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LicenseReciprocity

Occupational Therapy License from Pennsylvania to Colorado: Does It Transfer? (2026)

Last verified: 2026-09-27 · source: Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA) ↗

A occupational therapy license transfers from Pennsylvania to Colorado by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA), verify your Pennsylvania license, and meet Colorado's endorsement requirements. The NBCOT certification exam is not retaken. On the endorsement path the online application (per the DPO's application preview) asks for an active license, an attestation of an approved OT program, and proof of competency; it does not request an NBCOT score transfer or certification upload. The 'by Original' path for unlicensed applicants requires CURRENT NBCOT certification. No Colorado jurisprudence exam appears in the application..

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Verdict

Licensure by endorsement

Pennsylvania and Colorado 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 Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA); your NBCOT result is verified by Score Transfer or Verification of Certification. If both states go live, working in Colorado while living in Pennsylvania could later be done on a privilege.

What changes, Pennsylvania → Colorado

Side-by-side: Pennsylvania vs Colorado (Occupational Therapy (OT/OTA)), verified 2026-09-27
Pennsylvania (current)Colorado (destination)
OT Compact statusOT Compact enacted — not yet issuingOT Compact enacted — not yet issuing
Application fee$30 (application for license fee, the same for OT and OTA (49 Pa. Code 42.17; the Board's Licensure Snapshot shows a $30 initial fee). The Act 41 endorsement route charges the same 42.17 application fee (42.9(a)(5)). Biennial renewal is $55 (OTA $45). The fee schedule also lists a $20 temporary license. No fingerprint/background-check fee was found in the Board materials read. No OT Compact privilege fee exists yet (Pennsylvania is not issuing privileges).)The DPO's OT Licensing Services and fee pages returned 'Access denied' to automated fetches on 2026-09-27, and the application preview does not state the fee, so the endorsement fee could not be verified. The Commission lists Colorado's compact privilege fee as TBD.
Processing timethe Department of State publishes processing guides and timelines only for certain boards, and none covers occupational therapy. Applications are filed and tracked in PALS, and the Board may require an interview (Act 41 route)no processing timeframe found on the DPO OT pages that could be read
Licensing authorityPennsylvania State Board of Occupational Therapy Education and Licensure (Bureau of Professional and Occupational Affairs, Department of State)Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA)

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

Step by step

  1. Confirm Colorado's current requirements on the Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA) website (linked below) — rules change.
  2. Submit the endorsement application to the Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Hold an active, unrestricted OT license in another state or jurisdiction.
  5. Attest to completing an approved (ACOTE- or WFOT-accredited) OT program.
  6. Prove competency within the last two years: 400 hours of OT practice in a 12-month period (Verification of Practice form), 24 hours of OT continuing education, or completion of an OT education program.
  7. Hold professional liability insurance or qualify for an exemption.
  8. Upload verification of every OT license you hold or have held, showing original issue date and any discipline.
  9. Pay the fees (The DPO's OT Licensing Services and fee pages returned 'Access denied' to automated fetches on 2026-09-27, and the application preview does not state the fee, so the endorsement fee could not be verified. The Commission lists Colorado's compact privilege fee as TBD.) and allow no processing timeframe found on the DPO OT pages that could be read.

Official links

Related guides

Frequently asked questions

Can I use my Pennsylvania occupational therapy license in Colorado?

A occupational therapy license transfers from Pennsylvania to Colorado by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Colorado Office of Occupational Therapy Licensure (Division of Professions and Occupations, DORA), verify your Pennsylvania license, and meet Colorado's endorsement requirements. The NBCOT certification exam is not retaken. On the endorsement path the online application (per the DPO's application preview) asks for an active license, an attestation of an approved OT program, and proof of competency; it does not request an NBCOT score transfer or certification upload. The 'by Original' path for unlicensed applicants requires CURRENT NBCOT certification. No Colorado jurisprudence exam appears in the application..

Do I retake the NBCOT exam moving from Pennsylvania to Colorado?

No. The NBCOT certification exam is not retaken. On the endorsement path the online application (per the DPO's application preview) asks for an active license, an attestation of an approved OT program, and proof of competency; it does not request an NBCOT score transfer or certification upload. The 'by Original' path for unlicensed applicants requires CURRENT NBCOT certification. No Colorado jurisprudence exam appears in the application.

How much does a Colorado OT license cost for someone licensed in Pennsylvania?

The DPO's OT Licensing Services and fee pages returned 'Access denied' to automated fetches on 2026-09-27, and the application preview does not state the fee, so the endorsement fee could not be verified. The Commission lists Colorado's compact privilege fee as TBD..

How long does Colorado take to process the application?

no processing timeframe found on the DPO OT pages that could be read.

Can I use the OT Compact to work in Colorado?

Not for this move. Colorado has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Colorado 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]