Changes to Registration Requirements in 2026

Changes to Registration Requirements in 2026

In January 2026, the Canadian Alliance of Physiotherapy Regulators (CAPR) will launch a single licensure examination. The Board of the Nova Scotia College of Physiotherapists supports adoption of CAPR’s single licensure examination in principle. This will create a change in the registration/licensing pathway.

Current State

Currently, applicants seeking registration as a physiotherapist in Nova Scotia must complete a two-part evaluation process:

  • Written Component:  The Physiotherapy Competency Examination administered by CAPR. - Applicants must successfully complete the written component of the Physiotherapy Competency Examination before they are eligible to apply for registration on NSCP’s Provisional Register as a resident. Physiotherapy residents registered on the Provisional Register must practice under supervision.
  • Practical Component:  Interim Competency Evaluation (ICE) process or another Canadian physiotherapy regulator’s clinical competency evaluation for full licensure.

Future State

Starting January 2026, CAPR’s single licensure examination will replace the two-exam model. At this time, NSCP will adopt the new CAPR exam (Canadian Physiotherapy Exam – CPTE) as the pathway to full registration, replacing the current two-step model. All applicants must complete the single licensure examination to be eligible for registration with NSCP.

The single licensure examination will:

  • Be offered 8 times in 2026
  • Be completed virtually over one day
  • Include a written section and an oral, scenario-based section with a single pass mark
  • Focus on critical competencies that are required to perform safely, effectively, and independently at entry to practice.

As of February 28, 2026, the interim competency evaluation (ICE) process will no longer be a pathway to full licensure. After February 28, 2026, ICE applications will no longer be accepted. Partial/incomplete applications will not be accepted. Residents must meet all eligibility requirements prior to submitting an application.

Transition Period

CAPR plans to discontinue the current written component of the Physiotherapy Competency Examination and has announced written examination dates through to the end of November 2025. CAPR’s new single licensure examination begins in January 2026. The January 2026 exam has limited seats, but subsequent exams will have unlimited availability.

The effects of the transition period will differ depending on individual situations:

For residents that were licensed prior to May 2025:

  • Residency will continue until expiry (1 year from initial registration) or 2 failed attempts at a practical competency evaluation (including any administered by a Canadian Physiotherapy regulatory body or the new CAPR exam)
  • May still complete ICE if eligible by February 28, 2026. After February 28, 2026, they must be registered and take the next available administration of the new CAPR exam.
  • May not access the ICE process if they have not met eligibility criteria by February 28, 2026, or have not submitted a complete application by February 28, 2026.

For residents licensed between May 2025 and August 2025: 

  • Residency will continue until expiry (1 year from initial registration) or 2 failed attempts at a practical competency evaluation (including any administered by a Canadian Physiotherapy regulatory body or the new CAPR exam)
  • May still complete ICE if eligible by February 28, 2026. After February 28, 2026, they must be registered and take the next available administration of the new CAPR exam.
  • May not access the ICE process if they have not met eligibility criteria by February 28, 2026, or have not submitted a complete application by February 28, 2026.

Applicants licensed on or after September 1, 2025: 

  • Must be registered for, and take, the next available new CAPR exam.
  • Supervised practice (residency) will be available for those who have successfully completed part one (written component) of the current 2 step process.
  • May not access the ICE process.

All new applicants (that do not hold a current license in a Canadian jurisdiction) applying after February 28, 2026: 

  • Must successfully complete the new CAPR exam and meet all other registration/licensing requirements for full licensure.
  • New provisional, resident licenses will no longer be available.

 Resident licenses are:

  • provisional licenses (will be conditional licenses under the RHPA)
  • maximum of 1 year
  • require enrollment in the next available exam
  • cannot have more than one failed attempt at a practical competency process or exam (any other Canadian jurisdiction, or CAPR’s new exam) – all evaluation process/exam attempts are counted. 

Notes for transition:

  • We recognize some applicants may choose to take the current written exam, to minimize delay in entering the workforce and not have access to the ICE process necessitating taking the new exam. NSCP and CAPR are factoring that into planning and will provide more information as it becomes available.

Summary Table:

Resident Group   Residency Valid Until   ICE Access   CAPR Exam Requirement   Additional Notes
                 
Licensed prior to May 2025  

- 1 year from initial registration
or,
- 2 failed attempts at a competency evaluation (including any administered by a Canadian Physiotherapy regulatory body or the new CAPR exam)

  - May complete ICE if eligible by Feb 28, 2026
- Must have submitted complete application by Feb 28, 2026
  - Must take next available new CAPR exam if not eligible for ICE after Feb 28, 2026   ICE not accessible after deadline if eligibility or application incomplete
                 
Licensed between May and August 2025   - 1 year from initial registration
or
- 2 failed attempts at a competency evaluation (including any administered by a Canadian Physiotherapy regulatory body or the new CAPR exam)
  - May complete ICE if eligible by Feb 28, 2026
- Must have submitted complete application by Feb 28, 2026
  - Must take next available new CAPR exam if not eligible for ICE after Feb 28, 2026   ICE not accessible after deadline if eligibility or application incomplete
                 
Licensed on or after September 1, 2025   - 1 year from initial registration
or
- 2 failed attempts at a competency evaluation (including any administered by a Canadian Physiotherapy regulatory body or the new CAPR exam)
  ❌ Not eligible for ICE   ✅ Must register for and take next available new CAPR exam   ICE process not available
                 
New applicants after Feb 28, 2026 (Not currently licensed in Canada)  

N/A

 
  ❌ Not eligible for ICE   ✅ Must successfully complete new CAPR exam prior to application   Provisional/ resident licenses no longer available

 

NSCP FAQ – CAPR Exam Changes

GENERAL OVERVIEW

GENERAL OVERVIEW

  • What is changing in 2026?

