I think that is an old story. Pakistan Physiotherapy Society is an old Professional body that has been representing the Pakistani Physiotherapists for many years. Whenever you apply for foreign resitration overseas, you have to show your authenticity as a physiotherapist by showing its registration. So the question how active it is? I think it is very active and doing its all job efficiently in Karachi. if you are in Karachi, you will ba aware of its activities. Although for Pakistani Physiotherapist Government has imposed no restriction to do the practice as a physiotherapist because Bachelor degree in Physiotherapy is sufficient to do the practice and be recognized as a physiotherapist. It is due to the reason that there is no board or council in the country at the moment that restricts the graduate physiotherapist to do the practice. Government also have not made any laws that impose restriction on a graduate physiotherapists in Pakistan. However, Pakistan Physiotherapy Society is the oldest organization of Physiotherapists that is representing Physiotherpists at national and international level just like CSP or other Physiotherapy associations in the world.