Physical Therapy License from Maryland to Tennessee: Does It Transfer? (2026)
Yes, for working in Tennessee — both Maryland and Tennessee are active members of the Physical Therapy Licensure Compact (PT Compact). If Maryland is your primary state of residence and your Maryland license is active and unencumbered, you can buy a compact privilege to practice in Tennessee without a second license. A privilege is not a license transfer: if you are moving your residence to Tennessee, you will need a Tennessee license once Tennessee becomes your home state.
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Verdict
Compact privilege — work there without a second license
Both Maryland and Tennessee are active PT Compact members, so this is a privilege move, not a license move. If Maryland is your home state and primary residence and your license there is active, you do not apply to the Tennessee Board of Physical Therapy (Tennessee Department of Health) — you buy a Tennessee compact privilege through the commission and practice on it, with your Maryland license staying in place. Two caveats worth planning around: Tennessee may require its jurisprudence exam before the privilege issues, and the privilege lapses the moment your Maryland license does. If you are genuinely relocating to Tennessee rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into Tennessee.
What changes, Maryland → Tennessee
| Maryland (current) | Tennessee (destination) | |
|---|---|---|
| PT Compact status | Licensure by endorsement · PT Compact privilege (not a license) | Licensure by endorsement · PT Compact privilege (not a license) |
| Application fee | $150 (non-refundable $150 application fee for Licensure by Endorsement (both U.S.-graduate and foreign-educated tracks), payable by credit or debit card only. The MD JAM fee is paid separately to FSBPT and the criminal history records check is paid separately to DPSCS. NOT the PT Compact privilege fee.) | $260–$305 (Rule 1150-01-.06 fee schedule for a PT: $150 application fee + $100 reciprocity fee + $10 biennial state regulatory fee are due when the application is filed ($260); a $45 license fee is then due before the license is issued, for $305 total. PTA equivalents are $140 + $100 + $10 + $45. Background-check vendor costs and the $90 FSBPT score-transfer fee are separate. NOT the PT Compact privilege fee.) |
| Processing time | up to 14 weeks (the Board states the application process can take up to 60 business days (~12 weeks) because of response times from outside organizations, plus up to 10 business days (~2 weeks) to complete full licensure once all criteria are met; no minimum is published. Only Licensure by Examination applicants may request a temporary 90-day license.) | the Board's rules set no processing timeframe for reciprocity applications; they only require the $45 license fee to be received within 30 days of notification that it is due, or the application file is closed |
| Licensing authority | Maryland Board of Physical Therapy Examiners (Maryland Department of Health) | Tennessee Board of Physical Therapy (Tennessee Department of Health) |
The destination column is what you must satisfy — Tennessee sets the rules for this move.
Step by step
- Confirm your home-state license is active and unencumbered and that your home state is your primary state of residence.
- To work in Tennessee: purchase a PT Compact privilege for Tennessee through the compact commission and complete any Tennessee jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Tennessee: apply for a Tennessee license with the Tennessee Board of Physical Therapy (Tennessee Department of Health); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Does Tennessee accept a Maryland physical therapy license?
Yes, for working in Tennessee — both Maryland and Tennessee are active members of the Physical Therapy Licensure Compact (PT Compact). If Maryland is your primary state of residence and your Maryland license is active and unencumbered, you can buy a compact privilege to practice in Tennessee without a second license. A privilege is not a license transfer: if you are moving your residence to Tennessee, you will need a Tennessee license once Tennessee becomes your home state.
Do I retake the NPTE moving from Maryland to Tennessee?
No — the NPTE is taken once and your score transfers through the FSBPT. NPTE is not retaken; passing scores must be sent directly from the examining service to the Board's administrative office (FSBPT Score Transfer Service, $90 per report), and reciprocity candidates must have passed the licensing examination at a criterion-referenced passing point. Tennessee requires no jurisprudence exam to obtain the license, but every renewal cycle 4 of the required continuing-competence hours must be ethics and jurisprudence courses of at least 2 hours each.
What does the move cost?
If you are buying a Tennessee compact privilege to work while living in Maryland: the commission's uniform fee plus Tennessee's privilege fee. If you are relocating and taking a full Tennessee license by endorsement: $260–$305 (Rule 1150-01-.06 fee schedule for a PT: $150 application fee + $100 reciprocity fee + $10 biennial state regulatory fee are due when the application is filed ($260); a $45 license fee is then due before the license is issued, for $305 total. PTA equivalents are $140 + $100 + $10 + $45. Background-check vendor costs and the $90 FSBPT score-transfer fee are separate. NOT the PT Compact privilege fee.).
How long will it take?
A compact privilege issues quickly once your eligibility and any Tennessee jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs the Board's rules set no processing timeframe for reciprocity applications; they only require the $45 license fee to be received within 30 days of notification that it is due, or the application file is closed.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.
- Rules of the Tennessee Board of Physical Therapy, Chapter 1150-01 (December 2025 revision) - Rules 1150-01-.04 Qualifications, .05 Procedures, .06 Fees ↗ (accessed 2026-08-07)
- Tennessee Department of Health - Board of Physical Therapy ↗ (accessed 2026-08-07)
- PT Compact - state status list (Physical Therapy Compact Commission) ↗ (accessed 2026-08-07)
- FSBPT - NPTE Score Transfer Service ↗ (accessed 2026-08-07)
- Maryland Board of Physical Therapy Examiners — Licensing (Licensure by Endorsement requirements, fees, processing time) ↗ (accessed 2026-08-07)
- Maryland Board of Physical Therapy Examiners — Physical Therapy Compact Privilege ↗ (accessed 2026-08-07)
- PT Compact — Compact Privilege Fee, Jurisprudence and Waiver Table ↗ (accessed 2026-08-07)
Reviewed by the License Reciprocity Editorial Team · verified against primary sources 2026-08-07
How we verify · All sources · spot an error? [email protected]