PT Compact & OT Compact States

Which states participate in licensure compacts and what that means for your travel therapy career.

What Are Licensure Compacts?

Licensure compacts are interstate agreements that allow healthcare professionals to practice in member states without obtaining a separate license in each one. For travel therapists, compacts dramatically reduce the time, cost, and paperwork of multi-state licensure.

The PT Compact covers physical therapists and PT assistants. The OT Compact covers occupational therapists and OT assistants. There is currently no SLP compact. Full details in our Licensure Guide.

PT Compact Member States

The PT Compact includes 40+ member states and is the most established therapy compact. Check the official PT Compact Commission website for the current member list, as states continue to join.

How to Apply: You must hold an active, unencumbered PT or PTA license in your home state (which must be a compact member). Apply through the PT Compact Commission portal. Compact privileges can be activated in days once your home state verifies your license.

Cost: $75-$150 per state privilege (much less than individual licenses at $150-$400+).

OT Compact Member States

The OT Compact is newer but growing rapidly. It functions similarly to the PT Compact. OTs and COTAs with an active license in a member home state can apply for compact privileges.

Because the OT Compact is newer, fewer states are currently active — but the list is expanding each year. SLPs should check for updates, as an ASLP Interstate Compact has been proposed.

States With No Income Tax (Bonus)

Many travel therapists choose a tax home in a compact state that also has no income tax — maximizing both licensure convenience and tax savings:

Florida
Texas
Tennessee
Nevada
South Dakota
Wyoming

Check if these states are current PT/OT Compact members. See the state tax guide for more on tax-free states.

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