Perinatal care in the United States is regionalized with infants born preterm in outlying hospitals routinely transported to tertiary care facilities soon after delivery. Preterm infants respond negatively to adverse environments comprised of developmentally inappropriate and high intensity stimulation. Interhospital transport exposes infants to excessive stimulation and for the infant born preterm, this transport frequently occurs during a period of susceptibility to germinal matrix and intraventricular hemorrhage. Physical therapy evidence-based NICU practice recommendations include collaboration with medical staff to create neuroprotective environments that shield infants from adverse stimulation. This recommended practice can be adapted to many areas of preterm infant care, including the infant transport environment. This presentation proposes expanding the interprofessional role of the neonatal physical therapist, exploring additional infant care arenas where physical therapy expertise may contribute to developmentally supportive environments for vulnerable infants, with a focus on preterm neonatal interhospital transport.