Compacts

Interstate compacts are described here only as their official sites state them. Membership maps and applications live on those sites, not on this page.

PT Compact

The official PT Compact site is the source for physical therapist and physical therapist assistant compact privileges. As of our check on November 9, 2026, the compact is in operation, and the official site stated that compact privileges have been utilized by 11k+ PTs and PTAs.

The official site also states: “Only need to meet the continuing competence requirements for your home state license.” Confirm current rules, fees, and participating jurisdictions on ptcompact.org.

OT Compact

The official OT Compact site, with a status update of October 2026, states that the OT Compact is enacted in some states but is not yet operationalized, meaning the process to apply for and receive compact privileges is still developing.

You cannot practice in an OTC state under the OT Compact, even if that state has enacted OTC legislation. You can only apply when the state opens applications, deems you eligible to apply, AND your application is approved.

Until a compact privilege is received, a traditional state license is required. Applications go through the OT Compact, not state boards. See Before You Apply and the compact map for current status. We do not list which states are accepting applications.