Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What chiropractors miss in Pennsylvania
- Proof of professional liability insurance, or a carrier letter, must accompany the application.
- Reciprocity works only with jurisdictions that accept Pennsylvania licensees in return.
Can a chiropractor licensed in another state get a Pennsylvania license by endorsement?
Reciprocity requires a license obtained by exam in a jurisdiction with substantially equivalent standards that accepts Pennsylvania licensees, the NBCE parts required for your graduation or licensure date, and 3 years of full-time practice including 20 of the last 24 months. Act 41 offers a separate route for substantially equivalent licenses.
- Endorsement route available
- 3 years of practice required
Citation: 49 Pa. Code § 5.13; Act 41 of 2019
Which exams does Pennsylvania require?
Exam-route applicants need NBCE Parts I, II, III and IV and the Pennsylvania Chiropractic Law Examination; a Part IV pass counts no matter when it was earned. Physiotherapy is not required for the license itself, but it is one way to qualify for adjunctive procedures certification.
- NBCE Parts I–IV
- State jurisprudence exam
Certification to use adjunctive procedures in Pennsylvania
A licensee may not use adjunctive procedures without board certification. Qualifying routes include a passing NBCE Physiotherapy score, a board-accepted course of at least 100 hours, or a licensing exam that covered adjunctive procedures. The certification renews automatically with biennial registration.
Citation: 49 Pa. Code §§ 5.14, 5.17(c)
Does Pennsylvania regulate chiropractic assistants?
No chiropractic assistant credential appears in the rules. Auxiliary staff may take x-rays only after passing a board-approved radiological exam or the ARRT or ACRRT radiography exam, with the DC on the premises.
- Not regulated
How often does a Pennsylvania chiropractic license renew?
Registration expires September 1 of even-numbered years. Twenty-four hours of board-approved chiropractic CE are needed per two-year period, with attendance certificates kept for 4 years. New applicants also complete 3 hours of approved child abuse recognition and reporting training.
- Renews every 2 years
- 24 CE hours per cycle
Licensing in Pennsylvania?
We file the application, send your NBCE scores and verifications, and carry the board correspondence. License by endorsement is $499. Not sure which route fits? The readiness review answers that for every state you want.