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Covers: Occupational Therapist, OTA
Administered by Occupational Therapy Licensure Compact Commission · Established 2018
Active Members
31
states + DC
Not Members
20
states
Professions
2
covered
Established
2018
year founded
The Occupational Therapy Licensure Compact allows licensed occupational therapists (OTs) and occupational therapy assistants (OTAs) to practice in other member states through a compact privilege, without obtaining a full license in each state.
31 of 51 jurisdictions are active members. Click any state to view full licensing requirements.
| State | Status | Details |
|---|---|---|
| Alabama | Active Member | Alabama has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Arizona | Active Member | Arizona has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Arkansas | Active Member | Arkansas has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Colorado | Active Member | Colorado has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Delaware | Active Member | Delaware has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Florida | Active Member | Florida has not enacted the OT Licensure Compact. |
| Georgia | Active Member | Georgia has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Indiana | Active Member | Indiana has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Iowa | Active Member | Iowa has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Kansas | Active Member | Kansas has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Kentucky | Active Member | Kentucky has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Louisiana | Active Member | Louisiana has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Maine | Active Member | Maine has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Maryland | Active Member | Maryland has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Minnesota | Active Member | Minnesota has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Mississippi | Active Member | Mississippi has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Missouri | Active Member | Missouri has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Montana | Active Member | Montana has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Nebraska | Active Member | Nebraska has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| New Hampshire | Active Member | New Hampshire has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| North Carolina | Active Member | North Carolina has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Ohio | Active Member | Ohio has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| South Carolina | Active Member | South Carolina has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| South Dakota | Active Member | South Dakota has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Tennessee | Active Member | Tennessee has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Utah | Active Member | Utah has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Virginia | Active Member | Virginia has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Washington | Active Member | Washington has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| West Virginia | Active Member | West Virginia has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Wisconsin | Active Member | Wisconsin has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Wyoming | Active Member | Wyoming has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Alaska | Not a Member | Alaska has not enacted the OT Licensure Compact. |
| California | Not a Member | California has not enacted the OT Licensure Compact. |
| Connecticut | Not a Member | Connecticut has not enacted the OT Licensure Compact. |
| District of Columbia | Not a Member | District of Columbia has not enacted the OT Licensure Compact. |
| Hawaii | Not a Member | Hawaii has not enacted the OT Licensure Compact. |
| Idaho | Not a Member | Idaho has not enacted the OT Licensure Compact. |
| Illinois | Not a Member | Illinois has not enacted the OT Licensure Compact. |
| Massachusetts | Not a Member | Massachusetts has not enacted the OT Licensure Compact. |
| Michigan | Not a Member | Michigan has not enacted the OT Licensure Compact. |
| Nevada | Not a Member | Nevada has not enacted the OT Licensure Compact. |
| New Jersey | Not a Member | New Jersey has not enacted the OT Licensure Compact. |
| New Mexico | Not a Member | New Mexico has not enacted the OT Licensure Compact. |
| New York | Not a Member | New York has not enacted the OT Licensure Compact. |
| North Dakota | Not a Member | North Dakota has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Oklahoma | Not a Member | Oklahoma has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Oregon | Not a Member | Oregon has not enacted the OT Licensure Compact. |
| Pennsylvania | Not a Member | Pennsylvania has not enacted the OT Licensure Compact. |
| Rhode Island | Not a Member | Rhode Island has not enacted the OT Licensure Compact. |
| Texas | Not a Member | Texas has enacted the OT Licensure Compact. The compact is partially operational as of early 2026. |
| Vermont | Not a Member | Vermont has not enacted the OT Licensure Compact. |
State membership data verified against official compact website and state licensing board records. Last updated: March 2026.
OTs and OTAs who meet the compact's uniform requirements can obtain a compact privilege to practice in member states through the Compact Commission's online system. The practitioner maintains their home state license and purchases privileges for the states where they wish to practice. The compact covers both in-person and telehealth occupational therapy services.
For the most current requirements, visit the official OT Compact website.
These 20 jurisdictions are not currently members of the Occupational Therapy Licensure Compact. Professionals must obtain a separate license to practice in these states.
Alaska, California, Connecticut, District of Columbia, Hawaii, Idaho, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, Texas, Vermont
The Occupational Therapy Licensure Compact allows licensed occupational therapists (OTs) and occupational therapy assistants (OTAs) to practice in other member states through a compact privilege, without obtaining a full license in each state.
As of 2026, 31 states are active members of the Occupational Therapy Licensure Compact: Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Indiana, Iowa, Kansas, and 21 more.
OTs and OTAs who meet the compact's uniform requirements can obtain a compact privilege to practice in member states through the Compact Commission's online system. The practitioner maintains their home state license and purchases privileges for the states where they wish to practice. The compact co…
No, California is not currently a member of the Occupational Therapy Licensure Compact. Professionals must obtain a separate California license to practice there.
No, Texas is not currently a member of the Occupational Therapy Licensure Compact. Professionals must obtain a separate Texas license to practice there.
Yes, Florida is an active member of the Occupational Therapy Licensure Compact. Professionals with a compact privilege can practice in Florida.
No, New York is not currently a member of the Occupational Therapy Licensure Compact. Professionals must obtain a separate New York license to practice there.