Occupational Therapy License from Texas to Louisiana: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure) ↗
A occupational therapy license transfers from Texas to Louisiana by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure), verify your Texas license, and meet Louisiana's endorsement requirements. The NBCOT certification exam is not retaken. The Louisiana State Board of Medical Examiners requires applicants to be CURRENTLY NBCOT certified (NBCOT contact is listed for verification). A post-exam NBCOT score report sent directly to the Board is required only for temporary-license (new graduate) applicants. The Board's OT application instructions mention no state jurisprudence exam..
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Verdict
Licensure by endorsement
The compact plays no part here, since neither state is issuing privileges. You apply to the Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure) as an OT licensed in another state, with NBCOT passage verified and your Texas license confirmed, plus whatever Louisiana adds such as fingerprints or a jurisprudence exam.
What changes, Texas → Louisiana
| Texas (current) | Louisiana (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement | OT Compact enacted — not yet issuing |
| 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.) | $150 (Non-refundable OT licensure fee paid by card through LaMED ($100 for an OTA). A temporary license costs $200 in total ($50 temporary fee plus $150 licensure). The Board does not list the background-check cost. Act 933 of the 2026 Regular Session (HB 1182) rewrote the OT fee statute and includes a separate reciprocity fee line. It could not be read because legis.la.gov did not resolve from this environment, so this range reflects only the Board's published $150.) |
| 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 | The Board publishes no processing timeframe. It warns that applicants with criminal history may face delays and that the background check cannot start until the application is submitted. |
| Licensing authority | Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) | Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure) |
The destination column is what you must satisfy — Louisiana sets the rules for this move.
Step by step
- Confirm Louisiana's current requirements on the Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure) website (linked below) — rules change.
- Submit the endorsement application to the Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure) (application linked below).
- Arrange license verification from your current state via the verification system.
- Apply online through the LSBME LaMED dashboard (online.lasbme.org).
- Hold current NBCOT certification.
- Have every state where you are or were licensed send license verification to the Board.
- Complete the criminal background check; instructions are sent after the application is submitted.
- Graduate of an ACOTE-accredited entry-level OT program.
- Pay the fees ($150 (Non-refundable OT licensure fee paid by card through LaMED ($100 for an OTA). A temporary license costs $200 in total ($50 temporary fee plus $150 licensure). The Board does not list the background-check cost. Act 933 of the 2026 Regular Session (HB 1182) rewrote the OT fee statute and includes a separate reciprocity fee line. It could not be read because legis.la.gov did not resolve from this environment, so this range reflects only the Board's published $150.)) and allow The Board publishes no processing timeframe. It warns that applicants with criminal history may face delays and that the background check cannot start until the application is submitted..
Official links
Related guides
Frequently asked questions
Can I use my Texas occupational therapy license in Louisiana?
A occupational therapy license transfers from Texas to Louisiana by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Louisiana State Board of Medical Examiners (Occupational Therapists/Assistants licensure), verify your Texas license, and meet Louisiana's endorsement requirements. The NBCOT certification exam is not retaken. The Louisiana State Board of Medical Examiners requires applicants to be CURRENTLY NBCOT certified (NBCOT contact is listed for verification). A post-exam NBCOT score report sent directly to the Board is required only for temporary-license (new graduate) applicants. The Board's OT application instructions mention no state jurisprudence exam..
Do I retake the NBCOT exam moving from Texas to Louisiana?
No. The NBCOT certification exam is not retaken. The Louisiana State Board of Medical Examiners requires applicants to be CURRENTLY NBCOT certified (NBCOT contact is listed for verification). A post-exam NBCOT score report sent directly to the Board is required only for temporary-license (new graduate) applicants. The Board's OT application instructions mention no state jurisprudence exam.
How much does a Louisiana OT license cost for someone licensed in Texas?
$150 (Non-refundable OT licensure fee paid by card through LaMED ($100 for an OTA). A temporary license costs $200 in total ($50 temporary fee plus $150 licensure). The Board does not list the background-check cost. Act 933 of the 2026 Regular Session (HB 1182) rewrote the OT fee statute and includes a separate reciprocity fee line. It could not be read because legis.la.gov did not resolve from this environment, so this range reflects only the Board's published $150.).
How long does Louisiana take to process the application?
The Board publishes no processing timeframe. It warns that applicants with criminal history may face delays and that the background check cannot start until the application is submitted..
Can I use the OT Compact to work in Louisiana?
Not for this move. Louisiana has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A Louisiana license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- LSBME — Application & Instructions for Initial Licensure, Occupational Therapist/Assistant ↗ (accessed 2026-09-27)
- LSBME — Occupational Therapists/Assistants licensure page ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (Louisiana: Not Yet accepting applications) ↗ (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
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