Occupational Therapy License from Arkansas to Virginia: Does It Transfer? (2026)
Can I use my Arkansas occupational therapy license in Virginia?
Yes, for working in Virginia — both Arkansas and Virginia are active members of the Occupational Therapy Licensure Compact (OT Compact). If Arkansas is your primary state of residence and your Arkansas license is active and unencumbered, you can buy a compact privilege to practice in Virginia without a second license. A privilege is not a license transfer: if you are moving your residence to Virginia, you will need a Virginia license once Virginia becomes your home state.
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Verdict
Compact privilege — work there without a second license
Arkansas and Virginia both issue OT Compact privileges, so this move has two versions. Working in Virginia while you keep living in Arkansas: buy a Virginia privilege through the commission ($75 plus Virginia's fee), meet any Virginia jurisprudence requirement, and keep your Arkansas license active, because the privilege ends when it does. Moving to Virginia: Virginia becomes your home state and you need a Virginia license, by converting the privilege where the Virginia Board of Medicine (regulates occupational therapy, with its Advisory Board on Occupational Therapy) offers that route or by endorsement.
What's different between Arkansas and Virginia
Computed from both states' verified data rows, in both directions, and from the route every other origin gets into Virginia. Exam notes are our summary of each board's published rules, with sources below.
- Route, each way
Arkansas to Virginia (this page): Compact privilege — work there without a second license.
Virginia to Arkansas (the reverse move): Compact privilege — work there without a second license.
The route is the same in both directions.
- Does coming from Arkansas matter?
Coming from Arkansas matters here: only 10 of 50 origins (the other 49 states and DC) get this result for a move into Virginia.
The others get: licensure by endorsement (40).
- OT Compact membership
Arkansas and Virginia are both OT Compact member states.
A compact privilege lets you practice in Virginia while Arkansas is your home state; it is not a license, and a move to Virginia needs a Virginia license.
- Application fee
Virginia lists $130 for an out-of-state applicant and Arkansas lists $4 for the reverse move; neither may be the full cost.
- Exam rules on record
Virginia and Arkansas carry different exam notes (our summaries, below); any state law or jurisprudence exam is listed with each state's requirements.
- Virginia (this move): The NBCOT certification exam is not retaken. Endorsement applicants submit 'verification of a professional credential in occupational therapy' (18VAC85-80-36), and the Board's application page tells applicants to have NBCOT send 'certification of credentials' directly to the Board; the underlying exam rule (18VAC85-80-50) requires evidence of passing the NBCOT certification exam. The sources read do not say that CURRENT NBCOT certification is required. No Virginia jurisprudence exam applies (the Commission lists Virginia's compact jurisprudence as 'Not required').
- Arkansas (the reverse move): The NBCOT certification exam is not retaken. Applicants who have passed the exam have NBCOT send a Verification of Certification directly to the Arkansas State Medical Board. The packet does not say whether that certification must be current. Arkansas also requires a signed Medical Practices Act and Rules Affidavit and a completed 10-question OT Practice Act questionnaire, both returned with the application. This is an open-book questionnaire, not a proctored jurisprudence exam.
What changes, Arkansas → Virginia
| Arkansas (current) | Virginia (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement · OT Compact privilege (not a license) | Licensure by endorsement · OT Compact privilege (not a license) |
| Application fee | $4 (The ASMB application packet (rev. 10/11/2024) and fee schedule list a $4 OT application fee (OTA $3; temporary permit $1), payable by check or money order. The fee schedule says this is a reduced fee under Act 114 of 2023, in effect July 1, 2023 to June 30, 2027, which 'may or may not apply in future years'. + $39.36 state and federal criminal background check (ASMB fee schedule). NOT the OT Compact privilege fee: an Arkansas privilege costs a $4 state fee (OTA $3) plus the $75 Commission fee.) | $130 (initial OT license fee under 18VAC85-80-26 (OTA $70); non-refundable. NOT the OT Compact privilege fee (Virginia privilege: $75 OT / $40 OTA state fee under 18VAC85-80-26(A)(10), plus the $75 Commission fee).) |
| Processing time | the Board says a permanent license application 'will take several weeks to complete', that applications are processed in order of receipt, and that the federal portion of the background check 'can take several weeks or more'; no numeric range is published | no processing time found; the Board of Medicine's site (dhp.virginia.gov) was unreachable from this environment on 2026-09-27 |
| Licensing authority | Arkansas State Medical Board (Occupational Therapy Examining Committee) | Virginia Board of Medicine (regulates occupational therapy, with its Advisory Board on Occupational Therapy) |
The destination column is what you must satisfy — Virginia sets the rules for this move.
Step by step
- Confirm your home-state license is active and unencumbered and that your home state is your primary state of residence.
- To work in Virginia: purchase an OT Compact privilege for Virginia through the compact commission and complete any Virginia jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Virginia: apply for a Virginia license with the Virginia Board of Medicine (regulates occupational therapy, with its Advisory Board on Occupational Therapy); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Do I retake the NBCOT exam moving from Arkansas to Virginia?
No. The NBCOT certification exam is not retaken.
Do I need a Virginia license or just a compact privilege?
A privilege is enough if you keep living in Arkansas and your Arkansas license stays active and unencumbered. If you move your residence to Virginia, you need a Virginia license from the Virginia Board of Medicine (regulates occupational therapy, with its Advisory Board on Occupational Therapy).
What does it cost?
A Virginia compact privilege costs the $75 commission fee plus Virginia's privilege fee. A Virginia license by endorsement, for a relocation: $130 (initial OT license fee under 18VAC85-80-26 (OTA $70); non-refundable.
How long does it take?
A privilege depends on your FBI background check through the Arkansas board and any Virginia jurisprudence step. A Virginia license by endorsement: no processing time found; the Board of Medicine's site (dhp.virginia.gov) was unreachable from this environment on 2026-09-27.
Sources
Primary sources only — official boards and compact commissions. Data last verified Arkansas 2026-10-29, Virginia 2026-09-27.
- Virginia Board of Medicine — Occupational Therapy application wizard (Internet Archive copy, captured 2025-10-07; dhp.virginia.gov unreachable) ↗ (accessed 2026-09-27)
- 18VAC85-80-36 — Licensure by endorsement requirements (eff. December 3, 2025) (Internet Archive copy of law.lis.virginia.gov, captured 2026-05-17) ↗ (accessed 2026-09-27)
- 18VAC85-80-26 — Fees (Internet Archive copy of law.lis.virginia.gov, captured 2026-04-21) ↗ (accessed 2026-09-27)
- 18VAC85-80-50 — Examination requirements (Internet Archive copy of law.lis.virginia.gov) ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Virginia accepting applications since March 20, 2026; $75 OT privilege fee; jurisprudence not required) ↗ (accessed 2026-09-27)
- Arkansas State Medical Board, OT / OTA page ↗ (accessed 2026-10-29)
- Arkansas State Medical Board, Occupational Therapy Licensure Information Packet (rev. 10/11/2024) ↗ (accessed 2026-10-29)
- Arkansas State Medical Board, Fee Schedule (Act 114 of 2023 fee reduction, July 1, 2023 to June 30, 2027) ↗ (accessed 2026-10-29)
- Arkansas State Medical Board, home page ('OT Compact implementation is scheduled to begin October 5, 2026') ↗ (accessed 2026-10-29)
Reviewed by the License Reciprocity Editorial Team · verified against primary sources Arkansas 2026-10-29, Virginia 2026-09-27
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