Occupational Therapy License from North Carolina to North Dakota: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: North Dakota State Board of Occupational Therapy Practice ↗
A occupational therapy license transfers from North Carolina to North Dakota by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the North Dakota State Board of Occupational Therapy Practice, verify your North Carolina license, and meet North Dakota's endorsement requirements. The NBCOT certification exam is not retaken. North Dakota rules require passage of the NBCOT OTR exam, and the Board can pull NBCOT scores sent to it. A reciprocity applicant who is currently licensed in another state proves eligibility through license verifications rather than a recent score: the 18-month score-recency rule applies to initial applicants, and NDCC 43-40-12 lets the Board waive exam requirements for applicants licensed in an equivalent state. No Board source found requires CURRENT NBCOT certification. North Dakota ALSO requires its own Jurisprudence Exam (20 questions, open book, online; 80% or higher per the application instructions) before the license issues..
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Same data, interactive — with share link and board links.
Verdict
Licensure by endorsement
North Carolina and North Dakota 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 Dakota State Board of Occupational Therapy Practice; your NBCOT result is verified by Score Transfer or Verification of Certification. If both states go live, working in North Dakota while living in North Carolina could later be done on a privilege.
What changes, North Carolina → North Dakota
| North Carolina (current) | North Dakota (destination) | |
|---|---|---|
| OT Compact status | OT Compact enacted — not yet issuing | OT Compact enacted — not yet issuing |
| Application fee | $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.) | $125–$200 ($50 initial application fee + initial OT license fee of $150, or $75 if the application is received July 1 to December 31 of an odd-numbered year (N.D. Admin. Code 55.5-02-01-03), so $200 or $125 in total. OTA: $50 + $110 or $55. The fee is waived for qualifying military spouses. No fingerprint fee is currently charged (see notes). NOT the OT Compact privilege fee (North Dakota's state privilege fee is listed as TBD, plus the $75 Commission fee).) |
| Processing time | 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'.) | the Board states only that licenses are typically issued within a week after all completed documents are received and the Jurisprudence Exam is passed; no end-to-end timeframe is published. The Board asks for 2-3 days to enter an online application before the applicant can take the Jurisprudence Exam or check status |
| Licensing authority | North Carolina Board of Occupational Therapy | North Dakota State Board of Occupational Therapy Practice |
The destination column is what you must satisfy — North Dakota sets the rules for this move.
Step by step
- Confirm North Dakota's current requirements on the North Dakota State Board of Occupational Therapy Practice website (linked below) — rules change.
- Submit the endorsement application to the North Dakota State Board of Occupational Therapy Practice (application linked below).
- Arrange license verification from your current state via the verification system.
- Degree from an ACOTE-accredited occupational therapy program (or a foreign program NBCOT deems comparable).
- Pass the North Dakota OT Jurisprudence Exam on ND laws and rules (license is not issued until it is completed).
- Have license verification sent directly to the Board from every state where you currently hold or have ever held an OT license.
- Submit a copy of the current licensure law and rules of the state(s) where you are licensed.
- Pay the fees ($125–$200 ($50 initial application fee + initial OT license fee of $150, or $75 if the application is received July 1 to December 31 of an odd-numbered year (N.D. Admin. Code 55.5-02-01-03), so $200 or $125 in total. OTA: $50 + $110 or $55. The fee is waived for qualifying military spouses. No fingerprint fee is currently charged (see notes). NOT the OT Compact privilege fee (North Dakota's state privilege fee is listed as TBD, plus the $75 Commission fee).)) and allow the Board states only that licenses are typically issued within a week after all completed documents are received and the Jurisprudence Exam is passed; no end-to-end timeframe is published. The Board asks for 2-3 days to enter an online application before the applicant can take the Jurisprudence Exam or check status.
Official links
Related guides
Frequently asked questions
Can I use my North Carolina occupational therapy license in North Dakota?
A occupational therapy license transfers from North Carolina to North Dakota by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the North Dakota State Board of Occupational Therapy Practice, verify your North Carolina license, and meet North Dakota's endorsement requirements. The NBCOT certification exam is not retaken. North Dakota rules require passage of the NBCOT OTR exam, and the Board can pull NBCOT scores sent to it. A reciprocity applicant who is currently licensed in another state proves eligibility through license verifications rather than a recent score: the 18-month score-recency rule applies to initial applicants, and NDCC 43-40-12 lets the Board waive exam requirements for applicants licensed in an equivalent state. No Board source found requires CURRENT NBCOT certification. North Dakota ALSO requires its own Jurisprudence Exam (20 questions, open book, online; 80% or higher per the application instructions) before the license issues..
Do I retake the NBCOT exam moving from North Carolina to North Dakota?
No. The NBCOT certification exam is not retaken. North Dakota rules require passage of the NBCOT OTR exam, and the Board can pull NBCOT scores sent to it. A reciprocity applicant who is currently licensed in another state proves eligibility through license verifications rather than a recent score: the 18-month score-recency rule applies to initial applicants, and NDCC 43-40-12 lets the Board waive exam requirements for applicants licensed in an equivalent state. No Board source found requires CURRENT NBCOT certification. North Dakota ALSO requires its own Jurisprudence Exam (20 questions, open book, online; 80% or higher per the application instructions) before the license issues.
How much does a North Dakota OT license cost for someone licensed in North Carolina?
$125–$200 ($50 initial application fee + initial OT license fee of $150, or $75 if the application is received July 1 to December 31 of an odd-numbered year (N.D. Admin. Code 55.5-02-01-03), so $200 or $125 in total. OTA: $50 + $110 or $55. The fee is waived for qualifying military spouses. No fingerprint fee is currently charged (see notes). NOT the OT Compact privilege fee (North Dakota's state privilege fee is listed as TBD, plus the $75 Commission fee).).
How long does North Dakota take to process the application?
the Board states only that licenses are typically issued within a week after all completed documents are received and the Jurisprudence Exam is passed; no end-to-end timeframe is published. The Board asks for 2-3 days to enter an online application before the applicant can take the Jurisprudence Exam or check status.
Can I use the OT Compact to work in North Dakota?
Not for this move. North Dakota has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A North Dakota license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- ND State Board of OT Practice — Requirements for Licensure (initial and reciprocity) (Internet Archive copy, captured 2026-04-20) ↗ (accessed 2026-09-27)
- ND State Board of OT Practice — OT Licensure Compact page (Internet Archive copy, captured 2026-06-09) ↗ (accessed 2026-09-27)
- ND State Board of OT Practice — Requirements and Instructions for Licensure Application, rev. 10/2019 (Internet Archive copy) ↗ (accessed 2026-09-27)
- N.D. Admin. Code ch. 55.5-02-01 — Initial Licensure and Renewals (application, requirements, fees) ↗ (accessed 2026-09-27)
- N.D. Century Code ch. 43-40 — Occupational Therapy Practice (43-40-12 waiver for applicants licensed in another state) ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (North Dakota: Not Yet) ↗ (accessed 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)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27
How we verify · All sources · spot an error? [email protected]