May 4-5 2017 Draft Minutes with line numbers tasso revised · The Florida Board of Physical Therapy...

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May 4-5, 2017, General Business Meeting Minutes Page 1 of 30 The Florida Board of Physical Therapy Practice Minutes May 4-5, 2017 Springhill Suites Orlando Airport 5828 Hazeltine National Drive Orlando, FL 32822 Dr. Kay Tasso, PT, PhD, PCS Chair Dr. Patrick Pabian, PT, DPT, SCS, OCS, CSCS Vice Chair

Transcript of May 4-5 2017 Draft Minutes with line numbers tasso revised · The Florida Board of Physical Therapy...

Page 1: May 4-5 2017 Draft Minutes with line numbers tasso revised · The Florida Board of Physical Therapy Practice Minutes May 4-5, 2017 Springhill Suites Orlando Airport 5828 Hazeltine

May 4-5, 2017, General Business Meeting Minutes Page 1 of 30

The Florida

Board of Physical Therapy Practice

Minutes May 4-5, 2017

Springhill Suites Orlando Airport 5828 Hazeltine National Drive

Orlando, FL 32822

Dr. Kay Tasso, PT, PhD, PCS Chair Dr. Patrick Pabian, PT, DPT, SCS, OCS, CSCS Vice Chair

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DEPARTMENT OF HEALTH MEDICAL QUALITY ASSURANCE BOARD OF PHYSICAL THERAPY GENERAL BUSINESS MEETING

GENERAL RULES REVIEW MAY 4, 2017

MINUTES

Springhill Suites Orlando Airport 5828 Hazeltine National Drive

Orlando, FL 32822

Participants in this public meeting should be aware that these proceedings are being recorded and that an audio file of the meeting will be posted to the Board’s website.

May 4, 2017 – 6:30 P.M.

The minutes reflect the actual sequence of events rather than the original agenda order. Call the Meeting to Order and Roll Call: Dr. Kay Tasso, Chair, called the general business meeting to order at approximately 6:30 p.m. Those present for all or part of the meeting, included the following: MEMBERS PRESENT BOARD COUNSEL Dr. Kay Tasso, Chair, PT, PhD, PCS Lynette Norr, Board Counsel, Dr. Patrick Pabian, PT, DPT, SCS, OCS, CSCS Assistant Attorney General Office Dr. Gina Petraglia, PT,DPT, COS-C,CEEAA Mr. Steve Chenoweth, PT Dr. Ellen K. Donald, PT, PhD STAFF PRESENT

Allen Hall, Executive Board Director Traci Zeh, Program Operations Administrator

RULE DISCUSSION AND/OR DEVELOPMENT 1. 64B17-5.001, F.A.C., Requirements for Reactivation of an Inactive or Retired License. Due to the current unavailability of a continuing education course for laws and rules in Physical Therapy, the Board reviewed the rule and discussed what changes need to be made.

64B17-5.001 Requirements for Reactivation of an Inactive or Retired License. An inactive or retired license shall be reactivated upon receipt by the Board office of the following:

(1) Payment of all applicable fees, including: (a) The biennial renewal fee as specified by subsection 64B17-2.005(1), F.A.C.; (b) The unlicensed activity fee as specified by subsection 64B17-2.001(5), F.A.C.; (c) The reactivation fee as specified by subsection 64B17-2.005(6), F.A.C.; (d) The change of status fee as specified by subsection 64B17-2.001(7), F.A.C.; (2) Documentation of compliance with all continuing education requirements as provided in

Rule 64B17-9.001, F.A.C., including prevention of medical errors, for the biennium during which

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the licensee last held an active license; and, (3)(a) Documentation of completion of ten (10) hours of continuing education for each year

the license was inactive, including two (2) hours on the prevention of medical errors. No more than six (6) hours of continuing education may be completed by home study per year of inactive status. In addition, the applicant must document completion of two (2) hours of continuing education specifically on Florida Physical Therapy Laws and Rules within the twelve (12) months immediately preceding application for reactivation;

(b) Documentation that the applicant is licensed and in good standing in another state and has actively engaged in the practice of physical therapy for the four (4) years immediately preceding application for reactivation. For purposes of this paragraph, “actively engaged in the practice of physical therapy” means the applicant practiced at least four hundred (400) hours per year in a state or states where the applicant maintained licensure; or

(c) Documentation of application for and successful passage of the National Physical Therapy Examination, including payment of all associated fees.

(4) The applicant must take and pass, within the twelve (12) months immediately preceding application for reactivation, the Florida laws and rules examination developed by the FSBPT.

Rulemaking Authority 486.025, 486.085(3), (4)(a), 486.108(3), 456.036 FS. Law Implemented 486.085, 486.108, 456.036 FS. History–New 8-6-84, Formerly 21M-8.11, Amended 9-22-87, 12-30-87, 6-20-89, Formerly 21M-8.011, Amended 3-24-93, Formerly 21MM-5.001, 61F11-5.001, Amended 12-22-94, 4-4-95, 8-16-95, 7-1-97, Formerly 59Y-5.001, Amended 8-9-04, 7-19-06, 1-8-08, 8-18-08, 9-30-15, __-__-17.

MOTION: After discussion, Dr. Petraglia made a motion to approve the proposed language and directed counsel to proceed with rule making procedures. The motion was seconded by Dr. Pabian and carried 5/0. MOTION: Dr. Tasso made a motion to find the proposed revisions will not be likely to directly or indirectly increase regulatory costs to any entity (including government) in excess of $200,000 in the aggregate in Florida within 1 year after the implementation of the rule. The Motion was seconded by Dr. Pabian and carried 5/0. 2. 64B17-6.001, F.A.C., Minimum Standards of Physical Therapy Practice During the February 2017 meeting, the Board voted on language updating Rule 64B17-6.001 regarding the responsibilities of a physical therapist and physical therapist assistant. This was placed on the agenda for further discussion.

64B17-6.001 Minimum Standards of Physical Therapy Practice. (1) Definitions – For purposes of this rule only, the words and phrases listed below are

defined in the following manner: (a) Acute Care – The stage of illness or injury characterized by actual or reasonable potential

for a rapid change in medical status that would affect the physical therapy plan of care. (b) Consultation – The offering of information aimed at the resolution of perceived problem. (c) Direction – The physical therapist’s authorization and empowerment of a physical

therapist assistant or unlicensed personnel, as authorized by Rule 64B17-6.007, F.A.C., to carry out actions requiring licensure under Chapter 486, F.S.

(d) Assessment – Observational, verbal, or manual determinations of the function of the musculoskeletal or neuromuscular system relative to physical therapy, including, but not limited to, range of motion of a joint, motor power, postural attitudes, biomechanical function, locomotion, or functional abilities, for the purpose of making recommendations for treatment.

(e) Direct Supervision – Supervision of subordinate personnel performing directed actions,

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while the licensed supervisor is immediately physically available. On-site Supervision means direct supervision.

(f) General supervision – Supervision of a physical therapist assistant, other than by direct supervision, whereby the physical therapist is accessible at all times by two-way communication, available, to respond to an inquiry when made and readily available for consultation during the delivery of care, and is within the same geographic location as the physical therapist assistant.

(g) Program Plan – The establishment of objectives (goals) and specific remediation techniques.

(h) Standards – Conditions and performances which are essential for quality physical therapy service and patient care.

(i) Unlicensed personnel – Any individual, working or volunteering in a physical therapy setting, not holding a current license as a physical therapist or physical therapist assistant.

(2) Physical Therapy Personnel Responsibilities In General. Physical therapy is a profession involving skilled practice of patient care. The primary concern of the physical therapist and physical therapist assistant is always the safety, well being, and best interest of the patient who must therefore recognize and carry out services consistent with legal rights and personal dignity of the patient. Accordingly, it is the responsibility of all physical therapists and physical therapist assistants to:

(a) Communicate effectively to the patient the treatment evaluation process and techniques to be used in any procedures before beginning treatment and anytime during the course of the treatment process.

(b) Safeguard the confidentiality of information and require written consent from the patient or legally authorized representative prior to releasing information to a third party not involved in the actual care.

(c) Avoid acts which blatantly disregard a patient’s modesty and neither suggest nor engage in sexual activities with patients under their care.

