Dry needling in North Carolina: the rules for physical therapists
North Carolina's PT board treats dry needling as within PT scope, and its rule (21 NCAC 48C .0104) requires proof of approved training before you start. The state's courts have upheld the board's position against an acupuncture board challenge.
Rules to know
- The course must include clinical technique and indications and contraindications.
- It can't be delegated to PTAs or aides.
- In 2022 the board said perineural dry needling goes beyond the definition of dry needling, so it's outside PT scope in North Carolina.
Official sources
- NC Rules Review Commission: 21 NCAC 48C .0104 dry needling rule documents
- N.C. Court of Appeals: NC Acupuncture Licensing Board v. NC Board of Physical Therapy Examiners
A plain-language summary, last checked October 24, 2026. Dry needling rules change often and some states regulate it through board statements rather than law, so confirm with your board before you dry needle. OTs and athletic trainers have their own rules.
Dry needling courses in North Carolina
25 upcoming in-person courses. Make sure a course's hours and format meet North Carolina's rules before you register.
November 2026
- Sat–Sun, Nov 7–8, 2026 · 2 days Functional Dry Needling Level 1 (2-Day) Price on provider site · Arden Details and registration
- Sat–Sun, Nov 7–8, 2026 · 2 days Dry Needling: Upper Body $995 · Raleigh Details and registration
- Fri–Sun, Nov 13–15, 2026 · 3 days Dry Needling 3: Advanced $1,350 · 34 contact hrs · Charlotte Details and registration
- Sat–Sun, Nov 14–15, 2026 · 2 days Advanced Dry Needling for Head & Neck $999 · Charlotte Details and registration
December 2026
- Fri–Sun, Dec 4–6, 2026 · 3 days Advanced Dry Needling (SFDN2): Segmental & Perineural Strategies for the Complex Patient $1,295 · 27 contact hrs · Raleigh Details and registration
- Sat–Sun, Dec 5–6, 2026 · 2 days Dry Needling: Lower Body $995 · Mount Holly Details and registration
- Fri–Sun, Dec 11–13, 2026 · 3 days Dry Needling Level 1 (DN-1) $1,095 · 27 contact hrs · Mooresville Details and registration
January 2027
- Fri–Sun, Jan 15–17, 2027 · 3 days Dry Needling (SFDN1) $1,295 · 27 contact hrs · Raleigh Details and registration
- Sat–Sun, Jan 16–17, 2027 · 2 days Dry Needling: Upper Body $995 · Raleigh Details and registration
- Fri–Sun, Jan 29–31, 2027 · 3 days Dry Needling 1: Foundations I $1,250 · 38 contact hrs · Charlotte Details and registration
March 2027
- Fri–Sun, Mar 12–14, 2027 · 3 days Dry Needling 1: Foundations I $1,250 · 38 contact hrs · Charlotte Details and registration
- Fri–Sun, Mar 12–14, 2027 · 3 days Upper Quadrant Dry Needling 1 $1,250 · 27 contact hrs · Charlotte Details and registration
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Common questions
Can physical therapists dry needle in North Carolina?
Yes. North Carolina's PT board treats dry needling as within PT scope, and its rule (21 NCAC 48C .0104) requires proof of approved training before you start. The state's courts have upheld the board's position against an acupuncture board challenge.
How much training do PTs need to dry needle in North Carolina?
A board-approved course with at least 54 hours of in-person classroom education.
More for North Carolina clinicians
- North Carolina PT and PTA CEU requirements
- North Carolina OT and OTA CEU requirements
- In-person courses in North Carolina 66
Dry needling rules in other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming