Practicing at the top of your license as a physical therapist means that you are utilizing the full scope of your knowledge, skills, and abilities as a licensed physical therapist. This may involve providing the most advanced forms of physical therapy treatment, utilizing the latest research and techniques, and working with patients who have complex conditions that require specialized care. Practicing at the top of your license means that you are continuously learning and staying up-to-date on the latest developments in the field and that you are using your expertise to provide the best possible care to your patients.