In January 2026, the Canadian Alliance of Physiotherapy Regulators (CAPR) will launch a single licensure examination. Beginning February 2026, NSCP will no longer use the ICE (Interim Competency Evaluation) process. The CAPR single licensure examination will become the only route to full licensure for physiotherapists in Nova Scotia.

  • Why is this change happening?

The current model was always intended as a stop gap measure until a national exam became available. The ICE process is a practice review process that imposes a significant burden on health care human resources, particularly on areas already struggling (long term care, rural facilities) and the practitioners willing and able to supervise/mentor residents and students. The ICE model is not sustainable over the long term under the current health human resources environment.

FOR STUDENTS AND NEW GRADUATES

FOR STUDENTS AND NEW GRADUATES

  • Can I still complete the ICE process?

If you begin your residency before September 1, 2025 and are able to meet all eligibility requirements (such as minimum supervised hours), you may still be able to complete the ICE process. review the ICE eligibility requirements paying close attention to minimum hours required (1200). Historically, most candidates take longer than 6 months to accumulate 1200 hours, although it is possible.

  • What if I start a residency after August 31, 2025?

You will not be eligible for the ICE process. You must write the new CAPR licensure exam for full registration.

  • Can I write the new CAPR exam before I graduate?

This question is still under review, please check back and we will have an answer posted as soon as possible.

  • If I write the PCE in August, is there a transitional period that applies to me?

The timing of your PCE exam is less important than the date your license becomes effective. It is the effective license date that determines your eligibility for transitional processes.Changes to Registration Requirements in 2026 - Nova Scotia College of Physiotherapists

  • If I begin my residency in August, do I need to finish my 1200 hours by February 28, 2026, to avoid taking the new CAPR exam?

Yes. To qualify under the current ICE process, you must complete your 1200 residency hours and submit all components of the ICE application by February 28, 2026. Failure to do so will require completion of the new CAPR exam (CPTE) to become fully licensed.

  • Can I work as a resident if I pass the PCE in August but start residency after September 1st?

Yes. Applicants with an effective license date on or after September 1, 2025, cannot complete ICE requirements in time. They will be required to take the new CAPR exam (CPTE).

  • Will writing the current PCE in November allow me to complete my residency?

No. If your effective license date is after September 1, 2025. You are required to complete the new CAPR exam (CPTE) regardless of when the PCE was written.

  • What happens if the January exam is unsuccessful? Will students writing in February revert to the current PCE format?

The January exam is not a pilot. The exam process will have been tested psychometric validation requirements, not contingency planning.

FOR CURRENT REGISTRANTS & EMPLOYERS

FOR CURRENT REGISTRANTS & EMPLOYERS

  • Will the NSCP residency program continue?

The residency component will remain temporarily but will no longer lead to licensure after ICE ends. Supervised practice will still be used for conduct findings, return-to-practice, mentorship, or re-entry pathways.

  • How should employers support graduates during the transition?

  • Employers should:

    • Be aware of eligibility timelines for ICE
    • Prepare for incoming candidates who will enter practice only after completing the new exam

EXAM ATTEMPTS AND TRANSITION

EXAM ATTEMPTS AND TRANSITION

  • How many times can I take the new CAPR exam?

This question is still under review, please check back and we will have an answer posted as soon as possible.

  • What happens if the January exam is unsuccessful? Will students writing in February revert to the current PCE format?

The January exam is not a pilot. The exam process will have been tested psychometric validation requirements, not contingency planning.

  • How long will it take to receive results for the new exam? Can I continue my residency while waiting?

We do not know for sure but, CAPR anticipates results will be available in:
  • 6 weeks for the January and February sittings
  • 4 weeks for subsequent sittings
Yes, you may continue your residency while awaiting exam results.
  • If I write the PCE in September and the new exam in February, do I pay for both?

Yes. Both exams require full payment. The cost of the new CAPR exam is not finalized but will not exceed $2,815, the previous combined fee for the written and clinical CAPR exams.

  • If I pass the written portion of the current PCE in September, do I still need to complete the full new exam in February?

Yes. The new CAPR exam is a completely separate exam. Completion of any portion of the current PCE does not carry over. You must complete the entire new exam.

Residents are no longer eligible for licensure after 2 failed attempts at a competency evaluation (including any administered by a Canadian Physiotherapy regulatory body or the new CAPR exam).

TIMELINE REMINDERS

TIMELINE REMINDERS

  • August 31, 2025

Last date to begin residency and remain potentially eligible for ICE

  • February 28, 2026

Final ICE applications accepted

  • January 2026

First administration of the CAPR single licensure exam