(d) Neither use nor participate in the use of any form of communication containing false, fraudulent, misleading, deceptive, unfair or sensational statement or claim, nor use bribery in any form, nor use false advertising, nor misrepresentation of services or self, nor engage in other unprofessional conduct, including, but not limited to,

1. Inaccurately recorded, falsified, or altered patient records; 2. Falsely representing or misrepresenting facts on an application for employment; 3. Impersonating or acting as a proxy for an applicant in any examination for certification or

registration; 4. Impersonating another certified or registered practitioner or permitting another to use his or

her license for the purpose of practicing physical therapy or receiving compensation; 5. Providing false or incorrect information regarding the status of licensure. (e) Not exploit the patient or client for the financial gain of the licensee or a third party. (f) Practice physical therapy with that level of care, skill, and treatment which is recognized by

a reasonably prudent similar physical therapy practitioner as being acceptable under similar conditions and circumstances.

(3) Physical Therapist Responsibilities. Physical therapists shall: (a) Be professionally responsible for providing a referring practitioner, or a practitioner of

record, with any information which will assist in the determination of an accurate medical diagnosis.

(b) Not implement any plan of care that, in the physical therapist’s judgment, is contraindicated. If the plan of care was requested by a referring practitioner, the physical therapist shall immediately notify the referring practitioner that he is not going to follow the request and the reasons for such refusal.

(c) Not direct any function or task which requires the skill, knowledge, and judgment of the physical therapist.

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(d) Assume the responsibility for assessing the patient, identifying the level of acuity of illness, planning the patient’s treatment program, and implementing and directing the program.

(e) Hold primary responsibility for physical therapy care rendered under the therapist’s direction and shall be available for consultation at all times.

(f) Physical therapist’s professional responsibilities include, but are not limited to: 1. Interpretation of the practitioner’s referral. 2. Provision of the initial physical therapy assessment of the patient. 3. Initial identification and documentation of precautions, special problems, contraindications. 4. Development of a treatment plan including the long and short term goals. 5. Implementation of or directing implementation of the treatment plan. 6. Direction of appropriate tasks. 7. Reassessment of the patient in reference to goals and, when necessary, modification of

the treatment plan. (g) When participating in student and/or trainee programs, ensure that the academic

programs are accredited or in candidacy by the appropriate accrediting agency recognized by statute, and that the physical therapist provides direct on-site supervision when students are performing patient care activities.

(h) Keep written medical records justifying the course of treatment of the patient, including, but not limited to, initial physical therapy assessment, plan of treatment, treatment notes, progress notes, examination results, test results, and discharge summary.

(4) Physical Therapist Assistant Responsibilities. Physical therapist assistants shall: (a) Not initiate or change treatment without the prior assessment and approval of the physical

therapist. (b) Not provide services to a patient who is an inpatient in a hospital or who is in the acute

phase of injury or illness unless the physical therapist is readily and physically available to provide consultation.

(c) Not carry out treatment procedures detrimental to the patient or for which the assistant is not qualified.

(d) Report all untoward patient responses or change in medical status to the physical therapist.

(e) Refer inquiries regarding patient prognosis to the physical therapist. (f) Discontinue immediately any treatment procedures which in the assistant’s judgment

appear to be harmful to the patient and shall report them to the physical therapist. (g) When participating in student and/or trainee programs, ensure that the academic

programs are accredited or in candidacy by the appropriate accrediting agency recognized by statute, and that the physical therapist assistant provides direct on-site supervision when students are performing patient care activities.

(5) Physical Therapist – Physical Therapist Assistant Responsibilities and Supervisory Relationships.

(a) Regardless of the setting, physical therapists and physical therapist assistants shall abide by all Federal and State Laws and regulations related to the particular site of practice.

(b) During an acute phase of injury or illness, or while the patient is an inpatient in a hospital, the physical therapist shall be readily and physically available for consultation to the physical therapist assistant.

(c) Delivery of Care: 1. During the delivery of physical therapy care by the physical therapist assistant to patients

who are not inpatients in a hospital, or who are not in the acute phase of injury or illness, the physical therapist shall be accessible at all times by telecommunication and shall be within the same geographic location as the assistant.

2. The physical therapist shall be readily available to the physical therapist assistant with emphasis placed on directing the assistant through frequent reporting, both verbal and written

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and frequent observations of the care rendered to the patient. (d) The physical therapist shall not delegate portions of the skilled physical therapy functions

or tasks to any lesser trained health personnel than the physical therapist assistant. (6) The school setting. The physical therapist shall keep abreast of special knowledge and

skills implicit in school settings and shall practice in accordance with the previous stated standards.

(7) Unlicensed Supportive Personnel may be utilized to help in the treatment being provided by a licensed physical therapist or licensed physical therapist assistant. Such personnel shall perform such acts only under the direct supervision of a physical therapist or physical therapist assistant.

Rulemaking Authority 486.025 FS. Law Implemented 486.021(5), (6), (9), (10), (11), 486.031, 486.102, 486.123, 486.125(1), 486.161(3), 486.171 FS. History–New 8-6-84, Formerly 21M-9.30, Amended 9-22-87, Formerly 21M-9.030, Amended 9-5-90, 3-5-92, 3-24-93, Formerly 21MM-6.001, 61F11-6.001, Amended 8-16-95, Formerly 59Y-6.001, Amended 1-8-98, 1-11-99, 4-18-04, 6-1-09, 2-18-16 , __-__-17. MOTION: After discussion, Dr. Tasso made a motion to approve the proposed language and directed counsel to proceed with rule making procedures. The motion was seconded by Dr. Pabian and carried 5/0. MOTION: Dr. Tasso made a motion to find the proposed revisions will not be likely to directly or indirectly increase regulatory costs to any entity (including government) in excess of $200,000 in the aggregate in Florida within 1 year after the implementation of the rule. The Motion was seconded by Dr. Pabian and carried 5/0. 3. 64B17-6.002, F.A.C., Supervision of Physical Therapist Assistants by Physicians The Board Attorney received an inquiry pertaining to Rule 64B17-6.002, F.A.C., Supervision of Physical Therapist Assistants by Physicians, from Shachi Mankodi, Esq. at Broad and Cassel Attorneys at Law. After discussion the Board determined the standards for supervision of a physical therapist assistant are clear based on the statute set forth in 486.021, Florida Statutes.

64B17-6.002 Supervision of Physical Therapist Assistants by Physicians. (1) A physical therapist assistant employed by a board-certified orthopedic physician or physiatrist or a chiropractic physician shall be under the general supervision of a physical therapist. A physical therapist assistant employed by any physician other than as identified above shall be under the onsite supervision of a physical therapist. (2) Where general supervision is permitted, there shall be a written agreement between the board-certified orthopedic physician, physiatrist or chiropractic physician and the supervising physical therapist, specifying the duties and responsibilities of both parties. The Agreement must contain, at least the minimum standards of physical therapy practice specified by Rule 64B17-6.001, F.A.C. (3) The physical therapist assistant shall report all untoward patient responses, inquiries regarding patient prognosis, or the discontinuation of any treatment procedure, to the physical therapist and to the employing physician.

Rulemaking Authority 486.025 FS. Law Implemented 486.021(6), (9) FS. History–New 9-22-87, Formerly 21M-9.035, 21MM-6.002, 61F11-6.002, 59Y-6.002, Amended 2-18-16.

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MOTION: After discussion, Mr. Chenoweth made a motion to approve the repeal of Rule 64B17-6.002. The motion was seconded by Dr. Tasso and carried 5/0. MOTION: Dr. Tasso made a motion to find the proposed revisions will not be likely to directly or indirectly increase regulatory costs to any entity (including government) in excess of $200,000 in the aggregate in Florida within 1 year after the implementation of the rule. The Motion was seconded by Dr. Donald and carried 5/0. 4. Lynette Norr, Assistant Attorney General

Rules Report

Ms. Norr provided the Board with a summary of rules currently promulgating.

Rule Number

Rule Title

Date Rule Language Approved by Board

Date Sent to

OFARR

Rule Development

Published

Proposed Rule

Published, JAPC

Letters, Notices of Change,

etc.

Certified for Adoption

Effective 20 days after Certification

64B17-3.003 Licensure by Endorsement.

11/05/2015 02/02/2017

02/07/2017 *REPEAL* 02/15/2017 03/15/2017 04/04/2017

64B17-4.001 Licensure as A Physical Therapist Assistant by Examination.

02/02/2017 02/07/2017 *REPEAL* 02/15/2017 03/15/2017 04/04/2017

64B17-4.002 Licensure Examination Subjects and Passing Score; Additional Requirements after Third Failure; Laws and Rules Examination.

02/02/2017 02/07/2017 *REPEAL* 02/15/2017 03/15/2017 04/04/2017

64B17-4.003 Licensure by Endorsement.

02/02/2017 02/07/2017 *REPEAL* 02/15/2017 03/15/2017 04/04/2017

64B17-4.006 Examination Security and Sanctions for Subversions.

