Occupational Therapy License from Mississippi to Ohio: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section) ↗
A occupational therapy license transfers from Mississippi to Ohio by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section), verify your Mississippi license, and meet Ohio's endorsement requirements. The NBCOT certification exam is not retaken; the applicant has NBCOT send a Score Transfer to the Ohio OTPTAT Board or uploads an official NBCOT Verification of Certification. Ohio also requires the Ohio OT Jurisprudence Exam (taken online via myicourse, 90% minimum passing score)..
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Same data, interactive — with share link and board links.
Verdict
Licensure by endorsement
Mississippi isn't issuing OT Compact privileges, so you start with endorsement into Ohio through the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section). The payoff comes afterward: Ohio does issue privileges, so once Ohio is your home state and your Ohio license is active, you can practice in the other issuing states on privileges instead of separate licenses.
What changes, Mississippi → Ohio
| Mississippi (current) | Ohio (destination) | |
|---|---|---|
| OT Compact status | OT Compact enacted — not yet issuing | OT Compact member — compact privilege to practice |
| Application fee | $250 ($100 application fee plus $150 initial OT licensure fee (Rule 8.13.2), non-refundable. The OTA initial fee is $100. No criminal background check is required for regular licensure: MSDH requires background checks for OTs only for the OT Licensure Compact ($50 plus $25 local fingerprinting).) | $100 (non-refundable endorsement application fee paid online through eLicense Ohio; + $22 BCI and $24 FBI background-check fees (plus any vendor fingerprinting fee); + $35 NBCOT Score Transfer if not already sent. NOT the OT Compact privilege fee (Ohio privilege: $25 state fee + $75 commission fee).) |
| Processing time | 1–3 weeks (The Department says 'Please allow 7 to 14 business days after receipt of all paperwork to receive your license' (about 1.4 to 2.8 weeks, rounded). For universal-license applicants, Rule 8.4.7 requires a decision within 120 days and a temporary practice permit within 30 days if processing will take longer than two weeks.) | the Board states only that an application is reviewed within five business days of submission (approval or a request for more documents); no end-to-end licensing timeframe is published, and FBI checks from ink-rolled cards can take up to three months |
| Licensing authority | Mississippi State Department of Health — Professional Licensure (Occupational Therapy) | Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section) |
The destination column is what you must satisfy — Ohio sets the rules for this move.
Step by step
- Confirm Ohio's current requirements on the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section) website (linked below) — rules change.
- Submit the endorsement application to the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section) (application linked below).
- Arrange license verification from your current state via the verification system.
- Graduate of an ACOTE-accredited entry-level OT program (Certification of Entry-Level Education form or official transcript).
- Pass the Ohio OT Jurisprudence Exam (90% minimum) and upload the transcript.
- Submit official license verification from every jurisdiction where you hold or ever held an OT or other health-care license.
- Complete an Ohio BCI and FBI fingerprint criminal records check sent directly to the Board (results must be under six months old at licensure).
- If out of practice five or more years (fewer than 250 practice hours in the prior five years), meet the Board's out-of-practice requirements.
- Pay the fees ($100 (non-refundable endorsement application fee paid online through eLicense Ohio; + $22 BCI and $24 FBI background-check fees (plus any vendor fingerprinting fee); + $35 NBCOT Score Transfer if not already sent. NOT the OT Compact privilege fee (Ohio privilege: $25 state fee + $75 commission fee).)) and allow the Board states only that an application is reviewed within five business days of submission (approval or a request for more documents); no end-to-end licensing timeframe is published, and FBI checks from ink-rolled cards can take up to three months.
Official links
Related guides
Frequently asked questions
Can I use my Mississippi occupational therapy license in Ohio?
A occupational therapy license transfers from Mississippi to Ohio by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section), verify your Mississippi license, and meet Ohio's endorsement requirements. The NBCOT certification exam is not retaken; the applicant has NBCOT send a Score Transfer to the Ohio OTPTAT Board or uploads an official NBCOT Verification of Certification. Ohio also requires the Ohio OT Jurisprudence Exam (taken online via myicourse, 90% minimum passing score)..
Do I retake the NBCOT exam moving from Mississippi to Ohio?
No. The NBCOT certification exam is not retaken; the applicant has NBCOT send a Score Transfer to the Ohio OTPTAT Board or uploads an official NBCOT Verification of Certification. Ohio also requires the Ohio OT Jurisprudence Exam (taken online via myicourse, 90% minimum passing score).
How much does a Ohio OT license cost for someone licensed in Mississippi?
$100 (non-refundable endorsement application fee paid online through eLicense Ohio; + $22 BCI and $24 FBI background-check fees (plus any vendor fingerprinting fee); + $35 NBCOT Score Transfer if not already sent. NOT the OT Compact privilege fee (Ohio privilege: $25 state fee + $75 commission fee).).
How long does Ohio take to process the application?
the Board states only that an application is reviewed within five business days of submission (approval or a request for more documents); no end-to-end licensing timeframe is published, and FBI checks from ink-rolled cards can take up to three months.
Can I use the OT Compact to work in Ohio?
Not for this move. Ohio issues privileges, but only to therapists whose home state is also issuing; Mississippi is not. A Ohio license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- Ohio OTPTAT Board — OT and OTA Endorsement Applications ↗ (accessed 2026-09-27)
- Ohio OTPTAT Board — OT/OTA Endorsement Application Instructions packet (Dec 2025) ↗ (accessed 2026-09-27)
- Ohio OTPTAT Board — OT-OTA Licensing (application pathways) ↗ (accessed 2026-09-27)
- Ohio OTPTAT Board — OT Compact ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Ohio accepting applications since January 12, 2026; $25 OT privilege fee; jurisprudence required) ↗ (accessed 2026-09-27)
- Ohio OTPTAT Board — OT-OTA Endorsement Application page (Internet Archive copy, captured 2025-06-12; eligibility and five-business-day review re-checked) ↗ (accessed 2026-09-27)
- MSDH — Occupational Therapy licensure page (application portal, processing time, OT Compact notice) ↗ (accessed 2026-09-27)
- MSDH — Regulations Governing Licensure of Occupational Therapists and OTAs (amended February 2025): Rules 8.4.2, 8.4.7, 8.13.2 ↗ (accessed 2026-09-27)
- MSDH — Background checks (OT Licensure Compact only) ↗ (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]