Occupational Therapy License from Ohio to Missouri: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Missouri Board of Occupational Therapy (Division of Professional Registration) ↗
A occupational therapy license transfers from Ohio to Missouri by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Missouri Board of Occupational Therapy (Division of Professional Registration), verify your Ohio license, and meet Missouri's endorsement requirements. The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 9-2025), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application..
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Verdict
Licensure by endorsement
The compact stops at the Missouri line. Ohio issues privileges, but Missouri has enacted the compact but is not yet issuing or honoring privileges, so this is a standard endorsement application to the Missouri Board of Occupational Therapy (Division of Professional Registration). Keep your Ohio license current if you want to keep using privileges elsewhere.
What changes, Ohio → Missouri
| Ohio (current) | Missouri (destination) | |
|---|---|---|
| OT Compact status | OT Compact member — compact privilege to practice | OT Compact enacted — not yet issuing |
| Application fee | $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).) | $30 (OT reciprocity application fee from form MO 375-1095 ($10 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Other states may charge fees for license verifications. The Commission lists Missouri's future privilege fee as $30, which is not payable yet.) |
| Processing time | 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 | The Board publishes no processing timeframe. |
| Licensing authority | Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section) | Missouri Board of Occupational Therapy (Division of Professional Registration) |
The destination column is what you must satisfy — Missouri sets the rules for this move.
Step by step
- Confirm Missouri's current requirements on the Missouri Board of Occupational Therapy (Division of Professional Registration) website (linked below) — rules change.
- Submit the endorsement application to the Missouri Board of Occupational Therapy (Division of Professional Registration) (application linked below).
- Arrange license verification from your current state via the verification system.
- Hold a valid current OT license from another state, U.S. territory or DC and have held it for at least one year (reciprocity application).
- Complete and notarize the Application for Licensure - Reciprocity (MO 375-1095).
- Have NBCOT send credential verification directly to the Board.
- Have every state, territory, province or country where you were licensed send a Verification of Licensure form directly to the Board within 90 days of applying.
- Complete and return the Missouri Jurisprudence Exam (open book).
- Pay the fees ($30 (OT reciprocity application fee from form MO 375-1095 ($10 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Other states may charge fees for license verifications. The Commission lists Missouri's future privilege fee as $30, which is not payable yet.)) and allow The Board publishes no processing timeframe..
Official links
Related guides
Frequently asked questions
Can I use my Ohio occupational therapy license in Missouri?
A occupational therapy license transfers from Ohio to Missouri by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Missouri Board of Occupational Therapy (Division of Professional Registration), verify your Ohio license, and meet Missouri's endorsement requirements. The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 9-2025), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application..
Do I retake the NBCOT exam moving from Ohio to Missouri?
No. The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 9-2025), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application.
How much does a Missouri OT license cost for someone licensed in Ohio?
$30 (OT reciprocity application fee from form MO 375-1095 ($10 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Other states may charge fees for license verifications. The Commission lists Missouri's future privilege fee as $30, which is not payable yet.).
How long does Missouri take to process the application?
The Board publishes no processing timeframe..
Can I use the OT Compact to work in Missouri?
Not for this move. Missouri has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Missouri license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- Missouri Board of Occupational Therapy — Applications ↗ (accessed 2026-09-27)
- Missouri Board of Occupational Therapy — Application for Licensure, Reciprocity (MO 375-1095, 9-2025) ↗ (accessed 2026-09-27)
- Missouri Board of Occupational Therapy — board home ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Missouri: Not Yet accepting applications; jurisprudence required) ↗ (accessed 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)
- 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)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27
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