Licensure compacts
Therapy licensure compacts by state, and what they mean for hiring.
Three interstate compacts now cover the four rehab-therapy professions. Where a state is issuing privileges, a candidate licensed in another issuing state can start without a second full license. Where it is not, the search has to plan for licensing time. Pick a compact for the 51-row table, or a state for all three at once.
The three compacts
One page per compact
Physical Therapy Compact
Covers physical therapists and physical therapist assistants.
38 issuing · 3 member, not yet issuing · 10 not a member
Status in every state →
Occupational Therapy Licensure Compact
Covers occupational therapists and occupational therapy assistants.
8 issuing · 29 member, not yet issuing · 14 not a member
Status in every state →
Audiology and Speech-Language Pathology Interstate Compact
Covers audiologists and speech-language pathologists.
4 issuing · 32 member, not yet issuing · 15 not a member
Status in every state →
Source: ptcompact.org, otcompact.gov, aslpcompact.com, checked 2026-09-02.
By state
All three compacts, every state
Issuing means privileges are available now. Member means the law is enacted but privileges are not yet issued. Click a state for the plain-English version and the rest of its therapy market.
| State | PT Compact | OT Compact | ASLP-IC |
|---|---|---|---|
| Alabama | Issuing | Member | Member |
| Alaska | Issuing | Member | Member |
| Arizona | Issuing | Member | Member |
| Arkansas | Issuing | Member | Member |
| California | No | No | No |
| Colorado | Issuing | Member | Member |
| Connecticut | Issuing | No | No |
| Delaware | Issuing | Member | Member |
| District of Columbia | Issuing | No | No |
| Florida | No | No | Member |
| Georgia | Issuing | Member | Member |
| Hawaii | No | No | No |
| Idaho | No | No | Member |
| Illinois | No | No | No |
| Indiana | Issuing | Issuing | Member |
| Iowa | Issuing | Member | Member |
| Kansas | Issuing | Member | Member |
| Kentucky | Issuing | Member | Member |
| Louisiana | Issuing | Member | Issuing |
| Maine | Member | Member | Member |
| Maryland | Issuing | Issuing | Member |
| Massachusetts | No | No | No |
| Michigan | Member | Member | No |
| Minnesota | No | Issuing | Member |
| Mississippi | Issuing | Member | Member |
| Missouri | Issuing | Member | Member |
| Montana | Issuing | Member | Member |
| Nebraska | Issuing | Member | Member |
| Nevada | Issuing | No | Member |
| New Hampshire | Issuing | Member | Member |
| New Jersey | Issuing | No | No |
| New Mexico | No | No | No |
| New York | No | No | No |
| North Carolina | Issuing | Member | Member |
| North Dakota | Issuing | Member | No |
| Ohio | Issuing | Issuing | Issuing |
| Oklahoma | Issuing | Member | Member |
| Oregon | Issuing | No | No |
| Pennsylvania | Issuing | Member | No |
| Rhode Island | Member | Member | Member |
| South Carolina | Issuing | Member | Member |
| South Dakota | Issuing | Member | No |
| Tennessee | Issuing | Issuing | Issuing |
| Texas | Issuing | No | No |
| Utah | Issuing | Member | Member |
| Vermont | Issuing | Member | Member |
| Virginia | Issuing | Issuing | Member |
| Washington | Issuing | Member | Member |
| West Virginia | Issuing | Issuing | Issuing |
| Wisconsin | Issuing | Issuing | Member |
| Wyoming | No | Member | Member |
Hiring a therapist from out of state?
We will tell you on the first call whether a compact shortens the path, and plan around the licensing time if it does not.