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LicenseReciprocity

Physical Therapy License from Hawaii to Ohio: Does It Transfer? (2026)

Last verified: 2026-08-07 · source: Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section ↗

A physical therapy license transfers from Hawaii to Ohio by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section, verify your Hawaii license, and meet Ohio's endorsement requirements. NPTE is not retaken for a routine transfer; FSBPT's Score Transfer Service sends the existing passing score to the physical therapy section. Ohio has one exception: under OAC 4755:2-1-04(C) an endorsement applicant who has been out of practice five or more years - defined as fewer than 500 practice hours in the prior five years - must either retake and pass the NPTE or complete an action plan approved by the physical therapy section. Note that the Ohio laws-and-rules examination is imposed by rule on licensure by EXAMINATION (OAC 4755:2-1-03(A)(2)); the endorsement rule does not itself impose it, so confirm with the Board whether the Ohio Jurisprudence Assessment Module is required on your endorsement application..

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Verdict

Licensure by endorsement

This direction has a payoff. Hawaii is outside the active compact, so you have had no privileges to work with — but Ohio is an active member. Endorse into Ohio with the Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section, establish it as your home state and primary residence, and Ohio becomes your springboard: from there you can buy compact privileges into every other active member state without another full license. Your NPTE score transfers through the FSBPT; you do not re-sit the exam.

What changes, Hawaii → Ohio

Side-by-side: Hawaii vs Ohio (Physical Therapy (PT/PTA)), verified 2026-08-07
Hawaii (current)Ohio (destination)
PT Compact statusLicensure by endorsementPT Compact member — multistate license honored
Application fee$185–$300 (exam-waiver (endorsement) applicants pay a bundled total that depends on the licensing year: $185 if licensed in an EVEN-numbered year ($50 application + $85 license + $50 Compliance Resolution Fund) or $300 if licensed in an ODD-numbered year ($50 application + $85 license + $100 CRF + $65 half renewal). The $50 application fee is non-refundable. A temporary license costs an extra $50.)$100 (OAC 4755-4-01(B)(1) (effective August 21, 2025) caps the initial licensing fee - the fee an endorsement applicant pays - at one hundred dollars, and states that the current amount is published on the Board's website. otptat.ohio.gov and codes.ohio.gov were unreachable from the research environment on 2026-08-07, so only the rule maximum is given rather than an unverified exact figure. Biennial renewal is likewise capped at $100. The BCI/FBI criminal records check is billed separately by the record providers. This is not the PT Compact privilege fee.)
Processing timethe Board publishes no processing timeframe; it states only that an application is abandoned and destroyed if the license process is not completed within one year of filing (HAR 16-110-10(d))Neither the Ohio Revised Code nor the Board's rules state a processing timeframe; OAC 4755:2-1-01(E) provides only that an application still incomplete one year after filing is abandoned.
Licensing authorityHawaii Board of Physical Therapy (Department of Commerce and Consumer Affairs, Professional and Vocational Licensing Division)Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section

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

Step by step

  1. Confirm Ohio's current requirements on the Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section website (linked below) — rules change.
  2. Submit the endorsement application to the Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section (application linked below).
  3. Arrange license verification from your current state.
  4. Hold a current physical therapist license in another state whose requirements the physical therapy section finds substantially similar under ORC 4796.03.
  5. Submit and electronically sign the application through eLicense Ohio with the fee prescribed by OAC 4755-4-01.
  6. Submit a criminal records check completed by the Ohio Bureau of Criminal Identification and Investigation that also requests FBI results; the report must be less than six months old when the Board receives it.
  7. If out of practice five or more years, retake and pass the NPTE or complete a Board-approved action plan.
  8. Complete the application within one year of filing, or it is treated as abandoned.
  9. Pay the fees ($100 (OAC 4755-4-01(B)(1) (effective August 21, 2025) caps the initial licensing fee - the fee an endorsement applicant pays - at one hundred dollars, and states that the current amount is published on the Board's website. otptat.ohio.gov and codes.ohio.gov were unreachable from the research environment on 2026-08-07, so only the rule maximum is given rather than an unverified exact figure. Biennial renewal is likewise capped at $100. The BCI/FBI criminal records check is billed separately by the record providers. This is not the PT Compact privilege fee.)) and allow Neither the Ohio Revised Code nor the Board's rules state a processing timeframe; OAC 4755:2-1-01(E) provides only that an application still incomplete one year after filing is abandoned..

Official links

Related guides

Frequently asked questions

Does Ohio accept a Hawaii physical therapy license?

A physical therapy license transfers from Hawaii to Ohio by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board (OTPTAT Board) - Physical Therapy Section, verify your Hawaii license, and meet Ohio's endorsement requirements. NPTE is not retaken for a routine transfer; FSBPT's Score Transfer Service sends the existing passing score to the physical therapy section. Ohio has one exception: under OAC 4755:2-1-04(C) an endorsement applicant who has been out of practice five or more years - defined as fewer than 500 practice hours in the prior five years - must either retake and pass the NPTE or complete an action plan approved by the physical therapy section. Note that the Ohio laws-and-rules examination is imposed by rule on licensure by EXAMINATION (OAC 4755:2-1-03(A)(2)); the endorsement rule does not itself impose it, so confirm with the Board whether the Ohio Jurisprudence Assessment Module is required on your endorsement application..

Do I retake the NPTE moving from Hawaii to Ohio?

No — the NPTE is taken once and your score transfers through the FSBPT. NPTE is not retaken for a routine transfer; FSBPT's Score Transfer Service sends the existing passing score to the physical therapy section. Ohio has one exception: under OAC 4755:2-1-04(C) an endorsement applicant who has been out of practice five or more years - defined as fewer than 500 practice hours in the prior five years - must either retake and pass the NPTE or complete an action plan approved by the physical therapy section. Note that the Ohio laws-and-rules examination is imposed by rule on licensure by EXAMINATION (OAC 4755:2-1-03(A)(2)); the endorsement rule does not itself impose it, so confirm with the Board whether the Ohio Jurisprudence Assessment Module is required on your endorsement application..

What does the move cost?

$100 (OAC 4755-4-01(B)(1) (effective August 21, 2025) caps the initial licensing fee - the fee an endorsement applicant pays - at one hundred dollars, and states that the current amount is published on the Board's website. otptat.ohio.gov and codes.ohio.gov were unreachable from the research environment on 2026-08-07, so only the rule maximum is given rather than an unverified exact figure. Biennial renewal is likewise capped at $100. The BCI/FBI criminal records check is billed separately by the record providers. This is not the PT Compact privilege fee.) (OAC 4755-4-01(B)(1) (effective August 21, 2025) caps the initial licensing fee - the fee an endorsement applicant pays - at one hundred dollars, and states that the current amount is published on the Board's website. otptat.ohio.gov and codes.ohio.gov were unreachable from the research environment on 2026-08-07, so only the rule maximum is given rather than an unverified exact figure. Biennial renewal is likewise capped at $100. The BCI/FBI criminal records check is billed separately by the record providers. This is not the PT Compact privilege fee.).

How long will it take?

Neither the Ohio Revised Code nor the Board's rules state a processing timeframe; OAC 4755:2-1-01(E) provides only that an application still incomplete one year after filing is abandoned. — Neither the Ohio Revised Code nor the Board's rules state a processing timeframe; OAC 4755:2-1-01(E) provides only that an application still incomplete one year after filing is abandoned..

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]