Occupational Therapy License from Oregon to Illinois: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) ↗
A occupational therapy license transfers from Oregon to Illinois by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board), verify your Oregon license, and meet Illinois's endorsement requirements. The NBCOT certification exam is not retaken. Endorsement applicants must show passage of the NBCOT OTR exam; IDFPR staff retrieve the score from the NBCOT portal during evaluation. IDFPR's 'Qualifications for Licensure' document does not require current NBCOT certification and lists no Illinois jurisprudence exam..
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Same data, interactive — with share link and board links.
Verdict
Licensure by endorsement
The compact plays no part here, since neither state is issuing privileges. You apply to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) as an OT licensed in another state, with NBCOT passage verified and your Oregon license confirmed, plus whatever Illinois adds such as fingerprints or a jurisprudence exam.
What changes, Oregon → Illinois
| Oregon (current) | Illinois (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement | Licensure by endorsement |
| Application fee | $280 (two-year license/application fee. From March 1, 2026 the Board quotes $330 in total ($280 + a $50 Oregon State Police background-check fee passed through), for a license active through May 31, 2028; the $12.50 Fieldprint fingerprinting fee is paid separately, directly to the vendor. Non-refundable. OTA: $260 ($210 + $50). Military spouse/domestic partner temporary license: $99. Oregon is not in the OT Compact, so no privilege option exists.) | The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified. |
| Processing time | the Board states that once it receives all documentation it licenses within 3 days; no end-to-end timeframe is published. An undisclosed arrest that appears on the FBI check sends the application to the full Board, which meets quarterly; the Board warns this may mean a 1-3 month wait plus a $1,000 civil penalty | IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt |
| Licensing authority | Oregon Occupational Therapy Licensing Board | Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) |
The destination column is what you must satisfy — Illinois sets the rules for this move.
Step by step
- Confirm Illinois's current requirements on the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) website (linked below) — rules change.
- Submit the endorsement application to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board) (application linked below).
- Arrange license verification from your current state via the verification system.
- Master's degree or higher from a program that meets or exceeds ACOTE standards (upload the official sealed transcript).
- Passing score on the NBCOT OTR exam, retrieved by IDFPR from the NBCOT portal.
- Certification of licensure from the first jurisdiction where you were licensed and from every jurisdiction where you are currently licensed (primary-source website printouts accepted).
- Apply online through IDFPR's CORE system; all required documents must be uploaded before the application can be submitted.
- Pay the fees (The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified.) and allow IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt.
Official links
Related guides
Frequently asked questions
Can I use my Oregon occupational therapy license in Illinois?
A occupational therapy license transfers from Oregon to Illinois by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Illinois Department of Financial and Professional Regulation (Occupational Therapy Licensure Board), verify your Oregon license, and meet Illinois's endorsement requirements. The NBCOT certification exam is not retaken. Endorsement applicants must show passage of the NBCOT OTR exam; IDFPR staff retrieve the score from the NBCOT portal during evaluation. IDFPR's 'Qualifications for Licensure' document does not require current NBCOT certification and lists no Illinois jurisprudence exam..
Do I retake the NBCOT exam moving from Oregon to Illinois?
No. The NBCOT certification exam is not retaken. Endorsement applicants must show passage of the NBCOT OTR exam; IDFPR staff retrieve the score from the NBCOT portal during evaluation. IDFPR's 'Qualifications for Licensure' document does not require current NBCOT certification and lists no Illinois jurisprudence exam.
How much does a Illinois OT license cost for someone licensed in Oregon?
The endorsement fee is set in 68 Ill. Adm. Code 1315 but does not appear in IDFPR's OT qualifications document, and the Illinois General Assembly rules site refused connections on 2026-09-27, so the amount could not be verified..
How long does Illinois take to process the application?
IDFPR publishes no OT processing timeframe; an application stays active for three years from receipt.
Can I use the OT Compact to work in Illinois?
Not for this move. Illinois has not enacted the OT Compact. A Illinois license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- IDFPR, Occupational Therapy profession page ↗ (accessed 2026-09-27)
- IDFPR, Qualifications for Licensure: Occupational Therapist (056, effective 02/2026) ↗ (accessed 2026-09-27)
- Oregon OT Licensing Board — Applications (OT application instructions, fees, fingerprinting, military spouse license) ↗ (accessed 2026-09-27)
- Oregon OT Licensing Board — Law/Ethics Exam ↗ (accessed 2026-09-27)
- Oregon OT Licensing Board — OT Licensure Compact Information (Oregon not part of the compact; HB 2357 did not pass) ↗ (accessed 2026-09-27)
- Oregon OT Licensing Board — Re-Entry Into Practice (ORS 675.240(5), OAR 339-010-0016) ↗ (accessed 2026-09-27)
- Oregon OT Licensing Board — Limited Permits ↗ (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]