When supervising a physical therapist assistant's care of a patient at in any setting, the supervising physical therapist shall comply with the following standards of supervision: (1) The supervising physical therapist shall be accessible either in person or by telecommunications to the physical therapist assistant at all times while the physical therapist assistant is treating patients; (2) The initial visit shall be made by the supervising physical therapist for evaluation of the patient and establishment of a plan of care; (3) At least every five physical therapist assistant visits, there shall be a joint visit or a treatment rendered by the supervising physical therapist. The physical therapist assistant shall be supervised by the supervising physical therapist at least once every thirty calendar days. Every five physical therapist assistant visits or every thirty days, whichever occurs first, a documented conference with the physical therapist assistant outlining current treatment goals and program modifications shall occur. The supervising physical therapist shall make the final scheduled visit to terminate the plan of care; and (4) Each visit by the supervising physical therapist shall include: (a) A complete assessment of the patient; (b) A review of the plan of care with appropriate revision or termination; and (c) Assessment and recommendation for utilization of outside resourcesBefore assigning the physical therapist assistant to the patient for physical therapy 33 procedures and related tasks, the supervising physical therapist must perform a comprehensive assessment of the patient and establish a plan of care; (2) The supervising physical therapist must be present at least one of every ten patient visits or one patient visit every thirty calendar days, whichever occurs sooner, while the physical therapist assistant is performing physical therapy procedures and related tasks. The supervising physical therapist may be present through the use of interactive audio and visual communications technology. During each visit at which the supervising physical therapist is required to be present, the supervising physical therapist shall reassess the patient, review the plan of care, and if appropriate, make changes to or terminate the plan of care; and (3) During any other patient visit at which the supervising physical therapist is not required to be present, the supervising physical therapist must be immediately available for consultation and direction, either in person or by telecommunications technology, while the physical therapist assistant is performing physical therapy procedures and related tasks. 15