Occupational Therapy License from Michigan to Missouri: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Missouri Board of Occupational Therapy (Division of Professional Registration) ↗
A occupational therapy license transfers from Michigan to Missouri by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Missouri Board of Occupational Therapy (Division of Professional Registration), verify your Michigan license, and meet Missouri's endorsement requirements. The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 9-2025), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application..
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Same data, interactive — with share link and board links.
Verdict
Licensure by endorsement
Michigan and Missouri have both enacted the OT Compact, and neither was issuing privileges as of the verification date, so this is an ordinary endorsement move. Apply to the Missouri Board of Occupational Therapy (Division of Professional Registration); your NBCOT result is verified by Score Transfer or Verification of Certification. If both states go live, working in Missouri while living in Michigan could later be done on a privilege.
What changes, Michigan → Missouri
| Michigan (current) | Missouri (destination) | |
|---|---|---|
| OT Compact status | OT Compact enacted — not yet issuing | OT Compact enacted — not yet issuing |
| Application fee | $187.40 (combined application fee + 2-year license fee for 'OT by Examination or Endorsement', paid by card through MiPLUS, per LARA's Occupational Therapist Licensing Guide (revision date 10/01/23, read from an Internet Archive copy of 2025-03-03). The April 2026 LARA OT page links a newer file revision of the same guide that could not be retrieved, so confirm the amount in MiPLUS. Fingerprint vendor fee and PSI jurisprudence-exam fee not stated in the guide. NOT an OT Compact privilege fee (Michigan is not issuing privileges).) | $30 (OT reciprocity application fee from form MO 375-1095 ($10 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Other states may charge fees for license verifications. The Commission lists Missouri's future privilege fee as $30, which is not payable yet.) |
| Processing time | LARA's OT licensing guide and OT page publish no processing time | The Board publishes no processing timeframe. |
| Licensing authority | Michigan Board of Occupational Therapists (LARA Bureau of Professional Licensing) | Missouri Board of Occupational Therapy (Division of Professional Registration) |
The destination column is what you must satisfy — Missouri sets the rules for this move.
Step by step
- Confirm Missouri's current requirements on the Missouri Board of Occupational Therapy (Division of Professional Registration) website (linked below) — rules change.
- Submit the endorsement application to the Missouri Board of Occupational Therapy (Division of Professional Registration) (application linked below).
- Arrange license verification from your current state via the verification system.
- Hold a valid current OT license from another state, U.S. territory or DC and have held it for at least one year (reciprocity application).
- Complete and notarize the Application for Licensure - Reciprocity (MO 375-1095).
- Have NBCOT send credential verification directly to the Board.
- Have every state, territory, province or country where you were licensed send a Verification of Licensure form directly to the Board within 90 days of applying.
- Complete and return the Missouri Jurisprudence Exam (open book).
- Pay the fees ($30 (OT reciprocity application fee from form MO 375-1095 ($10 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Other states may charge fees for license verifications. The Commission lists Missouri's future privilege fee as $30, which is not payable yet.)) and allow The Board publishes no processing timeframe..
Official links
Related guides
Frequently asked questions
Can I use my Michigan occupational therapy license in Missouri?
A occupational therapy license transfers from Michigan to Missouri by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Missouri Board of Occupational Therapy (Division of Professional Registration), verify your Michigan license, and meet Missouri's endorsement requirements. The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 9-2025), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application..
Do I retake the NBCOT exam moving from Michigan to Missouri?
No. The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 9-2025), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application.
How much does a Missouri OT license cost for someone licensed in Michigan?
$30 (OT reciprocity application fee from form MO 375-1095 ($10 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Other states may charge fees for license verifications. The Commission lists Missouri's future privilege fee as $30, which is not payable yet.).
How long does Missouri take to process the application?
The Board publishes no processing timeframe..
Can I use the OT Compact to work in Missouri?
Not for this move. Missouri has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Missouri license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- Missouri Board of Occupational Therapy — Applications ↗ (accessed 2026-09-27)
- Missouri Board of Occupational Therapy — Application for Licensure, Reciprocity (MO 375-1095, 9-2025) ↗ (accessed 2026-09-27)
- Missouri Board of Occupational Therapy — board home ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Missouri: Not Yet accepting applications; jurisprudence required) ↗ (accessed 2026-09-27)
- Michigan LARA — Occupational Therapy board page (licensing guides, MiPLUS, State License Search links) (Internet Archive copy of 2026-04-14; michigan.gov returned HTTP 403 to automated requests on 2026-09-27) ↗ (accessed 2026-09-27)
- Michigan LARA — Occupational Therapist Licensing Guide, revision date 10/01/23 (endorsement requirements, $187.40 fee) (Internet Archive copy of 2025-03-03) ↗ (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]