RPWDL Registration for Physiotherapists - Instructions

If you were about to register a new physiotherapy practice, the first path would be registration with the RPWDL (the Register of Healthcare Entities -- Rejestr Podmiotów Wykonujących Działalność Leczniczą). This is a mandatory entry for anyone who wants to legally provide physiotherapy services in Poland -- regardless of whether you work alone or run a group practice. In this article we'll show you exactly how to do it, which documents to prepare, and what fees to expect.

What is the RPWDL and why do you have to register there

RPWDL is the Register of Healthcare Entities -- a database of all authorised medical facilities in Poland. It's a requirement of the Medical Activity Act of 15 April 2011 (Journal of Laws 2011, No. 112, item 654, as amended), the most important piece of legislation governing the operation of medical practices in Poland.

Registering with the RPWDL isn't just a bureaucratic formality. It's a guarantee for patients that you're genuinely authorised to provide services. For you, it's a necessary condition for:

• Actually providing physiotherapy services
• Billing your services legally (you obtain your tax ID (NIP) when registering with CEIDG, via the tax office -- and physiotherapy services are VAT-exempt under Art. 43 of the VAT Act)
• Entering into cooperation with the National Health Fund (NFZ), if you plan to
• Applying for contracts with insurers
• Protection against fines and being struck off the register

Without an RPWDL entry, you have no authorisation. Full stop.

Who must register with the RPWDL?

If you provide physiotherapy services, you must register. This applies to:

Individual physiotherapy practices (solo practice)

If you work alone in a rented or your own practice, without employing assistants or another physiotherapist.

Group physiotherapy practices

If you run a practice with another physiotherapist or physical therapist, most often as a civil partnership, a general partnership, or a professional partnership.

Healthcare entities

If you own or run a clinic, a hospital physiotherapy department, an outpatient clinic, or another medical unit.

[SP] Example -- Solo practice:
You and your qualifications. You rent a room in a medical building, you have a PWZFz number, you're registered as a business in CEIDG -- now you register with the RPWDL as an individual physiotherapy practice.

[GR] Example -- Group practice:
You and a fellow physiotherapist decide to open a joint practice. You form a civil partnership (you conclude a partnership agreement), you have shared premises -- you register with the RPWDL as a group physiotherapy practice (the entity being that civil partnership).

Prerequisites -- what you need before registering with the RPWDL

Before starting the registration procedure on the ezdrowie.gov.pl portal, make sure you have:

1. A PWZFz number (physiotherapist licence)

The PWZFz is granted by the National Council of Physiotherapists -- the governing body of the National Chamber of Physiotherapists (KIF). The PWZFz confirms you're a qualified physiotherapist; you can verify your entry in the National Register of Physiotherapists on the KIF website. No PWZFz -- no RPWDL entry.

Tip: The PWZFz was introduced by the Physiotherapist Profession Act of 25 September 2015 -- KIF has been granting it since 2016. If you obtained your diploma earlier, you still need to have a PWZFz granted. Check your entry in the National Register of Physiotherapists.

2. Legal form

You need to choose:

• An individual physiotherapy practice (if you're working alone)
• A group physiotherapy practice (if working together with another physiotherapist or physical therapist)

For a group practice, the partners operate as a civil partnership (Art. 860-875 of the Civil Code), a general partnership, or a professional partnership.

3. Entry in CEIDG or the National Court Register

• If you run an individual practice -- you must be registered in CEIDG (the Central Registration and Information on Business) as a self-employed individual
• If you run a group practice as a civil partnership -- the partnership itself is not registered in the National Court Register (KRS); each partner must be registered in CEIDG. Only a general or professional partnership is registered in the KRS

4. Premises (registered address)

You need a specific address where you'll provide services. This can be:

• A rented practice in a medical building
• Rented premises that you fit out yourself
• Your own property

At this address it must be possible to run a physiotherapy practice (appropriate hygiene conditions, accessibility for people with disabilities where applicable, etc.).

5. Organisational regulations

Every practice -- including an individual one -- must have organisational regulations (Art. 24 of the Medical Activity Act). The regulations define:

• How staff report to each other (hierarchy)
• Opening hours
• Terms of service provision

This is an internal document, but it will be needed during registration.

Step by step: registering through the rpwdl2.ezdrowie.gov.pl portal

Step 1: Log in to the portal

Go to rpwdl2.ezdrowie.gov.pl and log in using one of three options:

• Trusted Profile (Profil Zaufany) (most common -- free, via mObywatel)
• e-ID card (electronic ID card)
• e-banking (through your bank's app)

If you don't have a Trusted Profile, set one up now -- it sometimes takes a few days (verification).

Step 2: Filling in the application for entry in the RPWDL

After logging in you'll see a form. You need to provide:

Details of the person running the practice:

• Name, surname, PESEL
• Date of birth
• PWZFz number (scanned copy)

Practice details:

• Type of practice: individual or group
• Legal form (if group)
• Practice name (can be: "Maria Nowak Physiotherapy Practice" or "Nowak & Kowalski Physiotherapy Practice")
• Full address of service provision (street, number, unit, postcode, city)

Scope of services provided:

• You tick "Physiotherapy"
• You specify the types of procedures: massage, exercise, electrotherapy, thermotherapy, etc. (options are already available in the form)

Terms of service:

• Do you accept patients on referral from a doctor?
• Do you provide individual services, or group services too?

