Missouri Physical Therapist License Renewal (2026 Guide)

Missouri PT licenses renew biennially, with renewal due by January 31 of each even-numbered year. Renewal forms postmarked February 1 or later are considered delinquent and subject to the $25 delinquent fee in addition to the $50 renewal fee. The failure to receive a renewal notice from the Board does not relieve the licensee of the obligation to renew on time.

Missouri’s CE structure is biennial with a January 1 through December 31 reporting period — 30 hours are required within the calendar year preceding the January 31 renewal deadline. CE cannot carry over between reporting periods. Compliance is self-certified by attestation under oath and penalty of perjury at each renewal, with Board audit authority.

One renewal feature distinguishes Missouri from most states: the Board has the discretionary authority to require licensees to take and pass the Missouri laws and rules exam prior to renewal, with a 75% minimum passing score. This is not a mandatory every-cycle requirement, but licensees should be prepared for it.

Missouri PT Renewal Requirements

Biennial Renewal — January 31 Deadline

Under 20 CSR 2150-3.060(1), each licensed physical therapist must renew their registration with the Board before January 31 of the year the license is due for renewal. Missouri PT licenses renew on a biennial cycle in even-numbered years (2026, 2028, 2030, etc.). Renewal forms postmarked February 1 or later are considered delinquent under 20 CSR 2150-3.060(2), triggering the $25 delinquent fee. When January 31 falls on a Saturday, Sunday, or legal holiday, forms postmarked on the next business day are not considered delinquent.

Renewal is completed through MOPRO at mopro.mo.gov or by paper. The renewal fee is $50. The delinquent fee is $25. All fees are nonrefundable.

Missouri Laws and Rules Examination at Renewal

Under 20 CSR 2150-3.060(4), the Board has discretionary authority to require licensees to take and pass the Missouri laws and rules examination prior to renewal — the same type of examination required at initial licensure. A minimum score of 75% is required. This is not a universal every-cycle requirement, but licensees may encounter it. Contact the Board at 573-751-0098 for current renewal examination requirements for the upcoming renewal cycle.

Continuing Education — 30 Hours Per Biennium

Under 20 CSR 2150-3.201, all licensed Missouri PTs must complete and report at least 30 hours of acceptable continuing education every two years. The reporting period is the 24-month period beginning January 1 and ending December 31 of the even-numbered reporting year. CE hours cannot be carried over into the next reporting period.

Licensees who fail to obtain and report the required 30 hours by the deadline may not engage in practice as a physical therapist until either the CE is completed and reported, or an extension is granted by the Board under 20 CSR 2150-3.202.

CE Attestation and Audit

Under 20 CSR 2150-3.201(3), all licensees must certify by attestation, on the renewal form, under oath and under penalty of perjury, that they completed the required 30 hours of CE and that the CE meets the Board’s acceptable criteria. The Board may conduct audits and may request documentation. Under 20 CSR 2150-3.201(4), all licensees must retain CE records for a minimum of four years after the reporting period. Records must document the title, date, location, sponsor, and number of hours for each CE activity completed.

Acceptable CE Activities

Missouri does not pre-approve individual CE courses or providers per 20 CSR 2150-3.203(1). The burden is on the licensee to ensure each activity meets the Board’s criteria. Acceptable CE under 20 CSR 2150-3.203 must:

• Constitute an organized program of learning with specified goals and objectives
• Be conducted by individuals qualified or expert in the subject matter
• Pertain to subject matter integrally related to the practice of physical therapy as defined in RSMo 334.500(4)

CE is automatically approved if sponsored or approved by APTA (including MPTA and specialty sections), AMA, AOA, or FSBPT. Academic coursework at regionally accredited institutions in PT-related subject matter with a grade of C or above qualifies at 10 CE hours per semester credit hour. Notable specific provisions include:

• APTA specialty certification or recertification: counts as the full 30 CE hours for the reporting period in which certification was awarded
• Professional presentations: 3 CE hours per presentation hour (first time); 1 CE hour per hour (second time); maximum 15 CE hours per biennium from presentations
• Post-graduate clinical residency: 1 CE hour per residency hour (no cap identified in the rules)
• Research publications (peer-reviewed): 5 CE hours per published manuscript
• Abstract publications: 2 CE hours if accepted for conference presentation or peer-reviewed publication
• CPR certification/recertification: counts for each hour of actual training; once per reporting period
• Clinical instruction: 1 CE hour per 120 supervision hours; maximum 5 CE hours per biennium
• Home study courses: accepted for hours specified on certificate of completion
• Grand Rounds attendance: 1 CE hour per actual hour attended

There is no cap on online CE identified in the Missouri rules. Missouri does not pre-approve courses, so the licensee bears full responsibility for ensuring each activity qualifies.

