Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  06/02/2014
Application#  :  496157
Name  :  SAAD, NICOLE A
Profession  :  Physical Therapist
Address  :  MENOMONEE FALLS, WI
Application Status  :  (Permanent license issued)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
PAGE 1 Wisconsin Statutes & Rules Examination Booklet and answer sheet Met
Applicable blanks completed Met
Application Fee Met
$165
PAGE 2 All activities & practice accounted for from date of graduation to present. Provide employers name, location (city&state), dates (month&year), # of hours worked per week, job title & duties Met
PAGE 2, 3 & 4 All questions answered and relevant copies attached Met
PAGE 4 Affidavit of applicant, signed and notarized Met
PAGE 5 Social Security Number Met
Certificate of Professional Education (Form #3196) Met
NPTE exam registration form and fee (Must register online with FSBPT at https://pt.fsbpt.net) Met
NPTE approval forwarded to FSBPT Met
NPTE results from FSBPT Met
Certification of Legal Status Completed Met