02/02/2017 02/07/2017 *REPEAL* 02/15/2017 03/15/2017 04/04/2017

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Rule Number

Rule Title

Date Rule Language Approved by Board

Date Sent to

OFARR

Rule Development

Published

Proposed Rule

Published, JAPC

Letters, Notices of Change,

etc.

Certified for Adoption

Effective 20 days after Certification

64B17-6.001 Minimum Standards of Practice

02/02/2017 Reconsider

on 05/04/2017

02/07/2017 02/15/2017

64B17-3.001 Licensure. Summary of Changes: The additional provisions for individuals applying for

physical therapist or physical therapist assistant licensure in Florida without examination are updated to require an active license in another jurisdiction. Rule 64B17-3.003, recently repealed, formerly required this.

64B17-3.001 Licensure. (1) Application. Every person who applies for licensure as a physical therapist or physical

therapist assistant shall file DOH Form #DH-MQA 1142, Application for Licensure, revised 10/16, which is hereby incorporated by reference and is available through http://www.flrules.org/Gateway/reference.asp?No=Ref-07860 or www.floridasphysicaltherapy.gov/resources.

(2) Qualifications for Licensure. All applicants for licensure as a physical therapist or physical therapist assistant must demonstrate the following:

(a) Is eighteen years old; (b) Possesses good moral character; and, (c) Education: 1. For physical therapists, have received a degree as a physical therapist from a physical

therapist educational program accredited by the Commission on Accreditation in Physical Therapy (CAPTE) at the time of graduation, in physical therapy from an institution that has been approved for the training of physical therapists by the Commission on Accreditation in Physical Therapy Education (CAPTE), at the time of graduation, or

2. For physical therapist assistants, have received a degree as a physical therapist assistant from a physical therapist assistant educational program accredited by the Commission on Accreditation in Physical Therapy (CAPTE) at the time of graduation, or

3. For physical therapists and physical therapist assistants who have received a diploma from a program in physical therapy in a foreign country, have received a determination that their credentials are equivalent to the education and preparation required for licensure as a physical therapist or physical therapist assistant in the United States. Educational credentials equivalent to those required for the education and preparation of physical therapists or physical therapist assistants in this country shall be determined by an agency as provided in Rule 64B17-3.007, F.A.C.

(3) Additional provision for applications for licensure without examination (by endorsement). (a) For purposes of compliance with Sections 486.031, 486.081, and 486.107, F.S., the

standard for determining whether the standards of another jurisdiction are as high as the standards in Florida shall be whether the written examination taken for licensure in such other jurisdiction by applicants meeting Florida’s minimum educational qualifications was through the national physical therapy examination provider certified by the Department.

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(b) Physical therapist applicants who meet the education and examination requirements for licensure without examination shall show proof of an active physical therapy license in another state, the District of Columbia, a territory, or a foreign country. Physical therapist assistant applicants who meet the education and examination requirements for licensure without examination shall show proof of an active physical therapy assistant license in another state, the District of Columbia, or a territory.

(c)(b) An applicant for licensure without examination who has been educated in a foreign country shall demonstrate minimum educational qualifications, as used in paragraph (3)(a), by:

1. Obtaining a determination of educational credentials equivalency as provided by Rule 64B17-3.007, F.A.C., or

2. Providing the following: a. A certified copy of the credential evaluation used by the physical therapy licensing board of

another state. The evaluation must be on the appropriate coursework tool (CWT) adopted by the Federation of State Boards of Physical Therapy (FSBPT) and reflect the education criteria in place at the time of graduation; and,

b. Proof of 1,000 clinical practice hours each year in the United States for five (5) out of the last ten (10) years.

(I) Full-time teaching of physical therapy education may count toward 250 of the 1,000 required practice hours per year.

(II) Proof of clinical practice hours in the United States shall consist of submission of a written statement evidencing the number of clinical hours the applicant practiced in each of the five (5) years.

(4) An applicant for licensure as a physical therapist who has failed to pass the National Physical Therapy Examination for Physical Therapists or an applicant for licensure as a physical therapist assistant who has failed to pass the National Physical Therapy Examination for Physical Therapist Assistants by or on the fifth attempt, regardless of the jurisdiction through which the examination was taken, is precluded from licensure.

Rulemaking Authority 456.013, 486.025, 486.031(3), 486.104 FS. Law Implemented 456.013, 456.017, 456.0635, 456.38, 486.031, 486.041, 486.051, 486.061, 486.0715, 486.081, 486.102, 486.103, 486.104, 486.107, FS. History–New 8-6-84, Amended 6-2-85, Formerly 21M-7.20, Amended 5-18-86, Formerly 21M-7.020, 21MM-3.001, Amended 3-1-94, Formerly 61F11-3.001, Amended 12-22-94, 4-10-96, Formerly 59Y-3.001, Amended 12-30-98, 1-23-03, 4-9-06, 9-19-06, 3-13-07, 5-11-08, 5-21-09, 8-10-09, 7-5-10, 12-17-12, 12-15-14, 2-14-17; __-__-17.

MOTION: After discussion, Dr. Pabian made a motion to approve the proposed language and directed counsel to proceed with rule making procedures. The motion was seconded by Dr. Donald and carried 5/0. MOTION: Dr. Tasso made a motion to find the proposed revisions will not be likely to directly or indirectly increase regulatory costs to any entity (including government) in excess of $200,000 in the aggregate in Florida within 1 year after the implementation of the rule. The Motion was seconded by Dr. Pabian and carried 5/0. 5. Board Report

Dr. Kay Tasso “Pearls from the Board of PT” Dr. Tasso discussed outreach opportunities. She volunteered to draft tips related to the physical therapy laws and rules, which will be titled “Know Your Law”. The tips will be provided to the Florida Physical Therapy Association with a request for distribution.

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Board staff will also distribute to individuals that have requested to receive updates via email. 6. Executive Director Report

Cash Balance Report Board Expenditures

The above reports were presented as informational only. 7. FSBPT Updates The Board discussed the Licensure Compact. 8. Ratification List for Approved Applicants

Physical Therapist Applicants MOTION: Dr. Tasso made a motion to ratify the list of physical therapists for licensure by examination/endorsement (Exhibit A), 185 in number starting with PT 31971 and ending with PT 32429. Upon successful completion of the National Physical Therapy Exam and/or the Florida Laws and Rules Exam, shall be licensed. The motion was seconded by Dr. Petraglia and carried 5/0.

Physical Therapist Assistant Applicants MOTION: Dr. Tasso made a motion to ratify the list of physical therapist assistants for licensure by examination/endorsement (Exhibit B), 171 in number starting with PTA 27030 and ending with PTA 27505. Upon successful completion of the National Physical Therapy Exam and/or the Florida Laws and Rules Exam, shall be licensed. The motion was seconded by Mr. Chenoweth and carried 5/0. 9. Ratification List for Employment Exemption. MOTION: Dr. Tasso made a motion to ratify the list of physical therapists/assistants who administratively approved exemptions, 1 in number, Blake Wells, PTA 26587. The motion was seconded by Dr. Donald and carried 5/0. NEW BUSINESS 10. Legislative Update The above reports were presented as informational only. 11. Voting Conflict Form Form 8A, Memorandum of Voting Conflict for State Officers, is to be completed by any person serving at the State level of government on an appointed or elected board, council, commission, authority, committee, or as a member of the Legislature. It applies to members of advisory and nonadvisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes.

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This form is required in instances where a board/council member is recused due to a financial conflict. The form was provided for the Boards review and will be available from staff, in the event a member should recuse themselves under such circumstances. The Assistant Attorney General addressed questions regarding the form and any inquiries related to the need for recusal. This was informational only.

