Occupational Therapy License from Ohio to South Carolina: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) ↗
A occupational therapy license transfers from Ohio to South Carolina by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation), verify your Ohio license, and meet South Carolina's endorsement requirements. The NBCOT certification exam is not retaken. For endorsement, 'NBCOT must submit verification of your current certification status directly to the Board' (an NBCOT Verification of Certification; copies not accepted), and the statutory licensing requirements include being in good standing with NBCOT, so South Carolina requires CURRENT NBCOT certification. The 70% SC Jurisprudence Exam is listed only in the examination-applicant instructions, not in the endorsement instructions..
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Verdict
Licensure by endorsement
Your Ohio license can anchor OT Compact privileges, but not into South Carolina: South Carolina has enacted the compact but is not yet issuing or honoring privileges. To practice in South Carolina you need a South Carolina license by endorsement from the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation). NBCOT passage is verified, not retaken. Any privileges you hold in other issuing states are unaffected while Ohio remains your home state.
What changes, Ohio → South Carolina
| Ohio (current) | South Carolina (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).) | $135 (initial license application fee for an OT (OTA $115), by certified check or money order with a paper application, or online through the LLR portal. Temporary licensure is $10 per license. No fingerprint/background-check fee is listed in the Board's instructions. No OT Compact privilege fee exists yet (South Carolina is not issuing privileges).) |
| 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 | no processing time is published on the Board's licensure or fee pages; incomplete applications or applications without the fee are not accepted and delay the process |
| Licensing authority | Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (Occupational Therapy Section) | South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) |
The destination column is what you must satisfy — South Carolina sets the rules for this move.
Step by step
- Confirm South Carolina's current requirements on the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) website (linked below) — rules change.
- Submit the endorsement application to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) (application linked below).
- Arrange license verification from your current state via the verification system.
- Graduate of an ACOTE-approved OT program with at least six months of supervised fieldwork.
- Be in good standing with NBCOT and have NBCOT send verification of current certification directly to the Board.
- Have every state where you hold a permanent license (including lapsed licenses) send license verification directly to the Board.
- Submit a 2x2 photo, a signed copy of your Social Security card and a copy of a government ID with the application.
- Pay the fees ($135 (initial license application fee for an OT (OTA $115), by certified check or money order with a paper application, or online through the LLR portal. Temporary licensure is $10 per license. No fingerprint/background-check fee is listed in the Board's instructions. No OT Compact privilege fee exists yet (South Carolina is not issuing privileges).)) and allow no processing time is published on the Board's licensure or fee pages; incomplete applications or applications without the fee are not accepted and delay the process.
Official links
Related guides
Frequently asked questions
Can I use my Ohio occupational therapy license in South Carolina?
A occupational therapy license transfers from Ohio to South Carolina by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation), verify your Ohio license, and meet South Carolina's endorsement requirements. The NBCOT certification exam is not retaken. For endorsement, 'NBCOT must submit verification of your current certification status directly to the Board' (an NBCOT Verification of Certification; copies not accepted), and the statutory licensing requirements include being in good standing with NBCOT, so South Carolina requires CURRENT NBCOT certification. The 70% SC Jurisprudence Exam is listed only in the examination-applicant instructions, not in the endorsement instructions..
Do I retake the NBCOT exam moving from Ohio to South Carolina?
No. The NBCOT certification exam is not retaken. For endorsement, 'NBCOT must submit verification of your current certification status directly to the Board' (an NBCOT Verification of Certification; copies not accepted), and the statutory licensing requirements include being in good standing with NBCOT, so South Carolina requires CURRENT NBCOT certification. The 70% SC Jurisprudence Exam is listed only in the examination-applicant instructions, not in the endorsement instructions.
How much does a South Carolina OT license cost for someone licensed in Ohio?
$135 (initial license application fee for an OT (OTA $115), by certified check or money order with a paper application, or online through the LLR portal. Temporary licensure is $10 per license. No fingerprint/background-check fee is listed in the Board's instructions. No OT Compact privilege fee exists yet (South Carolina is not issuing privileges).).
How long does South Carolina take to process the application?
no processing time is published on the Board's licensure or fee pages; incomplete applications or applications without the fee are not accepted and delay the process.
Can I use the OT Compact to work in South Carolina?
Not for this move. South Carolina has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A South Carolina license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- SC LLR Board of Occupational Therapy — Licensure (requirements; examination, endorsement and reinstatement instructions; fees) (Internet Archive copy, captured 2026-03-08; llr.sc.gov refused connections) ↗ (accessed 2026-09-27)
- SC LLR Board of Occupational Therapy — Fees (Internet Archive copy, captured 2026-03-07) ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (South Carolina: Not Yet) ↗ (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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