Occupational Therapy License from Maryland 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 Maryland 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 Maryland 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
Your Maryland license can anchor OT Compact privileges, but not into Texas: Texas has not enacted the compact. To practice in Texas you need a Texas license by endorsement from the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners). NBCOT passage is verified, not retaken. Any privileges you hold in other issuing states are unaffected while Maryland remains your home state.
What changes, Maryland → Texas
| Maryland (current) | Texas (destination) | |
|---|---|---|
| OT Compact status | OT Compact member — compact privilege to practice | Licensure by endorsement |
| Application fee | $200 (Application for initial licensure is $200 (COMAR 10.46.05.01B). It is non-refundable and includes a first temporary license. The fingerprinting vendor fee is extra; the Board does not state the amount. NOT the OT Compact privilege fee: Maryland's privilege costs $125 (COMAR 10.46.05.01M) plus the $75 Commission fee.) | $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 time | The Board publishes no processing timeframe. | 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 |
| Licensing authority | Maryland State Board of Occupational Therapy Practice | 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
- 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.
- Submit the endorsement application to the Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) (application linked below).
- Arrange license verification from your current state via the verification system.
- Graduate of an accredited OT educational program meeting 22 TAC 364.1(a)(4), with your school code on the application.
- Pass the Texas OT Jurisprudence Exam.
- Have NBCOT send your passing exam score report directly to the Board.
- Complete fingerprinting for a criminal history background check using the agency's service code.
- 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).
- Provide a U.S.-passport-standard color photo and a Social Security number (required for license issuance from September 1, 2026).
- 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 Maryland occupational therapy license in Texas?
A occupational therapy license transfers from Maryland 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 Maryland 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 Maryland 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 Maryland?
$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.
- Texas Board of OT Examiners — OT Application (General, Apply by Endorsement, Military tabs) ↗ (accessed 2026-09-27)
- Texas Board of OT Examiners — OT/OTA Initial Licensure Application (paper), rev. 2026.09 ↗ (accessed 2026-09-27)
- Maryland Board of Occupational Therapy Practice — Forms (Necessary Forms for an Initial License) ↗ (accessed 2026-09-27)
- Maryland Board of Occupational Therapy Practice — Application for Licensure (2026 version) ↗ (accessed 2026-09-27)
- Maryland Board of Occupational Therapy Practice — Applicant's Checklist (2026 version) ↗ (accessed 2026-09-27)
- COMAR 10.46.05 Collection of Fees ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Maryland accepting applications since April 15, 2026; $125 privilege fee; jurisprudence required) ↗ (accessed 2026-09-27)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27
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