12. 2018 Proposed Meeting Dates The Board decided on the following dates and locations: February 8-9, 2018- TBD May 3-4, 2018- Orlando August 2-3, 2018- TBD November 15-16, 2018- TBD The Board decided on the following dates and Panel Chair for the Probable Cause Panel: February 2, 2018 – Dr. Tasso April 24, 2018 – Dr. Tasso June 19, 2018 – Mr. Chenoweth August 21, 2018 – Mr. Chenoweth October 16, 2018 – Dr. Donald December 11, 2018 – Dr. Donald 13. Unlicensed Activity Outreach The Division of Medical Quality Assurance is looking for opportunities to improve communication on Unlicensed activity and are asking Boards and Councils to provide input/suggestions as to outreach opportunities for the ULA program. Mr. Hall provided a brief overview of the Unlicensed Activity Outreach program and inquired from the Board ideas to help get the word out. Dr. Tasso stated she would include how to report Unlicensed Activity in the “Know your Law” brochure as discussed in tab 5. 14. Designation of Minor Violations In the 2016 Legislative Session, HB 183 was passed. One of the provisions of this legislation was an amendment to section 120.695, F.S., related to the designation of minor violations. The legislation provided in part: (b) Each agency shall review all of its rules and designate those for which a violation would be a minor violation and for which a notice of noncompliance must be the first

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enforcement action taken against a person or business subject to regulation. A violation of a rule is a minor violation if it does not result in economic or physical harm to a person or adversely affect the public health, safety, or welfare or create a significant threat of such harm. (c)1. No later than June 30, 2017, and after such date within 3 months after any request of the rules ombudsman in the Executive Office of the Governor, each agency shall review its rules and certify to the President of the Senate, the Speaker of the House of Representatives, the committee, and the rules ombudsman those rules that have been designated as rules the violation of which would be a minor violation. Each Board has a Notice of Noncompliance rule that specifies which violations are considered a minor violation. In order to comply with the June 30, 2017, deadline each profession was asked to review their rules and determine if any additional violations should be noted as a minor violation. The Board did not move forward with rule changes. 15. CE at Renewal The 2015-2017 biennium is the first mandatory reporting cycle. All licensees are required to submit their courses to CEBroker. Licensees will not have the ability to renew unless their CEBroker transcript is complete with the required courses. There are 3 types of accounts a licensee can hold with CEBroker.

1. Concierge - A Personal Reporting Assistant Course Reporting Assistance in locating courses Follow up

2. Professional - Allows you to see your renewal requirements in detail Quickly reports missing CE Ability to check your compliance status at anytime Ability to know when your requirements are fully met Ability to receive important notifications from your regulating agency

3. Basic - Report hours manually Ability to confirm course completion

Licensees are not required to pay for an account as the Basic account is free. Once a licensee has completed all required continuing education courses and has successfully submitted all courses to their CEBroker transcript, it is then that they will be eligible to renew. Staff has previously provided and will continue to provide CEatRenewal pamphlets and flyers, with helpful renewal information, at each Board meeting. 16. CE Credit for Board Meeting Attendance

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Licensees have several opportunities for obtaining continuing education credit. One avenue is attending a board meeting where disciplinary cases are being heard as long as the licensee is not on the agenda or appearing for another purpose. Staff has provided and will continue to provide a sign-in sheet at each board meeting. A licensee wishing to receive CE credit for their attendance must sign in and out in order to obtain their credit. Signing out is very important as this informs staff how many hours the licensee will be granted for attending. Per Rule 64B17-9.001, no more than five hours shall be accepted per biennium. After each board meeting, staff reviews the sign-in sheet and submits the hours to each eligible licensees CEBroker transcript. Licensees should expect to see their granted hours on their transcript within seven business days following the meeting. This was provided for informational purposes only. OLD BUSINESS 17. Board of Physical Therapy Minutes

February 2-3, 2017 General Business Meeting MOTION: Dr. Tasso made a motion to approve the February 2-3, 2017 minutes as amended. The motion was seconded by Dr. Donald and carried 5/0. OTHER BUSINESS AND INFORMATION 18. 2017 NPTE Eligibility Requirements These reports were presented as informational only. 19. Anti-Trust Per the Boards’ request at the February 3, 2017 meeting, staff reached out to the Federation of State Boards of Physical Therapy (FSBPT) inquiring if they have any knowledge of federal legislation regarding Anti-Trust. The FSBPT communicated with staff that they have been involved in a coalition that includes the Federation of State Medical Boards and several other professions in providing some relief from the potential for treble damages for licensing board members. This project began last summer and is will most likely be introduced in the near future. 20. Exam Statistics This was provided for information purposes only. 21. Staff Recognition This was provided for information purposes only. There being no further business, the meeting adjourned at 9:42 P.M.

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DEPARTMENT OF HEALTH MEDICAL QUALITY ASSURANCE BOARD OF PHYSICAL THERAPY GENERAL BUSINESS MEETING

GENERAL RULES REVIEW May 5, 2017 MINUTES

Springhill Suites Orlando Airport

5828 Hazeltine National Drive Orlando, FL 32822

Participants in this public meeting should be aware that these proceedings are being recorded and that an audio file of the meeting will be posted to the Board’s website.

May 5, 2017 – 8:00 a.m.

The minutes reflect the actual sequence of events rather than the original agenda order. Call the Meeting to Order and Roll Call: Dr. Kay Tasso, Chair, called the general business meeting to order at approximately 8:00 a.m. Those present for all or part of the meeting, included the following: MEMBERS PRESENT BOARD COUNSEL Dr. Kay Tasso, Chair, PT, PhD,PCS Lynette Norr, Board Counsel, Dr. Patrick Pabian, PT, DPT, SCS, OCS, CSCS Assistant Attorney General Office Dr. Gina Petraglia, PT,DPT, COS-C,CEEAA Mr. Steve Chenoweth, PT Dr. Ellen K. Donald, PT, PhD STAFF PRESENT Allen Hall, Executive Board Director

Traci Zeh, Program Operations Administrator

PROSECUTING ATTORNEY Oaj Gilani, Prosecuting Attorney, DOH Prosecution Services Court Reporter: Cindy Green American Court Reporting [email protected] (407) 896 –1813 REQUEST FOR CONSIDERATION OF EXEMPTION FOR DISQUALIFICATION FROM EMPLOYMENT 19. Esther Curvelo, PT 9931 Ms. Curvelo was present and sworn in by the court reporter. She was represented by, Laura Burgess, Esq. Certified interpreter, Richard Fiallos was present and sworn in by the court reporter.

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Ms. Curvelo submitted an application for Exemption from Disqualification to seek employment in a health care setting. MOTION: After discussion, Mr. Chenoweth made a motion to grant Ms. Curvelo’s exemption for disqualification from employment. The motion was seconded by Dr. Donald and carried 5/0. DISCIPLINARY PROCEEDINGS MOTION FOR BOARD’S FINAL ORDER BY HEARING NOT INVOLVING DISPUTED ISSUES OF MATERIAL FACT 1. Thomas Russell Inman, PTA 6281 (Case No. 2016-15724) (PCP- Pabian, Candela, Kuhns) Respondent was not present nor represented by counsel. Dr. Pabian was recused due to participation in the Probable Cause Panel. Ms. Gilani summarized the case for the Board. Respondent was charged with the following violation: Section 486.125 (1) (h) respondent failed to meet the requirements in case number 2013-18976 filed on March, 5, 2015. By the terms of the Final Order, Respondent was required to pay a $1,000 fine and $202.22 in cost within 1 year of the Final Order. Respodent failed to do so. Respondent requested an extension from the Board on April 4, 2016, stating his financial hardship, but request was denied on May 18, 2016. While Respondent has paid $200.00 towards costs, it was ultimately, and still leaves a balance of $1,002.22 left unpaid. MOTION: Dr. Tasso made a motion to find that the Respondent was properly served and has requested an informal hearing. The motion was seconded by Mr. Chenoweth and carried 4/0. MOTION: Dr. Tasso made a motion to adopt the materials under Tab 1 and any addendum materials into evidence in this proceeding. The motion was seconded by Dr. Donald and carried 4/0. MOTION: Dr. Tasso made a motion to adopt the findings of fact as set forth in the Administrative Complaint. The motion was seconded by Mr. Chenoweth and carried 4/0. MOTION: Mr. Chenoweth made a motion to adopt the conclusions of law as set forth in the Administrative Complaint and find that this constitutes a violation of the Chapters 486 and 456, Florida Statutes. The motion was seconded by Dr. Tasso and carried 4/0. MOTION: After discussion, Dr. Tasso made a motion to impose the following penalties:

Indefinite suspension until compliance with previous Final Order, Case 2013 - 18976.

The motion was seconded by Mr. Chenoweth and carried 4/0. MOTION: Dr. Tasso made a motion to assess and accept the costs of $10.75. The motion was seconded by Dr. Donald and carried 4/0.