CE Extension

Under 20 CSR 2150-3.202, a licensee who cannot complete the required 30 CE hours due to personal illness, disability, military service, or other circumstances the Board deems to constitute an insurmountable hardship may apply for an extension. Extension requests must be submitted prior to the December 31 reporting deadline. The processing fee is $25. If an extension is granted, the licensee must complete the remaining CE by February 28 following the reporting period and submit documentation by March 10. A licensee with an approved extension may not practice during the extension period without express written Board authorization.

New Graduate CE Exemption

Under 20 CSR 2150-3.201(8), Missouri PTs who graduate from a physical therapy program in the year of a reporting period are exempt from half (15 hours) of the required 30 CE hours for that year.

How to Renew Your Missouri PT License

1. Complete 30 CE hours before December 31 of the reporting year. CE must be accumulated during the January 1–December 31 reporting period of the even-numbered year. Confirm each activity meets Missouri’s criteria — the Board does not pre-approve courses.
2. Check whether the Board requires the laws and rules exam for this cycle. Contact the Board at 573-751-0098 or licensure@pr.mo.gov before the renewal deadline to confirm whether the Missouri laws and rules examination will be required for renewal in the current cycle.
3. Renew online at MOPRO before January 31. Log in at mopro.mo.gov and submit the renewal form and $50 fee. Attest under oath that you have completed the required 30 CE hours.
4. If renewing by mail: Postmark by January 31. Forms postmarked February 1 or later are delinquent and incur the $25 delinquent fee in addition to the $50 renewal fee.
5. Retain CE documentation for four years. Keep records of all CE activities with dates, titles, locations, sponsors, and hours. The Board may audit at any time.

Lapsed License and Reinstatement

Understanding Missouri’s Lapsed License Terminology

Missouri’s rules use precise terminology for different lapse situations — understanding the distinction matters for compliance:

• Delinquent renewal: Renewal form postmarked February 1 or later. License has lapsed but less than 6 months. Applicant pays the $50 renewal fee plus $25 delinquent fee through the standard renewal process.
• Late registration: License has lapsed for 6 months or more (20 CSR 2150-3.063). Requires a separate late registration form, recent photo, activities statement, licensure verifications from all jurisdictions, renewal fee, and delinquent fee. If lapsed more than 2 years without active practice elsewhere, competency documentation may be required.
• Inactive status: Licensee formally requested inactive status while the license was current (20 CSR 2150-3.055). May hold the title but may not practice. Reinstatement requires the $25 reinstatement fee plus renewal fee and possible CE/practice verification.

Under 20 CSR 2150-3.063, licensees whose registration has lapsed for six months or more must apply for late registration rather than simple renewal. Late registration requires a recent photograph, an activities statement covering all employment and activities since the lapse date, licensure verification from all jurisdictions ever licensed, the renewal fee, and the $25 delinquent fee. For applicants whose license has lapsed more than two years who were not actively practicing in another jurisdiction, the Board may require additional documentation to verify competence — which may include CE hours, reexamination, or other documentation.

Inactive License Reinstatement

Under 20 CSR 2150-3.057, a Missouri PT may place their license on inactive status (if currently active and not under investigation). Reinstatement from inactive status requires a reinstatement application, the $25 reinstatement fee plus the renewal fee, and an activities statement covering all activities since the inactive date. Applicants who have not actively practiced in another jurisdiction throughout the inactive period may be required to submit 60 CE hours within the four years preceding reinstatement, one year of supervised practice, and/or successful completion of the NPTE.

PT Compact — Renewal Implications

For Missouri PT licensees holding compact privileges in other member states, Missouri must remain the licensee’s active, unrestricted home-state license for those privileges to remain valid. An unrenewed or lapsed Missouri license may affect compact eligibility in remote states until the Missouri license is reinstated.

