Occupational Therapy License from Texas 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 Texas 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 Texas 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
Neither Texas nor Connecticut is issuing OT Compact privileges, so there is one route: a Connecticut license by endorsement from the Connecticut Department of Public Health, Practitioner Licensing and Investigations Section (Occupational Therapist Licensure). The board verifies your Texas license and your NBCOT exam passage; being licensed in Texas neither speeds nor slows Connecticut's standard out-of-state review.
What changes, Texas → Connecticut
| Texas (current) | Connecticut (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement | Licensure by endorsement |
| Application fee | $140 (non-refundable OT application fee (OTA $100) per the Board's September 2026 paper application; online applicants pay electronically. Fingerprinting vendor fee paid separately (amount not published on the pages read). Application fees are waived for military service members, veterans and military spouses under HB 5629 (2025). Texas is not in the OT Compact, so no privilege option exists.) | $200 (initial application fee, paid online through eLicense (biennial renewal $205). DPH lists no fingerprint requirement on the OT pages reviewed.) |
| Processing time | no processing time is published on the application page (it refers applicants to homepage notices and says average processing times vary); a license is not issued until every item is received and processed, and practice may begin once the license shows on the Board's online verification | DPH does not publish an OT processing timeframe on the pages reviewed |
| Licensing authority | Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) | 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 Texas occupational therapy license in Connecticut?
A occupational therapy license transfers from Texas 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 Texas 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 Texas 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 Texas?
$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)
- Texas Board of OT Examiners — OT Application (General, Apply by Endorsement, Military tabs) ↗ (accessed 2026-09-27)
- Texas Board of OT Examiners — OT/OTA Initial Licensure Application (paper), rev. 2026.09 ↗ (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]