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Things You Should Know About Doing Business In Ohio...

1.  Ohio Revised Code Chapter 4779 - the Orthotics Prosthetics and Pedorthics Practice Act as imiplemented does not provide for the licensing of a business entity providing Orthotic and Prosthetic services.  It does require appropriate state of Ohio licensure for persons performing Custom Fabrication and Custom Fitting of Orthotic, Prosthetic and Pedorthic devices.  (see generally 4779.01 and 4779.02).


2.  Some general "DME" licensing and regulation is provided for under Chapter 4752, the Home Medical Services providers section.   see also http://www.respiratorycare.ohio.gov/HomeMedicalEquipmentHome.aspx


3.  Under the terms of HB 49 of the 132nd General Assembly, Chapter 4779 licensing will be moving to the Occupational Therapy, Physical Therapy, and Athletic Trainers Board, and HME licensing will be moving to the Medical Board.

Law & Rules:

The most current regulatory language comprising the law and rules governing the Orthotic, Prosthetic and Pedorthic professions in the state of Ohio may be accessed online:

Ohio Revised Code Chapter 4779
Ohio Administrative Code Agency Rules 4779

Frequently Asked Questions:
  • Are Licensed Nurses (RN or LPN) permitted to provide Diabetic Footwear if the Nurse is not under the supervision of a Licensed Pedorthist?

Per the statutory language, nurses are exempt from Chapter 4779 licensing requirements if “practicing within the individual's scope of practice under statutes and rules regulating the individual's profession.”

So, the next question that needs to be asked is whether the particular nurse, with that nurse’s particular education, training and experience is considered to have appropriate competence to provide the service.  That is a question for the Board of Nursing, and should be explored by the individual nurse in consultation with that Board.

A nurse providing pedorthic services would be expected to follow and demonstrate competence for the scope of pedorthic practice as defined in ORC Chapter 4779 and with reference to accepted national standards as well as compliance with nursing practice standards.

  • What are the Ohio requirements concerning certified fitters?

There is no provision under Ohio law for licensing at the “fitter” level of service. A fitter would be an unlicensed person and could only provide services under supervision of an appropriately licensed professional at the same building, facility or location where the supervisor is present at the time services are being delivered.


In comparison, a Temporary license in for example Orthotics allows a practitioner-pathway applicant to begin providing services under an appropriate supervision arrangement within a one-hour travel time of the supervisor's location.  That allowance is not presently available under current language for unlicensed persons.

The lowest level license credential offered in the state of Ohio for fitting/dispensing Diabetic Therapeutic Shoes would be the Licensed Pedorthist credential. For more information on Pedorthist license requirements and application, please click here.

  • What about certified orthotic fitters - mastectomy? 
Mastecomy fitting is specifically excluded from Ohio Licensing requirements. See ORC 4779.01 (I).

(I) "Prosthesis" means a custom fabricated or fitted medical device used to replace a missing appendage or other external body part. It includes an artificial limb, hand, or foot, but does not include devices implanted into the body by a physician, artificial eyes, dental appliances, ostomy products, cosmetic devices such as breast prostheses, eyelashes, wigs, or other devices that do not have a significant impact on the musculoskeletal functions of the body.

The State Board of Orthotics, Prosthetics & Pedorthics
77 S. High St., 18th Floor  •  Columbus, OH 43215-6108
Tel: (614) 466-1157   •  Fax: (614) 387-7347   •  Email Us