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2. Charles Thomas Brocato, PTA 12314 (Case No. 2014-12923) (PCP-Chenoweth, Parker, Watson) Respondent was present and sworn in by the court reporter. Mr. Chenoweth was recused due to participation in the Probable Cause Panel. Ms. Gilani summarized the case for the Board. Respondent was charged with the following violation: Section 486.125 (1) (k) and 456.072 (1)(x) Florida Statutes (2015). On August 11, 2015 Respondent pled no contest, in absentina, to one count of Improper Exhibition of a firearm and one count of battery, both misdemeanors, in Franklin County, Florida. Adjudication was withheld on both counts. Respondent failed to report to the Board in 30 days as required. Respondent does not dispute the material facts of the Administrative Complaint. This case was previously heard as a Settlement Agreement, which the Board rejected and counter-offered. The Respondent rejected the counter-offer and this case was back before the Board as an informal hearing based on the Respondents election of rights form. MOTION: Dr. Tasso made a motion to find that the Respondent was properly served and has requested an informal hearing. The motion was seconded by Dr. Pabian and carried 4/0. MOTION: Dr. Tasso made a motion to adopt the materials under Tab 1 and any addendum materials into evidence in this proceeding. The motion was seconded by Dr. Donald and carried 4/0. MOTION: Dr. Tasso made a motion to adopt the findings of fact as set forth in the Administrative Complaint. The motion was seconded by Dr. Donald and carried 4/0. MOTION: Dr. Tasso made a motion to adopt the conclusions of law as set forth in the Administrative Complaint and find that this constitutes a violation of Chapters 486 and 456, Florida Statutes. The motion was seconded by Dr. Pabian and carried 4/0. MOTION: After discussion, Dr. Tasso made a motion to impose the following penalties:

$1000.00 Fine to be paid within 2 (two) years of the filing of the Final Order.

Costs of $158.50 to be paid within 2 (two) years of the filing of the Final Order.

Successful passage of the Florida Laws and Rules Exam. Respondent must register within 90 days of the filing of the Final Order and pass within 6 months of the filing of the Final Order.

One year probation of license to be imposed from the filing of the Final Order.

The motion was seconded by Dr. Petraglia and carried 4/0. MOTION FOR BOARD’S FINAL ORDER BY VOLUNTARY RELIQUISHMENT 3. Adrian Lorenzo Fernandez, PTA 16009

(Case No. 2016-14337)

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(PCP – Petraglia, Hughes, Bumgardner)

Respondent was not present nor represented by council. Dr. Petraglia was recused due to participation in the Probable Cause Panel. Ms. Gilani summarized the case for the Board. Respondent was charged with the following violation: Count I:456.072 (1) (ii), Florida Statutes (2014) by being convicted of, or entering a plea of guilty or nolo contendere to, any misdemeanor or felony, regardless of adjudication, a crime in any jurisdiction which relates to health care fraud, constitutes grounds for discipline. Count II: 4546.072 (1)(x), Florida Statutes (2014) by failure to report. MOTION: Dr. Tasso made a motion to accept the Voluntary Relinquishment. The motion was seconded by Dr. Pabian and carried 4/0. PROBATION APPEARANCE AND REVIEW OF PROPOSED MONITOR 4. Alan Islamovic, PTA 24842 Respondent was present and sworn in by the court report. Mr. Islamovic was represented by Gary Schumard, Esq. Joshua Gervais, Mr. Islamovic’s proposed monitor, was present and sworn in by the court report. MOTION: Dr. Tasso made a motion to approve Mr. Gervais as Mr. Islamovic’s monitor. The motion was seconded by Dr. Petraglia and carried 5/0. REPORT 5. Prosecuting Attorney Report Total cases open/active in PSU: 55 Cases in ULA: 2 Cases in EAU: 6 Cases under legal review: 21 Cases where PC recommendation made: 18 Total cases where PC has been found: 7 Cases in holding status: 0 Cases awaiting supplemental investigation: 4 DOAH requests: 3 Cases in intake status: 1

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Agendaed for current or future Board Meeting: 5 Cases older than 1 year: 9** *5 cases under legal review, 2 cases awaiting service, 2 DOAH requests MOTION: Dr. Tasso made a motion to allow prosecution to continue processing any cases over one year old. The motion was seconded by Dr. Donald and carried 5/0. PERSONAL APPEARANCE PURSUANT TO §456.013(3)(c), F.S. 6. Jeremy Beasley, PT by Examination Mr. Beasley was present and sworn in by the court reporter. Mr. Beasley was asked to appear to discuss his criminal and discipline history. MOTION: After discussion, Dr. Tasso made a motion to approve Mr. Beasley’s application for licensure. The motion was seconded by Mr. Chenoweth and carried 5/0. 7. Travis Owen Browne, PT by Endorsement Mr. Browne was present and sworn in by the court reporter. Mr. Browne was asked to appear to discuss his criminal and discipline history. MOTION: After discussion, Dr. Tasso made a motion to approve Mr. Browne’s application for licensure and to certify him to sit for the Florida Laws and Rules Exam and upon a passing score on the exam shall be licensed. The motion was seconded by Dr. Pabian and carried 5/0. 8. Nageh Shawky Barsoum, PT by Endorsement Mr. Barsoum was present and sworn in by the court reporter. Mr. Barsoum was asked to appear to discuss his discipline history. MOTION: After discussion, Mr. Chenoweth allowed Mr. Barsoum to withdraw his application. The motion was seconded by Dr. Petraglia and carried 5/0. 9. Kristi Leigh Ann Ibrahim, PT by Endorsement Ms. Ibrahim was present and sworn in by the court reporter. Ms. Ibrahim was asked to appear to discuss her licensure history. MOTION: After discussion, Dr. Tasso allowed Ms. Ibrahim to withdraw her application. The motion was seconded by Dr. Donald and carried 5/0. 10. Virgina Leigh Caruso, PT by Endorsement Ms. Caruso was present and sworn in by the court reporter. She was represented by Julie Gallagher, Esq.

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Ms. Caruso was asked to appear to discuss her criminal and discipline history. MOTION: After discussion, Dr. Tasso made a motion to approve Ms. Caruso’s application for licensure and to certify her to sit for the Florida Laws and Rules Exam and upon a passing score on the exam shall be licensed. The motion was seconded by Mr. Chenoweth and carried 5/0. 11. John D. Austin, PTA by Examination Mr. Austin was present and sworn in by the court reporter. Mr. Austin was asked to appear to discuss his criminal history. MOTION: After discussion, Dr. Tasso allowed Mr. Austin to withdraw his application. The Motion was seconded by Dr. Petraglia and carried 5/0. Upon readmission of Mr. Austin’s application, the Board gave staff authority to review and approve his application providing the application is complete and accurate. REQUEST FOR CONSIDERATION OF EXEMPTION FOR DISQUALIFICATION FROM EMPLOYMENT 18. Scott C. Coleman, PTA 20427 Mr. Coleman was present and sworn in by the court reporter. He was accompanied by Marc Domb, current employer of Mr. Coleman. Mr. Coleman submitted an application for Exemption from Disqualification to seek employment in a health care setting. MOTION: After discussion, Dr. Tasso made a motion to deny Mr. Coleman’s exemption for disqualification from employment due to it has not been at least three years after Mr. Coleman has been released from confinement, supervision or other nonmonetary condition imposed by the court for a disqualifying felony as set forth in 435.07(1)(a)(1), Florida Statutes. The motion was seconded by Mr. Chenoweth and carried 4/0. REQUEST FOR CE HARSHIP PURSUANT TO RULE 64B17-9.007(7), F.A.C. 12. Heather Starkey, PT 19682 Ms. Starkey was not present nor sworn in by the court reporter. Ms. Starkey requested the Board to allow her to complete all 24 continuing education hours online. MOTION: After discussion, Dr. Tasso made a motion to grant Ms. Starkey’s request and allow her to complete all 24 continuing education hours online for the 2015-2017 biennium. The motion was seconded by Mr. Chenoweth and carried 5/0. 13. Nicole B. Matoushek, PT 10616 Ms. Matousek was not present nor sworn in by the court reporter.

