Occupational Therapy License from Pennsylvania to Connecticut: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure) ↗
A occupational therapy license transfers from Pennsylvania to Connecticut by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure), verify your Pennsylvania license, and meet Connecticut's endorsement requirements. The NBCOT certification exam is not retaken. Applicants licensed in other states must arrange for an official NBCOT Certification Verification Letter to be sent directly to DPH; the standard checklist also lists an official NBCOT score report. Under the four-years-of-practice pathway, DPH says no transcripts, training verification or examination are required. No Connecticut jurisprudence exam is listed..
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Verdict
Licensure by endorsement
The compact plays no part here, since neither state is issuing privileges. You apply to the Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure) as an OT licensed in another state, with NBCOT passage verified and your Pennsylvania license confirmed, plus whatever Connecticut adds such as fingerprints or a jurisprudence exam.
What changes, Pennsylvania → Connecticut
| Pennsylvania (current) | Connecticut (destination) | |
|---|---|---|
| OT Compact status | OT Compact enacted — not yet issuing | Licensure by endorsement |
| 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).) | $200 (initial application fee, paid online through eLicense (biennial renewal $205). DPH lists no fingerprint requirement on the OT pages reviewed.) |
| Processing time | the 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) | DPH does not publish an OT processing timeframe on the pages reviewed |
| Licensing authority | Pennsylvania State Board of Occupational Therapy Education and Licensure (Bureau of Professional and Occupational Affairs, Department of State) | Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure) |
The destination column is what you must satisfy — Connecticut sets the rules for this move.
Step by step
- Confirm Connecticut's current requirements on the Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure) website (linked below) — rules change.
- Submit the endorsement application to the Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure) (application linked below).
- Arrange license verification from your current state via the verification system.
- Graduate of an AOTA/ACOTE-accredited OT program with at least 24 weeks of supervised fieldwork; the school sends the official transcript directly.
- Have NBCOT send an official Certification Verification Letter directly to DPH.
- Have every state where you hold or ever held a license or certification send verification directly (most charge a fee).
- Apply online through eLicense with a photo; paper applications are not accepted.
- Pay the fees ($200 (initial application fee, paid online through eLicense (biennial renewal $205). DPH lists no fingerprint requirement on the OT pages reviewed.)) and allow DPH does not publish an OT processing timeframe on the pages reviewed.
Official links
Related guides
Frequently asked questions
Can I use my Pennsylvania occupational therapy license in Connecticut?
A occupational therapy license transfers from Pennsylvania to Connecticut by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure), verify your Pennsylvania license, and meet Connecticut's endorsement requirements. The NBCOT certification exam is not retaken. Applicants licensed in other states must arrange for an official NBCOT Certification Verification Letter to be sent directly to DPH; the standard checklist also lists an official NBCOT score report. Under the four-years-of-practice pathway, DPH says no transcripts, training verification or examination are required. No Connecticut jurisprudence exam is listed..
Do I retake the NBCOT exam moving from Pennsylvania to Connecticut?
No. The NBCOT certification exam is not retaken. Applicants licensed in other states must arrange for an official NBCOT Certification Verification Letter to be sent directly to DPH; the standard checklist also lists an official NBCOT score report. Under the four-years-of-practice pathway, DPH says no transcripts, training verification or examination are required. No Connecticut jurisprudence exam is listed.
How much does a Connecticut OT license cost for someone licensed in Pennsylvania?
$200 (initial application fee, paid online through eLicense (biennial renewal $205). DPH lists no fingerprint requirement on the OT pages reviewed.).
How long does Connecticut take to process the application?
DPH does not publish an OT processing timeframe on the pages reviewed.
Can I use the OT Compact to work in Connecticut?
Not for this move. Connecticut has not enacted the OT Compact. A Connecticut license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- CT DPH, Occupational Therapist Licensure (fees) ↗ (accessed 2026-09-27)
- CT DPH, OT Licensure Requirements ↗ (accessed 2026-09-27)
- CT DPH, Applicants Licensed in Another US State for at Least 4 Years ↗ (accessed 2026-09-27)
- PA Department of State — Occupational Therapist Licensure Snapshot (requirements, $30 initial fee, Act 41) ↗ (accessed 2026-09-27)
- PA State Board of Occupational Therapy Education and Licensure — board page ↗ (accessed 2026-09-27)
- 49 Pa. Code § 42.9 — Licensure by endorsement (Act 41) ↗ (accessed 2026-09-27)
- 49 Pa. Code § 42.12 — Waiver of licensure examination ↗ (accessed 2026-09-27)
- 49 Pa. Code § 42.13 — Application for licensure ↗ (accessed 2026-09-27)
- 49 Pa. Code § 42.17 — Fees ↗ (accessed 2026-09-27)
- OT Compact Commission — Compact Map dataset (Pennsylvania: Enacted, HB 482 / SB 571) ↗ (accessed 2026-09-27)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27
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