Two separate questions are hiding inside this one, and they have different answers.

Does state law require a referral to see a physical therapist? Generally no. Every U.S. state permits some form of direct access to physical therapy, though some impose limits on visits or duration before physician involvement is required.

Does your workers’ compensation carrier require one? Often yes. Even where state law allows you to walk in without a referral, the carrier may require a referral, prior authorization, or both before it will cover treatment. That is a coverage requirement rather than a legal one, and it still governs whether your care gets paid for.

The practical answer: check before you start rather than after. Send your claim details to insurance@movement-x.com and we will confirm what your carrier requires.