passing of House Bill 505 enacted dry needling in the physical therapy practice act. The board is still in the process of determining the rules and regulations and they are scheduled to be released in early 2019. Read the Idaho Practice act.

Effective 8-25-17  Dry needling is in the scope of a Physical Therapist’s practice, however, they need meet the legal requirements. Read the Illinois practice act.

August 2012: Board meeting minutes – Claimed by some resources to have approved dry needling for PTs; minutes state that “Indiana does not take a position on needling. The current statute is open and does not specifically state whether or not it is appropriate.” Not prohibited; but not endorsed either. As an update to prior opinion in 2012 The IN APTA as of July 2013 has not declared a particular stance on dry needling but rather follows the National APTA White Paper on Dry Needling as within the scope of practice for PTs.

Dry needling was added to the Kansas statute on May 13, 2016 after Governor Brownback signed the bill.  Click here to read guidelines.

The board is of the opinion dry needling is within the scope of the practice of physical therapy as defined in Kentucky law by the General Assembly at KRS 327.010(1). Dry needling is a treatment used to improve neuromuscular function. As such it falls within the definition of physical therapy as defined under KRS 327:010 (1): Physical therapy – means the use of selected knowledge and skills; invasive or noninvasive procedures with emphasis on the skeletal system; neuromuscular; and cardiopulmonary function; as it relates to physical therapy. There is nothing in KRS Chapter 327 to prohibit a licensed physical therapist from performing dry needling so long as the physical therapist is competent in performing this intervention. Click here to read guidelines.

Click here to read guidelines.

The Maryland board of Physical Therapy Examiners ruled that dry needling is in the scope of practice of a Physical Therapist as long as they meet the minimum education and training requirements.  A full description of the requirements is listed here.

The Michigan Physical Therapy board has not ruled for or against physical therapists performing dry needling.

The Minnesota Physical Therapy licensure board is silent on dry needling. The board is prohibited from making position statements.

Click here to read guidelines.

The Missouri Board of Registration for the Healing Arts (Advisory Commission for Physical Therapists) has not formally ruled on the performance of dry needling by Missouri physical therapists.

Click here to read guidelines.

Click here to read guidelines

On June 5, 2020, the Nevada Legislative Commission approved the attached regulation prescribing the qualifications required for physical therapists to perform dry needling. In summary, the qualifications include the completion of at least 150 hours of certain didactic education and training in dry needling, and submission of documentation to the Nevada Physical Therapy Board. This education requirement includes at least 25 hours of didactic education and training provided through a postgraduate course of study that requires the successful completion of in-person written and practical examinations.

In accordance with LCB File No. R054-19, a physical therapist shall meet the qualifications established in R054-19 before providing the skilled intervention Dry Needling, as defined in NRS 640. 014. A physical therapist offering to provide or providing Dry Needling intervention shall submit documented proof of compliance with the qualifications listed in R054-19.

October 19 2011: Physical Therapy Board Minutes: PTs can do dry needling if they have been trained to do so.

March 2000: In a letter dated March 21 2000; the PT board determined that the PT Act does not prohibit dry needling and that Section 61-12D-3: Paragraph I: Number 2 – describing the practice of physical therapy supports that decision.

Affirmed in 2007 NY State Board issued an opinion in early 1990s that it was not an entry level skill and therefore could not be done.

On January 15th, 2015 the Rules Review Commission meeting restated the board’s opinion that dry needling is within the scope of practice of physical therapy. The Board also believes physical therapists can continue to perform dry needling so long as they possess the requisite education and training required by N.C.G.S. § 90-270.24(4), but there are no regulations to set the specific requirements for engaging in dry needling. Read the RRC’s statement

Click here to read the guidelines.

Affirmed in 2007 NY State Board issued an opinion in early 1990s that it was not an entry level skill and therefore could not be done.

On May 17, 2017, the Attorney General of Oregon issued a statement that dry needling is not within the scope of practice of a licensed Oregon Physical Therapist.

Physical therapy board was advised by legal counsel that dry needling is not within the scope of practice of a physical therapist. There was opposition to the ruling by the President of the Pennsylvania Physical Therapy Association. Whether dry needling is within the scope of PT practice in Pennsylvania is currently undetermined.

Feb 14 2012 PT board minutes: Board members revisited the matter of dry needling for intramuscular therapy. A board member questioned if it pertained to other professions; including Acupuncturist. The board administrator related guidance from attorney Tom Corrigan stating the use of a needle by one profession does not preclude a different profession from having a different use for a needle. Board members comment dry needling is within their scope of practice provided the licensed professional is comfortable trained and has appropriate background knowledge. For licensed physical therapists that are not qualified there are educational seminars they may sign up for and gain the required background and training.

In an email written in October 2004 in response to a licensed practitioners question regarding scope of practice and dry needling; the Chairperson affirmed that dry needling appears to fall within the SOP of a licensed PT in SC if they are fully trained in its use and comply with all legal and ethical requirements for professional practice in physical therapy.

2018: Dry needling course of study. The board may approve a course of study in dry needling that meets the following criteria:(1) The course of study shall include:(a) Surface anatomy as it relates to underlying tissues, organs, and other structures, including variations in form, proportion,
and anatomical landmarks; (b) Both emergency preparedness and response procedures related to secondary physiological effects or complications with dry needling; (c) Both emergency preparedness and response procedures related to secondary emotional effects or complications associated with dry needling;(d) Standards for dry needle handling;(e) Factors influencing safety and injury prevention;(f) Personal protection procedures and techniques as related to dry needling;(g) Theoretical basis for dry needling;(h) Theoretical basis for combining dry needling with other interventions;(i) Secondary effects or complications associated with dry needling on other systems;(j) Theoretical basis of pain sciences, including anatomy, physiology, pathophysiology, and relation to body structures and function;(k) Indications, contraindications, and precautions related to dry needling;(l) Palpation techniques as related to dry needling;(m) Needle insertion techniques;(n) Needle manipulation techniques;(o) Physiological responses to dry needling; and(p) Solid filament needles;(2) The majority of the course of study shall be in-person. Courses held entirely online or by other distance learning will not satisfy this requirement; and 

(3) The physical therapist may only perform dry needling on the parts of the body included in the course of study.

Source: 45 SDR 9, effective August 1, 2018. General Authority: SDCL 36-10-52.Law Implemented: SDCL 36-10-52.

Click here to read guidelines

In May of 2016, Texas Attorney General Mr. Ken Paxton issued a ruling stating that “A court would likely conclude that the Board of Physical Therapy Examiners has authority to determine that trigger point dry needling is within the scope of practice of physical therapy”. Read the Attorney Generals opinion.

On April 1: Utah Governor Gary R. Herbert signed into law HB 367. The legislation amends the Utah physical therapy statute to specifically add dry needling to the physical therapist scope of practice. Utah Requirements.

On June 22, 2015, the Office of Regulation replied pointing out that “under the existing law, the Vermont Office of Professional Regulation believes that physical therapists reasonably may practice TDN if appropriately trained and experienced, and if the therapy is reasonably indicated for the relief of an impairment of physical movement.”

The statute that defines the practice of physical therapy allows a variety of interventions, but we conclude that the best reading of the statute excludes dry needling from the practice of physical therapy. Our conclusion is based solely on the law as currently written; it is not our role to weigh the policy benefits and drawbacks of authorizing physical therapists to engage in dry needling. The legislature, of course, could also expand the scope of physical therapy by amending the relevant statutes. Here is a link to the full AG’s opinion.

July 18 2012: Opinion of the West Virginia Board of Physical Therapy Regarding Dry Needling Therapy: In summary; the Board is of the opinion that dry needling is within the scope of the practice of ‘physical therapy’ as defined by West Virginia Code.

In a letter dated Aug 18 2009: the Wyoming Board of Physical Therapy affirmed that nothing in the current practice act would preclude PTs performing dry needling with proper credentials.