For PTs practicing in Missouri under a compact privilege from another home state, Missouri’s biennial January 31 renewal cycle and CE requirements do not govern the compact privilege — renewal obligations track the home-state license. Missouri practice rules and disciplinary authority apply to all PTs practicing in Missouri regardless of compact or licensure status.

Relevant Statutes and Regulations

• 20 CSR 2150 Chapter 3 — Licensing of Physical Therapists (includes 3.060 Renewal, 3.201 CE Requirements, 3.203 Acceptable CE, 3.080 Fees) (PDF)
• Missouri Board of Registration for the Healing Arts — Physical Therapists
• MOPRO — Missouri Professional Licensing Portal (Renewal)
• RSMo Chapter 334 — State Board of Registration for the Healing Arts

Related Pages

• Missouri Physical Therapist License Requirements (Initial)
• Kansas Physical Therapist License Renewal
• Iowa Physical Therapist License Renewal
• Physical Therapist Licensing by State — Complete Guide

Frequently Asked Questions

When is Missouri PT license renewal due?

Missouri PT licenses renew biennially, with renewal due by January 31 of each even-numbered year (2026, 2028, 2030, etc.) per 20 CSR 2150-3.060(1). Renewal forms postmarked February 1 or later are considered delinquent and incur a $25 delinquent fee. When January 31 falls on a weekend or holiday, forms postmarked the next business day are not considered delinquent. Source: 20 CSR 2150-3.060

What is the Missouri PT renewal fee?

The biennial renewal fee is $50 per 20 CSR 2150-3.080(1)(A)(5). If renewal forms are postmarked February 1 or later, a $25 delinquent fee applies in addition to the $50 renewal fee. All fees are nonrefundable. Source: 20 CSR 2150-3.080(1)

How many CE hours does Missouri require for PT renewal?

Missouri requires 30 hours of acceptable continuing education per biennial reporting period per 20 CSR 2150-3.201(1). The reporting period is January 1 through December 31 of the even-numbered reporting year. No hours may carry over between periods. CE is self-certified by attestation under oath at renewal, with Board audit authority. Source: 20 CSR 2150-3.201

Does Missouri require a jurisprudence exam at renewal?

Under 20 CSR 2150-3.060(4), the Board may require licensees to take and pass the Missouri laws and rules examination prior to renewal. This is discretionary — the Board uses the word “may.” A 75% minimum passing score is required when the exam is required. Contact the Board at 573-751-0098 before each renewal cycle to confirm whether the exam will be required. Source: 20 CSR 2150-3.060(4)

What CE does Missouri accept?

Missouri does not pre-approve individual courses per 20 CSR 2150-3.203(1). CE must constitute an organized program of learning related to PT practice, conducted by qualified individuals. CE is automatically approved when sponsored by APTA (including MPTA), AMA, AOA, or FSBPT. Academic coursework, post-graduate residency, research publications, presentations (max 15 hours per biennium), home study courses, CPR certification, Grand Rounds attendance, and APTA specialty certification (counts as full 30 hours for that period) are all accepted. There is no cap on online CE. Source: 20 CSR 2150-3.203

What happens if my Missouri PT license lapses?

Licenses lapsed for six months or more require late registration under 20 CSR 2150-3.063, which includes the renewal fee plus the $25 delinquent fee, a recent photo, an activities statement, and licensure verification from all jurisdictions. Licenses lapsed more than two years may require additional competency documentation. Alternatively, licensees may place their license on inactive status and later seek reinstatement under 20 CSR 2150-3.057, which may require up to 60 CE hours within the preceding four years, supervised practice, or NPTE passage if the licensee was not actively practicing in another jurisdiction. Source: 20 CSR 2150-3.063; 3.057

How does PT Compact membership affect Missouri renewal?

For Missouri licensees holding compact privileges in other member states, an active Missouri license is required to sustain those privileges. An unrenewed or lapsed Missouri license may affect compact eligibility in remote states until reinstated. For PTs practicing in Missouri under a compact privilege from another home state, Missouri’s biennial renewal cycle and CE requirements do not apply to the compact privilege — renewal tracks the home-state license. Missouri’s practice rules and disciplinary authority apply to all PTs practicing in Missouri. Source: Missouri Board of Registration for the Healing Arts; RSMo §334.1200 et seq.