Physical Therapy Compact (PT Compact)

The Physical Therapy Licensure Compact lets physical therapists (PTs) and physical therapist assistants (PTAs) work in member states under a "compact privilege" — a permission slip from a member-state's licensing board that authorizes practice without a full state license. It's one of the most operationally mature healthcare compacts.

Who can apply

The PT Compact is open to PTs and PTAs holding an active, unencumbered license in a member state. The applicant declares one state as their home state of legal residence and pays a per-state privilege fee for each additional member state where they want practice rights.

Applicants must have passed the NPTE (National Physical Therapy Exam) for their license tier, have no current disciplinary action or license restriction, and have no felony convictions on record. The privilege is tied to the home-state license — if it lapses or becomes restricted, the privilege ends.

Member states

The PT Compact currently has 39 member jurisdictions issuing privileges.

Members: Alabama, Arkansas, Arizona, Colorado, Delaware, District of Columbia, Georgia, Iowa, Idaho, Indiana, Kansas, Kentucky, Louisiana, Maine, Michigan, Missouri, Mississippi, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Jersey, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming.

last_verified: 2026-05 · sourced from data/compacts.json

How to apply

Applications go through the PT Compact's central portal. You verify your home state license, complete a federal/state criminal background check, and pay a per-state fee for each member state where you want a privilege.

Apply via the PT Compact →

Fees and processing time

The compact privilege fee is approximately $75 per state in addition to any state-specific surcharges. Processing time is typically 1-3 business days once the background check clears. Confirm current fees and timing directly with the PT Compact. last_verified: 2026-05.

How TeleVerify uses the PT Compact

When your NPI lookup returns a PT, DPT, MPT, or PTA credential, TeleVerify auto-detects PT Compact eligibility and asks you to confirm your home state and the member-state privileges you hold. Once confirmed, every session where the patient is located in one of your privileged states is automatically tagged compliant_compact. Telehealth-specific rules within each state (consent, modality, supervision for PTAs) still apply on top of compact coverage.

Frequently asked questions

Can a PTA hold a compact privilege?
Yes. Both PTs and PTAs are covered. PTA privileges require supervision arrangements per each member state's rules — the compact does not override state-specific supervision requirements.
Can I add a state to my PT Compact coverage after initial enrollment?
Yes — you can request a privilege from any member state at any time through the PT Compact portal. Each new state requires its own fee but no new background check (the federal/state check is reused).
What if I move my home state of residence?
You can change your home state of residence to any other PT Compact member state, but you must hold an active license there first. Notify TeleVerify so your profile reflects the change.
How does TeleVerify know I'm enrolled?
You confirm your privileged states in your provider profile. The PT Compact maintains a public verification system at ptcompact.org for third-party verification of any privilege.
Is California a PT Compact member?
No. California, Connecticut, Hawaii, Illinois, Michigan (recently joined), Minnesota, and several other states are not yet privilege-issuing PT Compact members as of 2026-05. Check ptcompact.org for the latest map.
Does the PT Compact apply to telehealth-only practice?
The compact provides full practice rights — telehealth and in-person — subject to each member state's telehealth rules. A PT Compact privilege does not grant any special telehealth authority; it grants practice authority that includes telehealth where the state permits it.
How is the PT Compact different from the OT Compact?
They are separate compacts with separate member-state lists. PTs covered by the PT Compact would also need to enroll in the OT Compact if they hold dual PT/OT credentials and wanted cross-state OT practice rights.
⚖️ Reference information — not legal advice. Always confirm current requirements with your compliance officer, state licensing board, or a telehealth attorney before relying on this for clinical or business decisions.

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