GetPT1st National PT Database
Here is your chance to be part of the largest searchable database of PTs in the USA. This database is free for individual therapists. If you would like to be a featured provider on the map, there's a link at the bottom of this form to donate $20 to STAND: The Haiti Project (all donations are tax deductible).
Email address *
First name *
Your answer
Last name *
Your answer
Profession *
The next questions are regarding your physical address. You can list it as the address of the clinic where you work, or you can simply skip the street address and fill out the city/state/zip portion for where you live.
Number and street name
Example: 555 Main Street
Your answer
Address 2
Example: Suite 103
Your answer
City name *
Your answer
State *
Please spell it out instead of using an abbreviation, New York instead of NY
Your answer
Zip code *
Your answer
Phone number
Your answer
Email address *
Address that prospective clients can reach you at.
Your answer
Clinic website
Please enter in the format www.example.com
Your answer
The following questions are about you as a therapist.
Certifications
Do you have a certification in any of the following? Check all that apply.
APTA member? *
If you would like to be a featured user, go to this link https://www.paypal.me/STANDhaiti/20 to donate $20.
If you would like to make a donation of any size, please click on the following link. This will help to bring much needed healthcare to those in great need. Thank you for your generosity. https://www.paypal.me/STANDhaiti/
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