Physical therapy can be a key intervention in addressing physiological mechanisms underlying imbalance in older adults. The types and combinations of physical therapy interventions vary by the degree of imbalance and fall risk for a given patient. This presentation describes a particular, evidence-based, physical therapy approach to address imbalance in community dwelling older adults deemed to be at a moderate risk of fall. Developed in Otago, New Zealand, and modified in the US, this particular program, often referred to as the Otago Program, has been selected for dissemination by the Centers for Disease Control. To promote adoption of this approach, this presentation introduces the guiding principles for a physical therapist in electing appropriate exercises, setting the right dose and level of difficulty, progressing the exercise based on a client’s progress.