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LicenseReciprocity

Physical Therapy License from District of Columbia to Missouri: Does It Transfer? (2026)

Last verified: 2026-08-07 · source: Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration) ↗

Yes — both District of Columbia and Missouri are members of the Physical Therapy Licensure Compact (PT Compact). If District of Columbia is your primary state of residence and you hold a multistate license, you can practice in Missouri now; if you are moving your residence to Missouri, apply for licensure by endorsement there and declare Missouri your new primary state of residence — your multistate privilege continues.

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Verdict

Compact multistate — already covered

Both District of Columbia and Missouri are active PT Compact members, so this is a privilege move, not a license move. If District of Columbia is your home state and primary residence and your license there is active, you do not apply to the Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration) — you buy a Missouri compact privilege through the commission and practice on it, with your District of Columbia license staying in place. Two caveats worth planning around: Missouri may require its jurisprudence exam before the privilege issues, and the privilege lapses the moment your District of Columbia license does. If you are genuinely relocating to Missouri rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into Missouri.

What changes, District of Columbia → Missouri

Side-by-side: District of Columbia vs Missouri (Physical Therapy (PT/PTA)), verified 2026-08-07
District of Columbia (current)Missouri (destination)
PT Compact statusPT Compact member — multistate license honoredPT Compact member — multistate license honored
Application fee$264 ($264 combined application and license fee paid online (DC Health licensing portal), per the DC endorsement checklist; a separate $50 criminal background check fee is paid online with the application. Licenses run biennially, expiring Jan 31 of odd-numbered years. NOT the PT Compact privilege fee.)$25 ($25.00 application fee for the physical therapist application — the same form and fee used by an applicant already licensed in another state. A temporary licence costs an extra $10.00 but is available to first-time examination applicants only. The Board cannot take credit or debit cards for the initial application fee. Fingerprint background-check costs are paid separately to the state vendor. This is NOT the PT Compact privilege fee.)
Processing timeDC Health does not publish a processing timeframe for endorsement applications.6–10 weeks (the Board asks applicants to allow a minimum of 4-6 weeks for initial processing once the application and fee are in office, plus a further 2-4 weeks after the file goes to final review for approval; deficiencies or Board backlog lengthen this)
Licensing authorityDistrict of Columbia Board of Physical Therapy (DC Health)Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration)

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

Step by step

  1. Confirm your current license is an active multistate license in good standing.
  2. If you are moving your primary residence to Missouri: apply for licensure by endorsement with the Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration) when you move.
  3. Declare Missouri as your new primary state of residence on that application.
  4. Complete Missouri's fingerprint/background check requirement if requested.
  5. Keep practicing — your multistate privilege remains valid during the transition (do not let the old license lapse before the new one issues).

Official links

Related guides

Frequently asked questions

Does Missouri accept a District of Columbia physical therapy license?

Yes — both District of Columbia and Missouri are members of the Physical Therapy Licensure Compact (PT Compact). If District of Columbia is your primary state of residence and you hold a multistate license, you can practice in Missouri now; if you are moving your residence to Missouri, apply for licensure by endorsement there and declare Missouri your new primary state of residence — your multistate privilege continues.

Do I retake the NPTE moving from District of Columbia to Missouri?

No — the NPTE is taken once and your score transfers through the FSBPT. The NPTE is not retaken; the applicant requests an FSBPT score transfer so the passing score is reported to the Board. Missouri additionally requires its own jurisprudence examination, which is included in the application packet, answered from the Missouri statutes and rules, returned with the application and scored by the Board — a score of 75% or higher is required..

What does the move cost?

If you are buying a Missouri compact privilege to work while living in District of Columbia: the commission's uniform fee plus Missouri's privilege fee. If you are relocating and taking a full Missouri license by endorsement: $25 ($25.00 application fee for the physical therapist application — the same form and fee used by an applicant already licensed in another state. A temporary licence costs an extra $10.00 but is available to first-time examination applicants only. The Board cannot take credit or debit cards for the initial application fee. Fingerprint background-check costs are paid separately to the state vendor. This is NOT the PT Compact privilege fee.) ($25.00 application fee for the physical therapist application — the same form and fee used by an applicant already licensed in another state. A temporary licence costs an extra $10.00 but is available to first-time examination applicants only. The Board cannot take credit or debit cards for the initial application fee. Fingerprint background-check costs are paid separately to the state vendor. This is NOT the PT Compact privilege fee.).

How long will it take?

A compact privilege issues quickly once your eligibility and any Missouri jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs 6–10 weeks (the Board asks applicants to allow a minimum of 4-6 weeks for initial processing once the application and fee are in office, plus a further 2-4 weeks after the file goes to final review for approval; deficiencies or Board backlog lengthen this) (the Board asks applicants to allow a minimum of 4-6 weeks for initial processing once the application and fee are in office, plus a further 2-4 weeks after the file goes to final review for approval; deficiencies or Board backlog lengthen this).

Sources

Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.

Reviewed by Billy Reiner, Editor · verified against primary sources 2026-08-07

How we verify · All sources · spot an error? [email protected]