Occupational Therapy License from Illinois to Maine: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation) ↗
A occupational therapy license transfers from Illinois to Maine by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation), verify your Illinois license, and meet Maine's endorsement requirements. The NBCOT certification exam is not retaken. Under Board rule 02-477 Chapter 3 (Licensure by Endorsement), the applicant's other-state license must come from a jurisdiction that requires ACOTE education and 'proof of a passing score on the certification examination of NBCOT', so proof of passage is what counts, not current NBCOT certification. The Board's licensing pages mention no Maine jurisprudence exam, and the Commission lists Maine's jurisprudence requirement as 'Not required'..
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Verdict
Licensure by endorsement
Neither Illinois nor Maine is issuing OT Compact privileges, so there is one route: a Maine license by endorsement from the Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation). The board verifies your Illinois license and your NBCOT exam passage; being licensed in Illinois neither speeds nor slows Maine's standard out-of-state review.
What changes, Illinois → Maine
| Illinois (current) | Maine (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement | OT Compact enacted — not yet issuing |
| Application fee | The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified. | $35 (The OT license fee is $35 under OPOR Rules Chapter 10, section 5(25). No separate OT application fee is listed ($30 for an OTA). Add the $21 Criminal History Records Check. A 6-month temporary OT license costs $25. The license renews every year on March 31 for $35.) |
| Processing time | IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt | The Board publishes no processing timeframe. |
| Licensing authority | Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) | Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation) |
The destination column is what you must satisfy — Maine sets the rules for this move.
Step by step
- Confirm Maine's current requirements on the Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation) website (linked below) — rules change.
- Submit the endorsement application to the Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation) (application linked below).
- Arrange license verification from your current state via the verification system.
- Hold an active OT license from another U.S. jurisdiction whose requirements are substantially equivalent (ACOTE-accredited education plus a passing NBCOT score).
- Be in good standing in every jurisdiction where you hold or have held a license: no pending complaint or investigation, no suspension or restriction, never surrendered or revoked.
- Complete a Maine Criminal History Records Check ($21).
- Submit the online application with supporting documents through the Maine licensing portal.
- Pay the fees ($35 (The OT license fee is $35 under OPOR Rules Chapter 10, section 5(25). No separate OT application fee is listed ($30 for an OTA). Add the $21 Criminal History Records Check. A 6-month temporary OT license costs $25. The license renews every year on March 31 for $35.)) and allow The Board publishes no processing timeframe..
Official links
Related guides
Frequently asked questions
Can I use my Illinois occupational therapy license in Maine?
A occupational therapy license transfers from Illinois to Maine by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Maine Board of Occupational Therapy Practice (Office of Professional and Occupational Regulation), verify your Illinois license, and meet Maine's endorsement requirements. The NBCOT certification exam is not retaken. Under Board rule 02-477 Chapter 3 (Licensure by Endorsement), the applicant's other-state license must come from a jurisdiction that requires ACOTE education and 'proof of a passing score on the certification examination of NBCOT', so proof of passage is what counts, not current NBCOT certification. The Board's licensing pages mention no Maine jurisprudence exam, and the Commission lists Maine's jurisprudence requirement as 'Not required'..
Do I retake the NBCOT exam moving from Illinois to Maine?
No. The NBCOT certification exam is not retaken. Under Board rule 02-477 Chapter 3 (Licensure by Endorsement), the applicant's other-state license must come from a jurisdiction that requires ACOTE education and 'proof of a passing score on the certification examination of NBCOT', so proof of passage is what counts, not current NBCOT certification. The Board's licensing pages mention no Maine jurisprudence exam, and the Commission lists Maine's jurisprudence requirement as 'Not required'.
How much does a Maine OT license cost for someone licensed in Illinois?
$35 (The OT license fee is $35 under OPOR Rules Chapter 10, section 5(25). No separate OT application fee is listed ($30 for an OTA). Add the $21 Criminal History Records Check. A 6-month temporary OT license costs $25. The license renews every year on March 31 for $35.).
How long does Maine take to process the application?
The Board publishes no processing timeframe..
Can I use the OT Compact to work in Maine?
Not for this move. Maine has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Maine license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- Maine Board of Occupational Therapy Practice — Occupational Therapist & OTA license (fees, CHRC) ↗ (accessed 2026-09-27)
- Maine Board of Occupational Therapy Practice — board home (apply online, verify a license) ↗ (accessed 2026-09-27)
- 02-477 CMR Chapter 3, Licensure by Endorsement (eff. January 25, 2023) ↗ (accessed 2026-09-27)
- 02-041 CMR Chapter 10, OPOR Establishment of License Fees (2025 amendment) ↗ (accessed 2026-09-27)
- 32 M.R.S. §2278 Temporary license ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Maine: Not Yet accepting applications) ↗ (accessed 2026-09-27)
- IDFPR, Occupational Therapy profession page ↗ (accessed 2026-09-27)
- IDFPR, Qualifications for Licensure: Occupational Therapist (056, effective 02/2026) ↗ (accessed 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]