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LicenseReciprocity

Occupational Therapy License from Delaware to Texas: Does It Transfer? (2026)

Last verified: 2026-09-27 · source: Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) ↗

A occupational therapy license transfers from Delaware to Texas by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners), verify your Delaware license, and meet Texas's endorsement requirements. The NBCOT certification exam is not retaken. Texas requires a 'passing NBCOT certification examination score report' sent by NBCOT directly to the Board and states 'This is NOT a Verification of Certification', so a Score Transfer is required and current NBCOT certification is not. Texas ALSO requires its Jurisprudence Exam: a free, 20-question, open-book online exam on the OT Rules and OT Practice Act that may be retaken until passed..

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Verdict

Licensure by endorsement

The compact plays no part here, since neither state is issuing privileges. You apply to the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) as an OT licensed in another state, with NBCOT passage verified and your Delaware license confirmed, plus whatever Texas adds such as fingerprints or a jurisprudence exam.

What changes, Delaware → Texas

Side-by-side: Delaware vs Texas (Occupational Therapy (OT/OTA)), verified 2026-09-27
Delaware (current)Texas (destination)
OT Compact statusOT Compact enacted — not yet issuingLicensure by endorsement
Application fee$236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).)$140 (non-refundable OT application fee (OTA $100) per the Board's September 2026 paper application; online applicants pay electronically. Fingerprinting vendor fee paid separately (amount not published on the pages read). Application fees are waived for military service members, veterans and military spouses under HB 5629 (2025). Texas is not in the OT Compact, so no privilege option exists.)
Processing timeno timeframe is published; the Board reviews only complete applications and does so at its next scheduled meetingno processing time is published on the application page (it refers applicants to homepage notices and says average processing times vary); a license is not issued until every item is received and processed, and practice may begin once the license shows on the Board's online verification
Licensing authorityDelaware Board of Occupational Therapy Practice (Division of Professional Regulation)Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners)

The destination column is what you must satisfy — Texas sets the rules for this move.

Step by step

  1. Confirm Texas's current requirements on the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) website (linked below) — rules change.
  2. Submit the endorsement application to the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Graduate of an accredited OT educational program meeting 22 TAC 364.1(a)(4), with your school code on the application.
  5. Pass the Texas OT Jurisprudence Exam.
  6. Have NBCOT send your passing exam score report directly to the Board.
  7. Complete fingerprinting for a criminal history background check using the agency's service code.
  8. Have original license verification sent directly to the Board for any past or current OT license the Board cannot verify online (South Dakota, Wyoming, Puerto Rico and the U.S. Virgin Islands must always be ordered).
  9. Provide a U.S.-passport-standard color photo and a Social Security number (required for license issuance from September 1, 2026).
  10. Pay the fees ($140 (non-refundable OT application fee (OTA $100) per the Board's September 2026 paper application; online applicants pay electronically. Fingerprinting vendor fee paid separately (amount not published on the pages read). Application fees are waived for military service members, veterans and military spouses under HB 5629 (2025). Texas is not in the OT Compact, so no privilege option exists.)) and allow no processing time is published on the application page (it refers applicants to homepage notices and says average processing times vary); a license is not issued until every item is received and processed, and practice may begin once the license shows on the Board's online verification.

Official links

Related guides

Frequently asked questions

Can I use my Delaware occupational therapy license in Texas?

A occupational therapy license transfers from Delaware to Texas by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners), verify your Delaware license, and meet Texas's endorsement requirements. The NBCOT certification exam is not retaken. Texas requires a 'passing NBCOT certification examination score report' sent by NBCOT directly to the Board and states 'This is NOT a Verification of Certification', so a Score Transfer is required and current NBCOT certification is not. Texas ALSO requires its Jurisprudence Exam: a free, 20-question, open-book online exam on the OT Rules and OT Practice Act that may be retaken until passed..

Do I retake the NBCOT exam moving from Delaware to Texas?

No. The NBCOT certification exam is not retaken. Texas requires a 'passing NBCOT certification examination score report' sent by NBCOT directly to the Board and states 'This is NOT a Verification of Certification', so a Score Transfer is required and current NBCOT certification is not. Texas ALSO requires its Jurisprudence Exam: a free, 20-question, open-book online exam on the OT Rules and OT Practice Act that may be retaken until passed.

How much does a Texas OT license cost for someone licensed in Delaware?

$140 (non-refundable OT application fee (OTA $100) per the Board's September 2026 paper application; online applicants pay electronically. Fingerprinting vendor fee paid separately (amount not published on the pages read). Application fees are waived for military service members, veterans and military spouses under HB 5629 (2025). Texas is not in the OT Compact, so no privilege option exists.).

How long does Texas take to process the application?

no processing time is published on the application page (it refers applicants to homepage notices and says average processing times vary); a license is not issued until every item is received and processed, and practice may begin once the license shows on the Board's online verification.

Can I use the OT Compact to work in Texas?

Not for this move. Texas has not enacted the OT Compact. A Texas license by endorsement is required.

Sources

Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.

Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27

How we verify · All sources · spot an error? [email protected]