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Ms. Matoushek requested the Board to allow her to complete all 24 continuing education hours online. MOTION: After discussion, Dr. Petraglia made a motion to deny Ms. Matoushek’s request due to failure to demonstrate hardship. The motion was seconded by Dr. Tasso and carried 5/0. PETITION FOR DECLARATORY STATEMENT 14. Chris Gellert Mr. Gellert was not present nor sworn in by the court reporter. Mr. Gellert is requesting clarification of the use of Instrument Assisted Soft Tissue Mobilization (IASTM). MOTION: After discussion, Mr. Chenoweth made a motion to deny Mr. Gellert’s Petition for Declaratory Statement as he lacks standing in the matter and the filed petition is not legally sufficient. The motion was seconded by Dr. Tasso and carried 5/0. REQUEST FOR CONSIDERATION OF EXEMPTION FOR DISQUALIFICATION FROM EMPLOYMENT 15. Glen Jon Hinchey, PT 19498 Mr. Hinchey was not present nor sworn in by the court reporter. Mr. Hinchey submitted an application for Exemption from Disqualification to seek employment in a health care setting. MOTION: After discussion, Dr. Tasso made a motion to grant Mr. Hinchey’s exemption for disqualification from employment. The motion was seconded by Dr. Petraglia and carried 5/0. 16. Pedro Enrique Navarro, PTA 13106 Mr. Navarro was present and sworn in by the court reporter. Mr. Navarro submitted an application for Exemption from Disqualification to seek employment in a health care setting. MOTION: After discussion, Dr. Petraglia made a motion to deny Mr. Navarro’s exemption for disqualification from employment based upon no clear and convincing evidence of rehabilitation. The motion was seconded by Dr. Tasso and carried 5/0. 17. Michelle Renee Terry Vann, PTA 25762 Ms. Vann was present and sworn in by the court reporter. Ms. Vann submitted an application for Exemption from Disqualification to seek employment in a health care setting.

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MOTION: After discussion, Dr. Tasso made a motion to grant Ms. Vann’s exemption for disqualification from employment. The motion was seconded by Dr. Petraglia and carried 5/0. PERSONAL APPEARANCE PURSUANT TO §456.013(3)(c), F.S. 20. Aloysius Francis Meives, PT by Endorsement Mr. Meives was present and sworn in by the court reporter. Mr. Meives was asked to appear to discuss his criminal and discipline history. MOTION: After discussion, Dr. Tasso made a motion to approve Mr. Meives’s application for licensure and to certify him to sit for the Florida Laws and Rules Exam and upon a passing score on the exam shall be licensed. The motion was seconded by Dr. Donald and carried 5/0. During this time the Board provided direction to Dr. Donald regarding participation on Probable Cause Panels. There being no further business, the meeting adjourned at 1:04 p.m.

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Exhibit A Rank License

Nbr Licensee Name Educational Institution

PT 31971 Johnson, Reginald Frank University of St Augustine for Health Sciences

PT 32231 Duenas, Michelle Anne University of St Augustine for Health Sciences

PT 32244 Carnage, George Leeman IV Florida Agricultural & Mechanical University

PT 32245 Entsminger, Luize Rossanez University of St Augustine for Health Sciences

PT 32245 Azotea, Kara Eileen University of Missouri

PT 32247 Paul, Adam University of Missouri

PT 32248 Wong, Chery Hong Kong Polytechnic University

PT 32249 Shah, Nicky Shree Devi College of Physiotherapy

PT 32250 Stacy, Joseane Estrela Universidade Federal Da Paraiba

PT 32251 Lewellyn, Kayleigh University of Central Arkansas

PT 32252 Heller, Jessica C University of St Augustine for Health Sciences

PT 32253 Daniels, Kasandra L University of St Augustine for Health Sciences

PT 32254 Lynn, Susan University of Colorado

PT 32255 Custer, Patricia Ohio State University

PT 32256 Cox, Stacie Jane University of St Augustine for Health Sciences

PT 32257 White, Regan Colleen University of St Augustine for Health Sciences

PT 32258 Ceglio, Jesse Paul MCPHS University Bottom of Form

PT 32259 Thapa, Baburam K Pandyarajah Ballal Nursing Institute - College of Physiotherapy

PT 32260 Batiste, Katherine Ann University of St Augustine for Health Sciences

PT 32261 Khanna, Ruchi Drexel University

PT 32262 Volukula, Madhavi Nizams Institute of Medical Sciences

PT 32263 Turner, Mark University of South Alabama

PT 32264 Newman, Justin University of Southern California

PT 32265 Pitysingh, Anthea Florida International University

PT 32266 Vora, Harshal Wayne State University

PT 32267 Mayrsohn, Michael Stony Brook University

PT 32268 Nguyen, Nhan Thanh Florida Agricultural & Mechanical University

PT 32269 Foster, Elizabeth Ann University of Hartford

PT 32270 Mishra, Praveen Kumar Guru Gobind Singh Indraprastha University

PT 32271 Santos, Emma Lyn Mendoza University of Baguio

PT 32272 Rampersaud, Nandini Florida International University

PT 32273 Montgomery, Rebecca Lynne Wichita State University

PT 32274 Chasse, Patrick University of Hartford

PT 32275 Khataniar, Dibya Jyoti The Oxford College of Physiotherapy

PT 32277 Nash, Brittany University of St Augustine for Health Sciences

PT 32278 Hagelin, Kristie Kay University of St Augustine for Health Sciences

PT 32279 Brown, Jacqueline University of Miami

PT 32280 Bassett, Susan Lynn Arcadia University

PT 32281 Tessitore, Kassandra Arner University of Delaware

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PT 32282 Patel, Chintan Bhupendra MCPHS University

PT 32283 Covey, Ann The Sage Colleges

PT 32284 St Clair, Jessica Jalon The University of Alabama at Birmingham

PT 32285 Cavallo, Nicola R University at Buffalo, State University of New York

PT 32286 Cruz, Michelle Lindsey Our Lady of Fatima University

PT 32287 Kalra, Ashmeet Postgraduate Institute of Medical Education and Research

PT 32288 Ertel, Frances New York University

PT 32289 Varughese, Aby Vikas College of Physiotherapy

PT 32290 Wedge, Frances The University of Alabama at Birmingham

PT 32291 Camesa, Andro Pol Suarez De La Salle University

PT 32292 Foster, Anne Boston University

PT 32293 Abdel-Salam, Hesham Hany Cairo University

PT 32294 Carter, Danielle Nicole University of Texas Medical Branch at Galveston

PT 32295 Miller, Giselle Baylor University

PT 32296 Hepburn, Sharon Lynn Killeen Saint Louis University

PT 32297 Gray, Robyn Carol Ohio State University

PT 32298 Martony, Thomas Robert Chapman University

PT 32299 Dinglasan, Gerardo Jr Pre Pamantasan Ng Lungsod Ng Maynila

PT 32300 Sourou, Chanelle University of St Augustine for Health Sciences

PT 32301 Lightfoot, Rebecca Cleveland State University

PT 32302 Enaje, Kristine Bongco Far Eastern University - Dr. Nicanor Reyes Medical Foundation

PT 32303 Jones, Graham David D'Youville College

PT 32304 Davidov, Stanislav Izikovich Touro College

PT 32305 Martin, David William MGH Institute of Health Professions

PT 32306 Capi, Jennifer Lauren Florida International University

PT 32307 Zich, Bethany Lynn University of St Augustine for Health Sciences

PT 32308 Dugan, Jonathan Ryan Florida International University

PT 32309 Tang, Michael Florida International University

PT 32310 Gelaz, Rosanna Florida International University

PT 32311 Olson, Alexa Morgan University of Texas Southwestern Medical Center

PT 32312 Rush, Alyssa Nova Southeastern University

PT 32313 Teeters, Alicia Campbell University

PT 32314 Anderson, Marcus Dewayne Florida Agricultural and Mechanical University

PT 32315 Drew, Danielle Angelique University of Alabama at Birmingham

PT 32316 Fraser, Joseph University of St Augustine for Health Sciences

PT 32317 Fuller, Amanda Tabetha University of St Augustine for Health Sciences

PT 32318 Baker, Paula Gail Armstrong State University

PT 32319 Brolund, Sara University of Tennessee Health Science Center

PT 32320 Charlwood, Melissa University of Hartford

PT 32321 Lascano, Melchor Alquisola Our Lady of Fatima University

PT 32322 Arora, Shruti Baba Farid University of Health Sciences

PT 32323 Williams, Varron Andre University of St Augustine for Health Sciences

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PT 32324 Hicks, Lashia Je'Nae Dpt University of St Augustine for Health Sciences

