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LicenseReciprocity

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

Last verified: 2026-09-27 · source: Delaware Board of Occupational Therapy Practice (Division of Professional Regulation) ↗

A occupational therapy license transfers from Pennsylvania to Delaware by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation), verify your Pennsylvania license, and meet Delaware's endorsement requirements. The NBCOT certification exam is not retaken. If you took the NBCOT exam after 2006 and designated Delaware to receive your scores, the Board office pulls them online. If you took it before 2007 or did not designate Delaware, you must order an official NBCOT Score Transfer. The Board does not say that NBCOT certification must be current, and no Delaware jurisprudence exam is required for licensure..

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Verdict

Licensure by endorsement

Pennsylvania and Delaware 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 Delaware Board of Occupational Therapy Practice (Division of Professional Regulation); your NBCOT result is verified by Score Transfer or Verification of Certification. If both states go live, working in Delaware while living in Pennsylvania could later be done on a privilege.

What changes, Pennsylvania → Delaware

Side-by-side: Pennsylvania vs Delaware (Occupational Therapy (OT/OTA)), verified 2026-09-27
Pennsylvania (current)Delaware (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).)$236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).)
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 timeframe is published; the Board reviews only complete applications and does so at its next scheduled meeting
Licensing authorityPennsylvania State Board of Occupational Therapy Education and Licensure (Bureau of Professional and Occupational Affairs, Department of State)Delaware Board of Occupational Therapy Practice (Division of Professional Regulation)

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

Step by step

  1. Confirm Delaware's current requirements on the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation) website (linked below) — rules change.
  2. Submit the endorsement application to the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Hold a current OT license in another jurisdiction (apply 'by reciprocity' in DELPROS).
  5. Complete a State of Delaware and FBI fingerprint criminal background check through IdentoGO using the Board's service code; checks done for any other purpose are not accepted.
  6. Have every state or jurisdiction where you hold or ever held a license send verification directly to the Board.
  7. Order an NBCOT Score Transfer if you tested before 2007 or did not designate Delaware to receive your scores.
  8. Pay the fees ($236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).)) and allow no timeframe is published; the Board reviews only complete applications and does so at its next scheduled meeting.

Official links

Related guides

Frequently asked questions

Can I use my Pennsylvania occupational therapy license in Delaware?

A occupational therapy license transfers from Pennsylvania to Delaware by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Delaware Board of Occupational Therapy Practice (Division of Professional Regulation), verify your Pennsylvania license, and meet Delaware's endorsement requirements. The NBCOT certification exam is not retaken. If you took the NBCOT exam after 2006 and designated Delaware to receive your scores, the Board office pulls them online. If you took it before 2007 or did not designate Delaware, you must order an official NBCOT Score Transfer. The Board does not say that NBCOT certification must be current, and no Delaware jurisprudence exam is required for licensure..

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

No. The NBCOT certification exam is not retaken. If you took the NBCOT exam after 2006 and designated Delaware to receive your scores, the Board office pulls them online. If you took it before 2007 or did not designate Delaware, you must order an official NBCOT Score Transfer. The Board does not say that NBCOT certification must be current, and no Delaware jurisprudence exam is required for licensure.

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

$236 (nonrefundable OT application fee paid in DELPROS (OTA $96; interstate telehealth registration $50). + fingerprinting and background-check fees paid to the vendor. NOT the OT Compact privilege fee (Commission lists Delaware's future state fee as $100 for OTs).).

How long does Delaware take to process the application?

no timeframe is published; the Board reviews only complete applications and does so at its next scheduled meeting.

Can I use the OT Compact to work in Delaware?

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