Step 3: Attaching documents

The system will require PDF/JPG files:

• A copy of your PWZFz (the entire document)
• A copy of the document confirming your right to the property (lease agreement, landlord's certificate, or ownership)
• Organisational regulations
• A declaration of compliance with sanitary and hygiene conditions

Step 4: Registration fee

After completing the application you'll need to pay a registration fee. For 2026:

The fee for registering a practice in the RPWDL is 2% of the average monthly salary in the enterprise sector (as announced by Statistics Poland, GUS) -- so the amount rises each year along with salaries.

• New RPWDL entry: approx. 175 PLN in 2026 (2% of the average salary; in 2025 it was approx. 166 PLN)
• Change of entry in the RPWDL: 50% of the entry fee, i.e. approx. 87 PLN (if you later change e.g. your address)
• Removal: 0 PLN (when you cease operating)

You pay the fee through the portal -- payment by card, bank transfer, or ePUAP is possible.

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Step 5: Waiting for the decision

After paying the fee, the registering authority -- for physiotherapy practices this is the National Council of Physiotherapists -- has 30 days to register you in the RPWDL. In practice this often takes 20-25 days.

You'll receive SMS/email notifications about progress:

1. "Application received"
2. "Application under review"
3. "Application approved" or "Additional documents required"
4. "You are registered in the RPWDL" (final decision)

Most common mistakes when registering with the RPWDL

A quick overview of pitfalls that cause delays:

1. Outdated data in the PWZFz

If your details in the physiotherapists' register are out of date, your application may be rejected. Make sure your PWZFz is active and your details are current -- check the National Register of Physiotherapists on the KIF website.

2. Incorrect registered address

If you enter an address that you haven't verified against the lease agreement (unit number, ground floor or upper floor), the system may return the application. The address must be precise and complete.

3. Missing organisational regulations

If you don't attach the organisational regulations -- the application will be sent back. The regulations don't need to be complicated, but must contain basic information about the organisation of work.

4. Low-quality PWZFz scan

If the PWZFz scan is blurry, half-cropped, or too dark, the system may not accept it. Make sure the entire document is legible.

5. Errors in the PESEL number or name

This is the least obvious mistake -- if you enter a PESEL with a typo, the system will automatically reject the application. Double-check it.

Obligation to update data in the RPWDL

After registering, you are obliged to regularly update your data in the RPWDL. If anything changes, you must report it within 14 days of the change. What changes count?

• Change of practice address (moving to a different practice)
• Change of practice name
• Change of scope of services (e.g. you start offering health counselling in addition to physiotherapy)
• Change of partner (in a group practice)

You report the change again through the rpwdl2.ezdrowie.gov.pl portal. Fee: 50% of the entry fee, i.e. approx. 87 PLN (in 2026).

What happens if you don't register with the RPWDL?

This isn't optional. If you run a practice without an RPWDL entry, you face consequences:

Fine

Carrying out medical activity without the required register entry is an offence under Art. 147a of the Code of Petty Offences, punishable by detention, restriction of liberty, or a fine.

Removal and ban on registration

If you're struck off the RPWDL for a gross breach of the conditions for carrying out medical activity, you cannot be re-entered in the register for 3 years (Art. 108(4) of the Medical Activity Act).

No possibility of contracts with the National Health Fund

No insurer, the NFZ, or any insurance company will sign a contract with you if you're not in the RPWDL.

Civil liability

If a patient suffers harm as a result of your activity, and you're not registered -- you have no insurance protection. You bear the financial damage yourself.

Frequently asked questions

Question 1: How long does the entire registration take from scratch?

Answer: If you already have a PWZFz, you're registered in CEIDG (solo practice), and you have premises -- RPWDL registration takes 20-30 days (the registering authority's decision). The online procedure itself takes 30 minutes, but preparing the documents can take 1-2 weeks, especially if you're waiting on a declaration from the landlord.

Question 2: Can I register a group practice if I'm the only physiotherapist?

Answer: A group practice requires at least two members -- you and a second physiotherapist or physical therapist. If you work alone, you register as an individual practice. If you want to work with an assistant or a receptionist (not a physiotherapist), it's still an individual practice.

Question 3: Can I change my practice address without changing the RPWDL entry?

Answer: No. A change of registered address is a change of data in the RPWDL, which you must report within 14 days. If you don't, the entry formally becomes outdated, and you expose yourself to sanctions. It's not expensive -- the fee for changing an entry is 50% of the entry fee, approx. 87 PLN in 2026.

Related articles:
- How to open a physiotherapy practice in 2026 -- a guide
- Professional practice or healthcare entity -- which to choose?
- Physiotherapist liability insurance -- cost and obligation 2026