Occupational Therapy License from New Hampshire to North Carolina: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: North Carolina Board of Occupational Therapy ↗
A occupational therapy license transfers from New Hampshire to North Carolina by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the North Carolina Board of Occupational Therapy, verify your New Hampshire license, and meet North Carolina's endorsement requirements. The NBCOT certification exam is not retaken. The Board requires successful completion of the NBCOT exam, and NBCOT Verification is among the third-party documents it collects. Current NBCOT certification is not required: the Board's FAQ says licensees need not maintain NBCOT certification (only to use the OTR/COTA marks). North Carolina also requires its online jurisprudence exam (Rule .0201(a)(5)): 30 questions, 100% required, no fee, retakes allowed..
Verify this exact pair in the checker
Same data, interactive — with share link and board links.
Verdict
Licensure by endorsement
New Hampshire and North Carolina 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 North Carolina Board of Occupational Therapy; your NBCOT result is verified by Score Transfer or Verification of Certification. If both states go live, working in North Carolina while living in New Hampshire could later be done on a privilege.
What changes, New Hampshire → North Carolina
| New Hampshire (current) | North Carolina (destination) | |
|---|---|---|
| OT Compact status | OT Compact enacted — not yet issuing | OT Compact enacted — not yet issuing |
| Application fee | $110 (OT application fee on OPLC's Occupational Therapy Governing Board License Fees page (Internet Archive copy of 2025-05-31; OTA also $110; separate $20 certificate fee and $10 license-verification fee listed). OPLC moved the page to a new address in 2026 that could not be retrieved, so confirm the current amount (fees are set in Plc 1000). + FBI background-check fees. No OT Compact privilege fee exists yet (New Hampshire is not issuing privileges).) | $110 ($10 online application packet plus the $100 non-refundable initial license fee. The $100 fee is waived for military-trained applicants and military spouses who provide orders and ID. Annual renewal is $50 (licenses expire June 30). The Commission lists North Carolina's future privilege fee as TBD, not payable yet.) |
| Processing time | OPLC publishes no OT processing time; under Plc 313.07(c) it may issue a provisional license to an endorsement applicant whose FBI check results are still pending | 1–2 weeks (Board FAQ: application requests are normally processed within a week, and licenses are 'usually issued on Fridays within one (1) to two (2) weeks after the application and all required documentation is received and processed'.) |
| Licensing authority | New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification) | North Carolina Board of Occupational Therapy |
The destination column is what you must satisfy — North Carolina sets the rules for this move.
Step by step
- Confirm North Carolina's current requirements on the North Carolina Board of Occupational Therapy website (linked below) — rules change.
- Submit the endorsement application to the North Carolina Board of Occupational Therapy (application linked below).
- Arrange license verification from your current state via the verification system.
- Buy the online application ($10), then complete and submit it through the Board's portal.
- Pass the North Carolina jurisprudence exam with a score of 100%.
- Submit two Certificate of Moral Character forms, completed by licensed or NBCOT-certified OTs or OTAs.
- Have NBCOT verification and verifications from every state where you were licensed sent to the Board.
- If out of the field more than 24 months, complete 90 days of general supervision with a written plan (Rule .0201(b)).
- Pay the fees ($110 ($10 online application packet plus the $100 non-refundable initial license fee. The $100 fee is waived for military-trained applicants and military spouses who provide orders and ID. Annual renewal is $50 (licenses expire June 30). The Commission lists North Carolina's future privilege fee as TBD, not payable yet.)) and allow 1–2 weeks (Board FAQ: application requests are normally processed within a week, and licenses are 'usually issued on Fridays within one (1) to two (2) weeks after the application and all required documentation is received and processed'.).
Official links
Related guides
Frequently asked questions
Can I use my New Hampshire occupational therapy license in North Carolina?
A occupational therapy license transfers from New Hampshire to North Carolina by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the North Carolina Board of Occupational Therapy, verify your New Hampshire license, and meet North Carolina's endorsement requirements. The NBCOT certification exam is not retaken. The Board requires successful completion of the NBCOT exam, and NBCOT Verification is among the third-party documents it collects. Current NBCOT certification is not required: the Board's FAQ says licensees need not maintain NBCOT certification (only to use the OTR/COTA marks). North Carolina also requires its online jurisprudence exam (Rule .0201(a)(5)): 30 questions, 100% required, no fee, retakes allowed..
Do I retake the NBCOT exam moving from New Hampshire to North Carolina?
No. The NBCOT certification exam is not retaken. The Board requires successful completion of the NBCOT exam, and NBCOT Verification is among the third-party documents it collects. Current NBCOT certification is not required: the Board's FAQ says licensees need not maintain NBCOT certification (only to use the OTR/COTA marks). North Carolina also requires its online jurisprudence exam (Rule .0201(a)(5)): 30 questions, 100% required, no fee, retakes allowed.
How much does a North Carolina OT license cost for someone licensed in New Hampshire?
$110 ($10 online application packet plus the $100 non-refundable initial license fee. The $100 fee is waived for military-trained applicants and military spouses who provide orders and ID. Annual renewal is $50 (licenses expire June 30). The Commission lists North Carolina's future privilege fee as TBD, not payable yet.).
How long does North Carolina take to process the application?
1–2 weeks (Board FAQ: application requests are normally processed within a week, and licenses are 'usually issued on Fridays within one (1) to two (2) weeks after the application and all required documentation is received and processed'.).
Can I use the OT Compact to work in North Carolina?
Not for this move. North Carolina has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A North Carolina license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- NC Board of Occupational Therapy — Application Process ↗ (accessed 2026-09-27)
- NC Board of Occupational Therapy — Jurisprudence Exam ↗ (accessed 2026-09-27)
- NC Board of Occupational Therapy — FAQs (fees, timing, NBCOT, military) ↗ (accessed 2026-09-27)
- NC Board of Occupational Therapy — License Verification ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (North Carolina: Not Yet accepting applications; jurisprudence required) ↗ (accessed 2026-09-27)
- NH OPLC — Occupational Therapists Applications page (online portal, checklists, reciprocity link) (Internet Archive copy of 2026-03-24; oplc.nh.gov returned HTTP 403 on 2026-09-27) ↗ (accessed 2026-09-27)
- NH OPLC — New Changes for Reciprocity in New Hampshire (HB 594, RSA 310:17; OT qualifying jurisdictions, Plc 313.43; FBI check; provisional license) (Internet Archive copy of 2026-08-21) ↗ (accessed 2026-09-27)
- NH OPLC — Occupational Therapist Initial Application Checklist (Internet Archive copy of 2025-03-05) ↗ (accessed 2026-09-27)
- NH OPLC — Occupational Therapy Governing Board License Fees (Internet Archive copy of 2025-05-31) ↗ (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]