Orthotists and Prosthetists

Important Information for Healthcare Facilities Seeking to Use Out-Of-State Healthcare Providers to Assist with Hurricane Harvey Disaster Response

On September 3, in accordance with Sections 418.016 and 418.171 of the Texas Government Code, Governor Greg Abbott temporarily suspended all necessary statutes and rules to allow a healthcare professional licensed and in good standing in another state to practice in various facilities in Texas to assist with disaster response operations for Hurricane Harvey. Read More >>


Apply or renew online, check license status, search for a license, or file a complaint

Sign Up for Email Updates

Stay up-to-date on recent developments with email notifications. Get info on changes to laws and rules, important notices, upcoming meetings, and more.

Subscribe


News & Updates

Inspections of Orthotists and Prosthetists Facilities in Hurricane Disaster Areas

Immediately after Hurricane Harvey, TDLR temporarily stopped periodic inspection of Orthotists and Prosthetists facilities in the disaster areas. On October 16, 2017, we will resume our regular inspection schedule. We will make every effort to avoid locations damaged by flooding. If a TDLR inspector arrives at a business being repaired due to flooding, he/she will return at a later date.

TDLR is continuing to provide a grace period for expired licenses, waive late renewal fees and provide duplicate license replacements for free.

Contact TDLR at recovery@tdlr.texas.gov or 1-800-803-9202 to order a duplicate license at no cost.

If you need to temporarily change your address, phone number, or email address, please update your contact information online.

For more information, visit TDLR’s Harvey web page.

Important Information for Healthcare Facilities Seeking to Use Out-Of-State Healthcare Providers to Assist with Hurricane Harvey Disaster Response

On September 3, in accordance with Sections 418.016 and 418.171 of the Texas Government Code, Governor Greg Abbott temporarily suspended all necessary statutes and rules to allow a healthcare professional licensed and in good standing in another state to practice in various facilities in Texas to assist with disaster response operations for Hurricane Harvey.

The suspension allows a healthcare provider who holds a license, certificate, or other permit issued by another state jurisdiction satisfying qualifications for professional, mechanical, or other skills to render aid in this state to meet an emergency or disaster.

This suspension is in effect until terminated by the Office of the Governor or until the Hurricane Harvey disaster declaration is lifted or expires.

For the healthcare provider types listed below, a healthcare facility must submit to the Texas Department of Licensing and Regulation (TDLR) by email each out-of-state provider’s name, license type, state of licensure, and license identification number to: Harvey@tdlr.texas.gov

TDLR licenses the following healthcare providers:

  • Athletic Trainers
  • Dietitians
  • Dyslexia Therapists and Practitioners
  • Hearing Instrument Fitters and Dispensers
  • Midwives
  • Orthotists and Prosthetists
  • Podiatrists
  • Speech-Language Pathologists and Audiologists

If you have questions or need assistance, please call (800) 803-9202 between 7:00 a.m. and 6:00 p.m. CDT or email Harvey@tdlr.texas.gov.

Inspection Information for Owners and Practitioners-in-Charge of Orthotic and Prosthetic Facilities

Rules reviewed by the Orthotists and Prosthetists Advisory Board and approved by the Texas Commission of Licensing and Regulation require that Orthotic and Prosthetic facilities be inspected once every two years. Inspectors from TDLR’s Field Operations Division will perform unscheduled inspections during your regular business hours beginning in March 2017.

Inspectors will check that your accredited facility is complying with the sanitation, safety, record-keeping and licensing requirements of the law and rules. Inspectors will explain in detail any violations that are noted, what corrective actions to take, and give you a chance to ask questions.

Inspection results fall into one of the following three categories:

  • No Corrections Needed – No action required. Your facility is in compliance.
  • Corrections Needed – Make corrections within 10 days of the inspection date.
  • Violations Sent to Enforcement – Make corrections within 10 days of the inspection date. In addition, a representative of the Enforcement Division may contact you regarding the violations.

During this first round of inspections, only very serious violations, such as unlicensed activity, will be referred to the Enforcement Division. Inspectors will use an Orthotic and Prosthetic Facilities Reference Guide to help them perform inspections.  The Orthotic and Prosthetic Facilities Reference Guide (393kb PDF) is available online.


