Japan Physical Therapist National Exam Photo: Size Spec and How to Create It

A spec-compliant Physical Therapist (理学療法士) national exam photo (60mm × 40mm) from a smartphone shot for ¥200, per the Ministry of Health, Labour and Welfare.

Official spec data
Dimensions60mm × 40mm
Face lengthNot specified
Top marginNot specified
BackgroundNo official background color requirement; convention is plain white background
Shoot-by windowTaken within 6 months of application
Official issuerMinistry of Health, Labour and Welfare (MHLW), Japan

View the official source(Last verified: 2026-05-27)

Verbatim official spec

The verbatim official rule from Japan's Ministry of Health, Labour and Welfare is shown below in the original Japanese.

  • 出願前6月以内に脱帽正面で撮影した縦6センチメートル、横4センチメートルのもの
  • その裏面に撮影年月日及び氏名を記載し
  • 厚生労働省又は理学療法士国家試験運営本部事務所若しくは理学療法士国家試験運営臨時事務所において交付する受験写真用台紙に貼り付けた上
  • 卒業し、若しくは在籍している学校若しくは養成施設又は…運営本部事務所…において、その写真が受験者本人と相違ない旨の確認を受ける

Why this spec matters

A Physical Therapist (PT) in Japan is a national license holder who helps patients recover basic motor functions — walking, getting up, standing, sitting — after injury, illness, or age-related decline. The governing law is the Physical Therapists and Occupational Therapists Act (1965), shared with Occupational Therapists (OT). The PT and OT national exams are held on the same day in late February each year, at the same venues, and share an identical 60mm × 40mm photo spec — but their professional scopes are clearly separated by law (PT covers basic motor function; OT covers applied daily-living tasks such as eating and dressing). Speech-Language-Hearing Therapists (ST), by contrast, fall under a separate law (Speech-Language-Hearing Therapists Act, 1997). PT training schools number around 280 nationwide (universities, junior colleges, vocational schools) — the largest count of any medical national license in Japan. The 61st exam (February 2026) drew 12,436 candidates with 11,156 passing (89.7% overall, 94.9% for first-time graduates), making it one of the largest and most stable medical exams. Candidates must glue the photo to an official mounting sheet issued by MHLW or the exam administration office, obtain identity verification from their training school or the administration office, and write the date and full name on the back.

How to create it for ¥200

A spec-compliant Physical Therapist exam photo takes about two minutes with a smartphone and ¥200.

  1. 1

    Take the photo on your smartphone

    Stand against a plain wall in a bright room. Face the camera directly, no hat, neutral expression or slight smile, both shoulders level, eyes on the lens.
  2. 2

    AI removes the background and aligns to spec

    Upload the photo and select the "Physical Therapist Exam" preset. AI removes the background, detects your face, and auto-crops to the 60mm × 40mm size.
  3. 3

    Print via QR, write back, glue mounting sheet, verify identity

    After payment, a QR code and 8-digit user number arrive by email. Print at any Japan convenience store, write the date taken and your full name on the back with a black ballpoint pen, glue the photo to the official MHLW-issued mounting sheet, then obtain identity verification from your training school or the administration office.

Create a Spec-Compliant Physical Therapist Exam Photo for ¥200

AI auto-adjusts your smartphone shot to the 40×60mm MHLW spec. QR code for convenience-store printing is emailed to you.

Create now — ¥200

What Ramune AI ID Photo offers

Even for a tight spec like My Number, you can finish the entire shoot → process → print workflow in your browser.

Cropping screen with horizontal and vertical guidelines to adjust face position, width, hairline, and chin in 0.1mm units

0.1mm face position adjustment

Drag the hairline, chin, and face-width guides — or type the millimetre value — to fit inside even a 4mm-wide regulatory window like the My Number spec.

Auto-generated L-size print sheet

Multiple photos optimally arranged on L-size paper with cut marks. Print directly at home or at a convenience store.

AI removes the background automatically

Walls or objects in the original shot are auto-removed; AI converts the photo to the plain background the spec requires.

AI skin smoothing with a natural finish

Auto-reduces blemishes and uneven tone while keeping a natural look. Choose between the original and the smoothed version.

Print at 55,000 convenience stores nationwide

Scan a QR code at the multi-copy machine in 7-Eleven, FamilyMart, Lawson, Ministop, or Poplar — L-size prints from ¥30.

5-language support, no app required

Japanese, English, Chinese, Korean, and Vietnamese — works entirely in your smartphone browser without installing an app.

Frequently asked questions

How is this different from the Occupational Therapist exam?
Physical Therapists (PT) specialize in recovering basic motor functions — walking, getting up, standing, sitting — while Occupational Therapists (OT) cover applied daily-living tasks (eating, dressing, toileting, bathing) and also serve mental health and developmental rehabilitation. Both share the same governing law (Physical Therapists and Occupational Therapists Act, 1965), the same exam date and venues, and an identical photo spec; only the professional scope is legally separated.
How does it differ from the Speech-Language-Hearing Therapist exam?
Speech-Language-Hearing Therapists (ST) specialize in language, hearing, and swallowing rehabilitation, under a separate law (Speech-Language-Hearing Therapists Act, 1997). A separate body (PMET) administers the ST exam. The photo size is the same 40×60mm, but applications, mounting sheets, and exam tickets are entirely separate.
Is there a CBT (computer-based) version?
No. The Physical Therapist national exam continues to use the traditional paper mark-sheet format, and a CBT conversion is not planned. The exam is held at designated venues in late February each year, in a single day (general questions plus practical questions).
Why are there so many training schools?
There are around 280 PT training schools nationwide (universities, junior colleges, vocational schools) — the highest count of any Japan medical national license. New schools were established rapidly from the 2000s onward to meet expanding rehabilitation demand. The 61st exam (February 2026) drew 12,436 candidates, placing PT among the largest medical national exams by candidate volume.
Can I use the same photo for the Occupational Therapist exam?
The size spec (40×60mm) is identical, so yes — as long as it was taken within 6 months, you can print multiple copies from a single shoot and use them for both. However, each exam requires its own application, exam ticket, and mounting sheet, plus its own identity verification, so the procedural steps are separate. Printing extra copies from one shoot up front is the most efficient option.

Create a Spec-Compliant Physical Therapist Exam Photo for ¥200

AI auto-adjusts your smartphone shot to the 40×60mm MHLW spec. QR code for convenience-store printing is emailed to you.

Create now — ¥200
Japan Physical Therapist Exam Photo 40×60mm | ¥200 — Ramune AI ID Photo