PT 32325 Grauman, Scott Wheeling Jesuit University

PT 32326 George, Alana Rene Wheeling Jesuit University

PT 32327 Magpali, Patricio Gutierrez Jr Angeles University Foundation

PT 32328 Tallhamer, Brittany University of St Augustine for Health Sciences

PT 32329 Flatten, Maria Elizabeth Texas Woman's University

PT 32330 Harding, Holly Amanda University of St Augustine for Health Sciences

PT 32331 Thieu, Nhi Thi Tu University of St Augustine for Health Sciences

PT 32332 Sanchez, Luis Sanchez University of St Augustine for Health Sciences

PT 32333 Stable, Jose Joaquin University of St Augustine for Health Sciences

PT 32334 Galindo, Hugo Camilo The George Washington University

PT 32335 Dillon, Megan University of St Augustine for Health Sciences

PT 32336 Lilley, Katherine University of St Augustine for Health Sciences

PT 32337 Fields, Lauren University of St Augustine for Health Sciences

PT 32338 Reynolds, Mitchell University of Tennessee Health Science Center

PT 32339 Stahr, Kristy Governors State University

PT 32340 Bayliss, Joanna Elon University

PT 32341 Mojica, Joy Diezmo De La Salle University - Aguinaldo

PT 32342 Oliveira Driscoll, Roccia University de Marilia

PT 32343 Mendes, Bryan University of St Augustine for Health Sciences

PT 32344 Allen, Caroline University of St Augustine for Health Sciences

PT 32345 Bean, Brianna University of St Augustine for Health Sciences

PT 32346 Trujillo, Kayla Ray Walsh University

PT 32347 Wimberly, Katie University of St Augustine for Health Sciences

PT 32348 Bellreng, Michelle D'Youville College

PT 32349 Patel, Hemaliben Sikkim-Manipal University of Health, Medical & Technological Sciences

PT 32351 Simpson, Luzviminda Birad Emilio Aguinaldo College

PT 32352 Sapijaszko, Maria Ana Rodesa Pamantasan Ng Lungsod Ng Maynila

PT 32353 Logani, Nidhi Kurukshetra University

PT 32354 Price, Carolyn Elizabeth The Sage Colleges

PT 32355 Swafford, Molly Gibson University of Florida

PT 32356 Martorella, Wendy Sue New York University

PT 32357 Stehr, Janeil Azusa Pacific University

PT 32358 Clarke, Matthew Aaron Northern Arizona University

PT 32359 Hanks, Lisa U University of Missouri

PT 32360 Foody, Julia Marie Mercy College

PT 32361 Garcia, Lauren Florida International University

PT 32362 Bedenbaugh, Jeffrey Austen University of St Augustine for Health Sciences

PT 32363 Beckman-Nemenz, Elizabeth Sue

Slippery Rock University of Pennsylvania

PT 32364 Kucala, Jessica Lynn University of South Alabama

PT 32365 Himmelman, Michael Saint Louis University

PT 32366 Hyland, Grace Adele Chatham University

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PT 32367 Cummings, Moriah Elizabeth University of Alabama at Birmingham

PT 32368 Paulus, Lisa Andrews University

PT 32369 Thomas, Morgan University of St Augustine for Health Sciences

PT 32370 Calubaquib, Jervie May Bergado

De La Salle University - Aguinaldo

PT 32371 Cocos, Sabino Beratio University of Santo Tomas

PT 32372 Gilchrist, Heather Priest University of North Florida

PT 32373 Filipiak, Christofer Mount St Joseph University

PT 32375 Powers, Currie University of St Augustine for Health Sciences

PT 32376 Blaylock-Lawson, Hazel Dianne University of South Alabama

PT 32377 Agrawal, Divya Amar Jyoti Institute of Physiotherapy

PT 32378 Vasilyeva, Tatiana Georgia State University

PT 32379 Sinclair, Shari-Ann A University of The West Indies at Mona, Jamaica

PT 32380 Panara, Ruchi Mitalkumar City College of Physiotherapy and Nursing

PT 32381 Job, Trisa State University of NY Downstate Medical Center

PT 32382 Reilly, Melissa Jean University of Rhode Island

PT 32383 Furlong, William Darnell II Wheeling Jesuit University

PT 32384 Daniyan, Adeola Alade Loma Linda University

PT 32385 O'Malley, Brian Nova Southeastern University

PT 32386 Boundy, Devan University of Miami

PT 32387 Kirby, Cheree Ohio State University

PT 32388 Sudheimer, Sarah University of St Augustine for Health Sciences

PT 32389 Gonzalez Grandoli, Muriel Emilce

Universidad Nacional de Entre Rios

PT 32390 Salter, Matthew University of South Alabama

PT 32391 Hallberg, Kristin Uppsala Universitet

PT 32392 Zamski, Kyle Eric Wheeling Jesuit University

PT 32393 Gaikwad, Shilpa Baban Maharashtra University of Health Sciences - Lokmanya Tilak Municipal Medical College

PT 32394 Turel, Viviana Claudia Universidad De Buenos Aires

PT 32395 Sy, Eyrin P Southeast Asian College

PT 32396 Lopez, Erika Nicole University of New England

PT 32397 Trebincevic, Kenan University of Hartford

PT 32398 Schulman, Marjorie Columbia University

PT 32399 Patel, Nikiben Jay Gujarat University

PT 32400 Johnson, Ashley Nicole Hampton University

PT 32401 Barth, Jodi Sue Ithaca College

PT 32402 Convalecer, Ira University of The East

PT 32403 Russell, Catherine The Sage Colleges

PT 32404 Kucherawy, Chad Anthony Drexel University

PT 32405 Schmidt, Emile George Jr Louisiana State University Health Sciences Center

PT 32406 Pepito, Eleonor Ando Cebu Doctor`s University

PT 32407 Sesaldo, Vincent Zerna Cebu Doctor`s University

PT 32408 Mejia, Clarissa Lauron Velez College

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PT 32409 Shehata, Mina Touro College

PT 32410 Demartino, Vincent Michael Northeastern University

PT 32411 Byrne, Linda Trinity College

PT 32412 Hollock, Jessica Misericordia University

PT 32413 Cruz, Raymond Valdez Pamantasan Ng Lungsod Ng Maynila

PT 32414 Pangan, Christian Joy Lazaro University of the City of Manila

PT 32415 Willenbring, Kevin Armstrong State University

PT 32416 Sule, Kedar Arun Maharashtra University of Health Sciences Vspm`s College of Physiotherapy

PT 32417 Bambalan, Graciela Latupan University of Perpetual Help System - Dalta

PT 32418 Wyatt, Gina The Sage Colleges

PT 32419 Battung, Caesar Eladio Baricaua III

Emilio Aguinaldo College

PT 32420 Crotts, Barbara Gregg University of Central Arkansas

PT 32421 Lim, Jeagwan Chung Ju National University

PT 32422 Shah, Palak Dweepkumar Maharaja Sayajirao University of Baroda

PT 32423 Cadot, Virginia Page New York University

PT 32424 Holst, Brian Robert Texas Woman's University

PT 32425 Lukens, Susan University of Colorado

PT 32426 Capistrano, Mary Grace Vilela Emilio Aguinaldo College

PT 32427 Otten, Melissa Marie University of Findlay

PT 32428 Lopez, Ryan University of Florida

PT 32429 Nair, Anoop V University of Pittsburgh

Total Records

185

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Exhibit B Rank License

Nbr Licensee Name Educational Institution

PTA 27030 Varn, Kelsey Elizabeth Kev Florida Gateway College PTA 27059 Painter, Christen Herzing University PTA 27133 Mendez, Vincent South University PTA 27147 Frick, Melissa South University PTA 27163 Messmer, Shane Ericson South College PTA 27228 Dow, Timothy Alan South University PTA 27295 Undestad, Blake Kolten South University PTA 27328 Mollura, Andrew South University PTA 27335 Flores, Melanie Delaware Technical Community College PTA 27336 Baker, Karen A Genesee Community College PTA 27337 Hufham, Charles Robert Herzing University PTA 27338 Cox, Lindsey Grace Greenville Technical College PTA 27339 York Whiteley, Cheri Springfield Technical Community College PTA 27340 Sanchez, Ana Maria Florida National University PTA 27341 Peak, Michael Anthony Florida State College at Jacksonville PTA 27342 Schoneck, Hal Herzing University PTA 27343 Tice, Heather Elise Florida State College at Jacksonville PTA 27345 Rodriguez, Michelle Phillips Chesapeake Area Consortium for Higher

Education PTA 27347 Estrada-Ramos, Mario Ernesto Professional Hands Institute PTA 27348 Serrichio, Joseph Indian River State College PTA 27349 Schweizer, Jesse Gerald Ray Keiser College PTA 27350 Pulzello, Donald Benideto College of Central Florida PTA 27351 Navarrete, Vivian The Praxis Institute PTA 27352 Miller, Jolyn Keiser College PTA 27353 Mannel, Natasha Kay Florida State College at Jacksonville PTA 27354 Vacha, Marissa Lauren South University PTA 27355 Roque, Reinier Professional Hands Institute PTA 27356 Silva Bazanta, Ana Yasmin Universidad Central De Venezuela PTA 27357 Calvin, Patti J Polk State College PTA 27358 Perez Gonzalez, Lianne Miami Dade Community College PTA 27359 Palmer, Shawn College of Central Florida PTA 27360 Hughes, Valdes Winston Broward Community College PTA 27361 Fernandez, Ana Maria The Praxis Institute PTA 27362 Fowler, Linda Ervin Polk State College PTA 27363 Melaragni, Kimberly Ann South University PTA 27364 Deklavon, Jessica Patricia Chattahoochee Technical College PTA 27365 Lundequam, Ryan Malcolm South University PTA 27367 Kite-Henry, Megan Lee South University PTA 27368 Hunter-Zoller, Louise Keiser College PTA 27369 Herrera, Irina Maria The Praxis Institute PTA 27370 Gordon, Rochelle Miami-Dade Community College PTA 27371 Davis, Heather Lynn South University PTA 27372 Cecchetti, Micah Herzing University PTA 27373 Cowan, Melissa Lindsey Taylor College PTA 27374 Cuevas, Cyndi Lynn South University

