Physiotherapy is a vital component of rehabilitation, recognized globally as an evidence-based health profession essential to achieving universal health coverage and optimizing patient functioning. However, in Bangladesh, a significant lack of regulatory oversight, professional recognition, and public awareness has allowed widespread malpractice and unqualified practice, posing serious risks to patient safety and public health. Unlike many countries with statutory licensing and clearly defined scopes of practice, Bangladesh lacks an effective licensing authority for physiotherapists and does not enforce professional standards, leaving patients vulnerable to harm. This commentary discusses the urgent need for robust regulation, structured education standards, and public health initiatives to safeguard care quality and align Bangladesh with global rehabilitation goals. We call for the establishment of a national regulatory body, integration of qualified physiotherapists into multidisciplinary healthcare teams, and public education campaigns to enhance awareness of professional credentials. Strengthening the rehabilitation workforce and embedding physiotherapy into the national health system will not only improve patient outcomes but also contribute to economic productivity and social inclusion. International collaboration and policy support are crucial to overcoming current challenges and improving rehabilitation services in Bangladesh.