Occupational Therapy License from Texas to New Hampshire: Does It Transfer? (2026)
Last verified: 2026-09-27 · source: New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification) ↗
A occupational therapy license transfers from Texas to New Hampshire by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification), verify your Texas license, and meet New Hampshire's endorsement requirements. The NBCOT certification exam is not retaken. OPLC's OT initial-application checklist lists NBCOT certification as an eligibility item and requires a letter sent directly from NBCOT verifying your certification and its expiration dates (Occ 302.03(e)), i.e. an NBCOT Verification of Certification, so current NBCOT certification appears to be expected. The separate universal reciprocity route (RSA 310:17) asks for the application, fee, proof of your active license and an FBI background check. No New Hampshire jurisprudence exam was found..
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Verdict
Licensure by endorsement
Neither Texas nor New Hampshire is issuing OT Compact privileges, so there is one route: a New Hampshire license by endorsement from the New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification). The board verifies your Texas license and your NBCOT exam passage; being licensed in Texas neither speeds nor slows New Hampshire's standard out-of-state review.
What changes, Texas → New Hampshire
| Texas (current) | New Hampshire (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.) | $110 (OT application fee on OPLC's Occupational Therapy Governing Board License Fees page (Internet Archive copy of 2025-05-31; OTA also $110; separate $20 certificate fee and $10 license-verification fee listed). OPLC moved the page to a new address in 2026 that could not be retrieved, so confirm the current amount (fees are set in Plc 1000). + FBI background-check fees. No OT Compact privilege fee exists yet (New Hampshire is not issuing privileges).) |
| 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 | OPLC publishes no OT processing time; under Plc 313.07(c) it may issue a provisional license to an endorsement applicant whose FBI check results are still pending |
| Licensing authority | Texas Board of Occupational Therapy Examiners (Executive Council of Physical Therapy and Occupational Therapy Examiners) | New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification) |
The destination column is what you must satisfy — New Hampshire sets the rules for this move.
Step by step
- Confirm New Hampshire's current requirements on the New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification) website (linked below) — rules change.
- Submit the endorsement application to the New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification) (application linked below).
- Arrange license verification from your current state via the verification system.
- Apply online through OPLC; applicants licensed in another state can use the universal reciprocity route (Universal Application for Initial License with a copy or portal screenshot of the active, good-standing license).
- Complete an FBI criminal history records check.
- Have NBCOT send a letter directly to the Board verifying your certification and its expiration dates.
- Have each other state of licensure send license verification directly to the Board, where applicable.
- Graduate of an ACOTE-accredited OT program (official transcript sent directly from the school on the standard initial route).
- Pay the fees ($110 (OT application fee on OPLC's Occupational Therapy Governing Board License Fees page (Internet Archive copy of 2025-05-31; OTA also $110; separate $20 certificate fee and $10 license-verification fee listed). OPLC moved the page to a new address in 2026 that could not be retrieved, so confirm the current amount (fees are set in Plc 1000). + FBI background-check fees. No OT Compact privilege fee exists yet (New Hampshire is not issuing privileges).)) and allow OPLC publishes no OT processing time; under Plc 313.07(c) it may issue a provisional license to an endorsement applicant whose FBI check results are still pending.
Official links
Related guides
Frequently asked questions
Can I use my Texas occupational therapy license in New Hampshire?
A occupational therapy license transfers from Texas to New Hampshire by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the New Hampshire Occupational Therapists Governing Board (Office of Professional Licensure and Certification), verify your Texas license, and meet New Hampshire's endorsement requirements. The NBCOT certification exam is not retaken. OPLC's OT initial-application checklist lists NBCOT certification as an eligibility item and requires a letter sent directly from NBCOT verifying your certification and its expiration dates (Occ 302.03(e)), i.e. an NBCOT Verification of Certification, so current NBCOT certification appears to be expected. The separate universal reciprocity route (RSA 310:17) asks for the application, fee, proof of your active license and an FBI background check. No New Hampshire jurisprudence exam was found..
Do I retake the NBCOT exam moving from Texas to New Hampshire?
No. The NBCOT certification exam is not retaken. OPLC's OT initial-application checklist lists NBCOT certification as an eligibility item and requires a letter sent directly from NBCOT verifying your certification and its expiration dates (Occ 302.03(e)), i.e. an NBCOT Verification of Certification, so current NBCOT certification appears to be expected. The separate universal reciprocity route (RSA 310:17) asks for the application, fee, proof of your active license and an FBI background check. No New Hampshire jurisprudence exam was found.
How much does a New Hampshire OT license cost for someone licensed in Texas?
$110 (OT application fee on OPLC's Occupational Therapy Governing Board License Fees page (Internet Archive copy of 2025-05-31; OTA also $110; separate $20 certificate fee and $10 license-verification fee listed). OPLC moved the page to a new address in 2026 that could not be retrieved, so confirm the current amount (fees are set in Plc 1000). + FBI background-check fees. No OT Compact privilege fee exists yet (New Hampshire is not issuing privileges).).
How long does New Hampshire take to process the application?
OPLC publishes no OT processing time; under Plc 313.07(c) it may issue a provisional license to an endorsement applicant whose FBI check results are still pending.
Can I use the OT Compact to work in New Hampshire?
Not for this move. New Hampshire has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A New Hampshire license by endorsement is required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.
- NH OPLC — Occupational Therapists Applications page (online portal, checklists, reciprocity link) (Internet Archive copy of 2026-03-24; oplc.nh.gov returned HTTP 403 on 2026-09-27) ↗ (accessed 2026-09-27)
- NH OPLC — New Changes for Reciprocity in New Hampshire (HB 594, RSA 310:17; OT qualifying jurisdictions, Plc 313.43; FBI check; provisional license) (Internet Archive copy of 2026-08-21) ↗ (accessed 2026-09-27)
- NH OPLC — Occupational Therapist Initial Application Checklist (Internet Archive copy of 2025-03-05) ↗ (accessed 2026-09-27)
- NH OPLC — Occupational Therapy Governing Board License Fees (Internet Archive copy of 2025-05-31) ↗ (accessed 2026-09-27)
- OT Compact Commission — Before You Apply (New Hampshire: 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
How we verify · All sources · spot an error? [email protected]