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PTA 27375 Cepero, Wendolin Miami Dade Community College PTA 27376 Benders, Kyle Martin South University PTA 27377 Hughes, Nashay Nicole College of Central Florida PTA 27378 Enweremadu, Mia Nneka A South University PTA 27379 Snook, Jessica Concorde Career College PTA 27380 Burger, Stephanie Cerritos College PTA 27381 Santiago, Daniel Clemente Tulsa Junior College PTA 27382 Davis, Jonathan Keiser University PTA 27383 Martinez, David D Keiser University PTA 27384 Morlan, Eduardo Keiser University PTA 27385 Villanueva, Mark Florida State College at Jacksonville PTA 27386 Powell, Jordan Keith Florida State College at Jacksonville PTA 27387 Gianquitti, Kimberlee M Keiser University PTA 27389 Hyndman, Krystal Scanlon Keiser University PTA 27390 Parra, Candy South University PTA 27391 Noziere, Jacques Broward Community College PTA 27392 Stechschulte, John South University PTA 27393 Murcia, Yenifer Keiser University PTA 27394 Velez, Jairo Albeiro Professional Hands Institute PTA 27395 Puckett, Sheryl Lynn Keiser University PTA 27396 Pereira Mantecon, Julio Antonio Professional Hands Institute PTA 27397 Almeida, Simoni Keiser University PTA 27398 Rodman, Colin B South University PTA 27399 Hawthorne, Savannah Lee College of Central Florida PTA 27400 Davis, Morgan Ashley College of Central Florida PTA 27401 Martin, Brandi Kayla College of Central Florida PTA 27402 Auguste, Kimberly Tiffany Miami Dade Community College PTA 27403 Patel, Prateen Jitendra South University PTA 27404 Tiderman, Brian Keiser University PTA 27405 Herrera, Grace Dade Medical College PTA 27406 Andrews, Mae Isabel College of Central Florida PTA 27407 Failla, Anthony Daniel College of Central Florida PTA 27408 Rojas De Marco, Eliana Keiser University PTA 27409 Freeman, Melissa South University PTA 27410 Gonzalez, Erik Keiser University PTA 27411 Cook, Ashley Owens Florida Gateway College PTA 27412 Pereira, Monica Moreira Miami Dade College PTA 27413 Thompson, Kissie Keiser University PTA 27414 Gardner, Sarah Rebecca Keiser University PTA 27415 Lenhart, Laura Beth Onondaga Community College PTA 27416 Fannin, Linda Bongon Keiser University PTA 27417 Smith, Carla Keiser University PTA 27418 Williams, Romario Brian Keiser University PTA 27419 Fannin, Christina College of Central Florida PTA 27420 Ward, Rebecca Ward Elgin Community College PTA 27421 Ang, Andrew Elgin Community College PTA 27422 Waddington, Eleanor Jean College of Central Florida PTA 27423 Wise, Joshua D Florida State College at Jacksonville PTA 27424 Gerodimos, George St Petersburg College PTA 27425 Darza, Samuel Joseph South University

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PTA 27426 Mariathasan, Christina Gowri South University PTA 27427 Thivierge, Alaina Keiser University PTA 27428 Arcadipane, Kaylee Marie South University PTA 27429 Ackerman, Michele College of Central Florida PTA 27430 Doerzbacher, Melissa Keiser University PTA 27431 Averyt, Kyle South University PTA 27432 Casabuena Valeya, Dailyn Dade Medical College PTA 27434 Williams, Crystal Nichole Keiser University PTA 27435 Stiver, Alec Eugene Keiser University PTA 27436 Boulandier, Javier Francisco Keiser University PTA 27437 Adamson, Robert Craig Keiser University PTA 27438 Portal Margolles, Jesus Keiser University PTA 27439 Meldrum, Jason Keiser University PTA 27440 Zimmer, Elizabeth Ann Genesee Community College PTA 27441 Coxwell, Hannah Florida State College at Jacksonville PTA 27442 Spiddle, Jessica Ellen College of Central Florida PTA 27443 Oliva Vargas, Yamilet Professional Hands Institute PTA 27444 Timmerman, Jacqueline Renee Sinclair Community College PTA 27445 Ortiz, Nicholus Keiser University PTA 27446 Pompey, Jennifer Green River College PTA 27447 Conill, Gilberto Dade Medical College PTA 27448 Hussey, Jaquanda Yvonne College of Central Florida PTA 27449 Benda, Linda Dianne George C. Wallace Community College PTA 27453 Lowther, Jennifer South University PTA 27454 Morales, Vanessa Dominique Miami Dade College PTA 27455 Pierson, Derick Allen Keiser University PTA 27456 Boozell, Kimberly Sue University of Pittsburgh at Titusville PTA 27457 Cascante, Joshua Keiser University PTA 27458 Siddiqui, Seema Noor McLennan Community College PTA 27459 Poznan, Mark J Norwalk Community College PTA 27460 Jameson, Jamie Renee Keiser University PTA 27461 Palmero, Monica Keiser University PTA 27462 Burch, Briana South University PTA 27463 Ellison, Maureen R St Petersburg College PTA 27464 Layman, Pamela Lynn State College of Florida PTA 27465 Mullen, Joshua South University PTA 27466 Ryan, Lisa Broward College PTA 27467 Czaykowsky, Allen The Praxis Institute PTA 27468 Gray, Amanda Ballard Wallace State Community College Hanceville PTA 27469 Kelly, Chauna J Keiser University PTA 27470 Ponce, Dalia Professional Hands Institute PTA 27471 Davidson, Daren South University PTA 27472 Snyder, Douglas Wayne Ii Keiser University PTA 27473 De Leon, Maria Rowena Keiser University PTA 27474 Riffle, Robert Community College of Allegheny County PTA 27475 Reinhart, Jason A Professional Skills Institute PTA 27476 Pimperl, Amy Lou Ellen Bishop State Community College PTA 27477 Duncan, Jared Michael Pierpont Community & Technical College PTA 27478 Miller, Heidi Lynn Henry Ford College PTA 27479 Tuazon, Paolo Enrique Polk State College

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PTA 27480 Decyk, Taissa Amber Rose Naugatuck Valley Community College.... PTA 27481 Muller Gonzalez, Richard Jay Keiser University PTA 27482 Ramos, Amy Mercer County Community College PTA 27483 Spear, Macy George C. Wallace Community College PTA 27484 Archbold, Yasir Florida State College at Jacksonville PTA 27485 Eaton, Daniel Florida State College at Jacksonville PTA 27486 Belles, Janelle Brooke Southwestern Illinois College PTA 27487 Butkovich, Thomas Jacob State Technical College of Missouri PTA 27488 Harding, Garry William Community College of Allegheny County PTA 27489 Purcell, Yoany Keiser University PTA 27490 Sears, Rachel Keiser University PTA 27491 Osorio-Sarosi, Monica New York University PTA 27492 Hyman, Jamesha Shanea Keiser College PTA 27493 Ricardo Delgado, Yannie Dade Medical College PTA 27494 Nebergall, Michelle Ann Metropolitan Community College PTA 27495 Hansford, Eric Northeast Wisconsin Technical College PTA 27496 Henry, Tiffany Bishop State Community College PTA 27497 Paluck, Lyn Frances Lehigh County Community College PTA 27498 Valdivia Vizcain, Yoandry Keiser University PTA 27499 Serrado, Maria F Keiser University PTA 27500 Zedik, Cathy Ann Nassau Community College PTA 27501 Stead, Michael Adam Stark Technical College PTA 27502 Sabetta, Doreen Ann Genesee Community College PTA 27503 Pappas, Yolanda New England Institute of Technology PTA 27504 Moorman, Heather South University PTA 27505 Santiago, Madelin Dade Medical College Total Records:

171