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LicenseReciprocity

Occupational Therapy License from Michigan to Washington: Does It Transfer? (2026)

Last verified: 2026-09-27 · source: Washington State Occupational Therapy Practice Board (Washington State Department of Health) ↗

A occupational therapy license transfers from Michigan to Washington by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Washington State Occupational Therapy Practice Board (Washington State Department of Health), verify your Michigan license, and meet Washington's endorsement requirements. The NBCOT certification exam is not retaken; applicants must have obtained a passing score on the NBCOT exam. The Department's licensing pages do not specify whether a Score Transfer or a Verification of Certification is required, and do not require CURRENT NBCOT certification. No Washington jurisprudence exam was found on the licensing requirements page..

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Verdict

Licensure by endorsement

Michigan and Washington 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 Washington State Occupational Therapy Practice Board (Washington State Department of Health); your NBCOT result is verified by Score Transfer or Verification of Certification. If both states go live, working in Washington while living in Michigan could later be done on a privilege.

What changes, Michigan → Washington

Side-by-side: Michigan vs Washington (Occupational Therapy (OT/OTA)), verified 2026-09-27
Michigan (current)Washington (destination)
OT Compact statusOT Compact enacted — not yet issuingOT 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).)$166 (OT application and initial license fee under WAC 246-847-990, including a $16 HEALWA surcharge (OTA also $166). Non-refundable. The FBI fingerprinting fee is separate and not published on the pages read. Limited permit $55. No OT Compact privilege fee exists yet (Washington is not issuing privileges).)
Processing timeLARA's OT licensing guide and OT page publish no processing timeno processing time is published; the Department says delayed responses to its requests lengthen processing, and military spouses/registered domestic partners may be eligible for expedited processing
Licensing authorityMichigan Board of Occupational Therapists (LARA Bureau of Professional Licensing)Washington State Occupational Therapy Practice Board (Washington State Department of Health)

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

Step by step

  1. Confirm Washington's current requirements on the Washington State Occupational Therapy Practice Board (Washington State Department of Health) website (linked below) — rules change.
  2. Submit the endorsement application to the Washington State Occupational Therapy Practice Board (Washington State Department of Health) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Graduate of a nationally accredited, board-approved OT program with at least six months of supervised fieldwork (official transcript sent directly from the school).
  5. Have every jurisdiction where you hold or held a credential (or applied for one) send the verification form directly to the Department.
  6. Complete an FBI fingerprint-based background check (required of all new applicants from July 1, 2026; instructions are sent after you apply).
  7. Provide a complete chronology of activities from OT graduation to application, accounting for any gaps.
  8. Substantially-equivalent-state route (SHB 1724): be credentialed for at least two years in a state Washington has deemed equivalent, with no disciplinary action.
  9. Pay the fees ($166 (OT application and initial license fee under WAC 246-847-990, including a $16 HEALWA surcharge (OTA also $166). Non-refundable. The FBI fingerprinting fee is separate and not published on the pages read. Limited permit $55. No OT Compact privilege fee exists yet (Washington is not issuing privileges).)) and allow no processing time is published; the Department says delayed responses to its requests lengthen processing, and military spouses/registered domestic partners may be eligible for expedited processing.

Official links

Related guides

Frequently asked questions

Can I use my Michigan occupational therapy license in Washington?

A occupational therapy license transfers from Michigan to Washington by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Washington State Occupational Therapy Practice Board (Washington State Department of Health), verify your Michigan license, and meet Washington's endorsement requirements. The NBCOT certification exam is not retaken; applicants must have obtained a passing score on the NBCOT exam. The Department's licensing pages do not specify whether a Score Transfer or a Verification of Certification is required, and do not require CURRENT NBCOT certification. No Washington jurisprudence exam was found on the licensing requirements page..

Do I retake the NBCOT exam moving from Michigan to Washington?

No. The NBCOT certification exam is not retaken; applicants must have obtained a passing score on the NBCOT exam. The Department's licensing pages do not specify whether a Score Transfer or a Verification of Certification is required, and do not require CURRENT NBCOT certification. No Washington jurisprudence exam was found on the licensing requirements page.

How much does a Washington OT license cost for someone licensed in Michigan?

$166 (OT application and initial license fee under WAC 246-847-990, including a $16 HEALWA surcharge (OTA also $166). Non-refundable. The FBI fingerprinting fee is separate and not published on the pages read. Limited permit $55. No OT Compact privilege fee exists yet (Washington is not issuing privileges).).

How long does Washington take to process the application?

no processing time is published; the Department says delayed responses to its requests lengthen processing, and military spouses/registered domestic partners may be eligible for expedited processing.

Can I use the OT Compact to work in Washington?

Not for this move. Washington has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Washington 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]