The Occupational Therapy Licensure Compact lets occupational therapists (OTs) and occupational therapy assistants (OTAs) practice across member states under one compact privilege. The compact is in active operational rollout — many states have enacted it and member portals are coming online progressively.
The OT Compact is open to OTs and OTAs holding an active, unencumbered license in a member state. The applicant declares one member state as their home state and pays a per-state privilege fee for each additional member state.
Applicants must have passed the NBCOT exam, have no current disciplinary action or license restriction, and have no disqualifying criminal history. Practice scope (which procedures and supervision arrangements are permitted) is set by each state — the compact extends geographic reach, not scope.
The OT Compact currently has 24 member jurisdictions. Several additional states have enacted the compact but are still standing up their privilege-issuance portals.
last_verified: 2026-05 · sourced from data/compacts.json
Applications go through the OT Compact Commission's portal. You verify your home state license, complete a federal/state criminal background check, and request privileges in the member states where you want practice rights.
The compact privilege fee varies by state (typically $50-$200). Processing time varies as the compact is still in early operational rollout — some states issue privileges within days, others are still launching their portals. Confirm current fees and timing directly with the OT Compact. last_verified: 2026-05.
When your NPI lookup returns an OT, OTR, OTR/L, OTA, or COTA credential, TeleVerify auto-detects OT Compact eligibility and asks you to confirm your home state and the member-state privileges you've activated. Once confirmed, sessions where the patient is in one of your privileged states are tagged compliant_compact. Because the compact is mid-rollout, we recommend quarterly profile updates to add newly available states.