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LicenseReciprocity

Occupational Therapy License from North Dakota to Florida: Does It Transfer? (2026)

Last verified: 2026-09-27 · source: Florida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance) ↗

A occupational therapy license transfers from North Dakota to Florida by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Florida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance), verify your North Dakota license, and meet Florida's endorsement requirements. The NBCOT certification exam is not retaken. Under MOBILE endorsement, if you hold current NBCOT certification you list your certification number and Board staff verify it with NBCOT. If your certification is not current, you list your original exam information and ask NBCOT to send a score transfer to the Board. The standard (examination-route) application also accepts current or lapsed NBCOT certification, verified by certification number. No Florida jurisprudence exam is listed..

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Verdict

Licensure by endorsement

Neither North Dakota nor Florida is issuing OT Compact privileges, so there is one route: a Florida license by endorsement from the Florida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance). The board verifies your North Dakota license and your NBCOT exam passage; being licensed in North Dakota neither speeds nor slows Florida's standard out-of-state review.

What changes, North Dakota → Florida

Side-by-side: North Dakota vs Florida (Occupational Therapy (OT/OTA)), verified 2026-09-27
North Dakota (current)Florida (destination)
OT Compact statusOT Compact enacted — not yet issuingLicensure by endorsement
Application fee$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).)$180 ($100 nonrefundable application fee + $75 initial license fee + $5 unlicensed activity fee, all due with the application (same total for MOBILE endorsement and the examination route); + electronic fingerprinting vendor fee)
Processing timethe 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 statusfor MOBILE endorsement the Board allows up to five business days for initial review and issues the license within seven days once all requirements are met (s. 456.0145(2)(e), F.S.); Florida law requires initial review within 30 days, and documents received after initial review are processed within 14 business days; no end-to-end range is published
Licensing authorityNorth Dakota State Board of Occupational Therapy PracticeFlorida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance)

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

Step by step

  1. Confirm Florida's current requirements on the Florida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance) website (linked below) — rules change.
  2. Submit the endorsement application to the Florida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Hold an active, unencumbered OT license issued by another state, DC or a U.S. territory (MOBILE endorsement, s. 456.0145, F.S.).
  5. Have actively practiced as a licensed OT for at least two of the four years before applying.
  6. Have no National Practitioner Data Bank report (unless removed on appeal or for conduct that is not a Florida violation), no pending discipline, and no discipline in the prior five years.
  7. Complete electronic fingerprinting for background screening (required since HB 975, 2024).
  8. Have each state that licensed you send license verification (online verifications that show discipline are accepted).
  9. Pay the fees ($180 ($100 nonrefundable application fee + $75 initial license fee + $5 unlicensed activity fee, all due with the application (same total for MOBILE endorsement and the examination route); + electronic fingerprinting vendor fee)) and allow for MOBILE endorsement the Board allows up to five business days for initial review and issues the license within seven days once all requirements are met (s. 456.0145(2)(e), F.S.); Florida law requires initial review within 30 days, and documents received after initial review are processed within 14 business days; no end-to-end range is published.

Official links

Related guides

Frequently asked questions

Can I use my North Dakota occupational therapy license in Florida?

A occupational therapy license transfers from North Dakota to Florida by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Florida Board of Occupational Therapy Practice (Department of Health, Division of Medical Quality Assurance), verify your North Dakota license, and meet Florida's endorsement requirements. The NBCOT certification exam is not retaken. Under MOBILE endorsement, if you hold current NBCOT certification you list your certification number and Board staff verify it with NBCOT. If your certification is not current, you list your original exam information and ask NBCOT to send a score transfer to the Board. The standard (examination-route) application also accepts current or lapsed NBCOT certification, verified by certification number. No Florida jurisprudence exam is listed..

Do I retake the NBCOT exam moving from North Dakota to Florida?

No. The NBCOT certification exam is not retaken. Under MOBILE endorsement, if you hold current NBCOT certification you list your certification number and Board staff verify it with NBCOT. If your certification is not current, you list your original exam information and ask NBCOT to send a score transfer to the Board. The standard (examination-route) application also accepts current or lapsed NBCOT certification, verified by certification number. No Florida jurisprudence exam is listed.

How much does a Florida OT license cost for someone licensed in North Dakota?

$180 ($100 nonrefundable application fee + $75 initial license fee + $5 unlicensed activity fee, all due with the application (same total for MOBILE endorsement and the examination route); + electronic fingerprinting vendor fee).

How long does Florida take to process the application?

for MOBILE endorsement the Board allows up to five business days for initial review and issues the license within seven days once all requirements are met (s. 456.0145(2)(e), F.S.); Florida law requires initial review within 30 days, and documents received after initial review are processed within 14 business days; no end-to-end range is published.

Can I use the OT Compact to work in Florida?

Not for this move. Florida has not enacted the OT Compact. A Florida 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]