The Advanced Proficiency for the Physical Therapist Assistant program was launched in 2004 to recognize PTAs who achieved advanced proficiency in the areas of cardiovascular and pulmonary, education, oncology, acute care, wound management, geriatric, integumentary, musculoskeletal, neuromuscular, and pediatric physical therapy. The first class of 79 PTAs received their recognition in 2005. The program evolved in 2012 into the PTA Advanced Proficiency Pathways Program, or PTA APP.