Advisory Board Meetings

Previous Meeting - July 21, 2017

The Orthotists and Prosthetists Advisory Board met July 21 in Austin. The agenda and the staff report are online. The meeting was archived and is available on TDLR's YouTube channel.

Health Professions Transition FAQs

1. When did the transfer happen?
The Texas Department of Licensing and Regulation (TDLR) assumed all activities relating to the Orthotists and Prosthetists program including licenses and renewals, customer service and enforcement on October 3, 2016.

2. Now that the transfer is complete, will I need to get a new license issued by TDLR?
No. The license you have now issued by the Texas Department of State Health Services (DSHS) remains valid until its expiration date. When you renew, you will receive a TDLR license.

3. Have the rules changed?
Yes, TDLR adopted rules for all of the transferred programs. Most of the newly adopted rules are very similar, but some changes have been made. The TDLR health profession rules became effective on October 1, 2016. View the rule changes and links to the TDLR rules

4. What is going to happen with open complaints and cases?
If you filed a complaint with DSHS or had a complaint filed against your license and it was not resolved by the transfer date, TDLR assumed responsibility for the case. You should have already received notification by mail that your complaint was transferred to TDLR.

5. How do I stay informed about changes impacting me?
You have several options to stay connected:

  • Email updates Sign up for email updates to receive notices about rules, the law, fees, examination requirements, meetings and more. Email updates are the best way for you to stay informed.
  • Meetings TDLR’s advisory board and Commission meetings are available to watch online live or later at your convenience.
  • Facebook and Twitter TDLR has a Facebook page and Twitter account dedicated to TDLR Health Professions.

6. Why was my license expiration date extended? Will I have the same expiration date in the future?
To ease the transition, DSHS extended the expiration date by two months for licenses previously set to expire in August, September, and October 2016. For example, if your original expiration date was September 30, your new expiration date is November 30. If your license was extended, you will continue to renew your license in the new expiration month in the future.

7. Will I have to renew on a different schedule?
You will renew on the same schedule unless your license expired in August, September or October 2016. Licenses expiring in those months were extended for two months to ease the transition from DSHS to TDLR. If your license was extended, you will now renew in your new expiration month for future renewals. Your license expiration date will not return to your original expiration month.

8. Why were licensing programs transferred from DSHS to TDLR?
The transfer is the result of a change to Texas law. In 2015, the Texas Legislature passed Senate Bill 202, which transferred several licensing programs from the DSHS to TDLR.


About the Program

The Orthotists and Prosthetists program regulates orthotists and prosthetists, orthotic and prosthetic assistants, students, and technicians, and orthotic and prosthetic facilities.

A license is required to provide orthotic and prosthetic services in Texas, unless an individual or facility is exempted by law. These services comprise the science and practice of measuring, designing, fabricating, assembling, fitting, adjusting, or servicing an orthosis or prosthesis for the correction or alleviation of a neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity under an order from:

  • a licensed physician
  • a chiropractor
  • a podiatrist; or
  • an advanced practice nurse or a physician assistant who is acting under the delegation and supervision of a licensed physician

Definition of Orthosis

"Orthosis" means a custom-fabricated or custom-fitted medical device designed to provide for the support, alignment, prevention, or correction of a neuromuscular or musculoskeletal disease, injury, or deformity. The term does not include: a fabric or elastic support, corset, arch support, low-temperature plastic splint, truss, elastic hose, cane, crutch, soft cervical collar, orthosis for diagnostic or evaluation purposes, dental appliance, or any other similar device carried in stock and sold by a drugstore, department store, or corset shop.

Definition of Prosthesis

"Prosthesis" means a custom-fabricated or custom-fitted medical device used to replace a missing limb, appendage, or other external human body part but that is not surgically implanted. The term includes an artificial limb, hand, or foot. The term does not include: an artificial eye, ear, finger, or toe; a dental appliance; a cosmetic device, including an artificial breast, eyelash, or wig; or another device that does not have a significant impact on the musculoskeletal functions of the body.