Physical Therapy License from Missouri to Virginia: Does It Transfer? (2026)
Yes, for working in Virginia — both Missouri and Virginia are active members of the Physical Therapy Licensure Compact (PT Compact). If Missouri is your primary state of residence and your Missouri license is active and unencumbered, you can buy a compact privilege to practice in Virginia without a second license. A privilege is not a license transfer: if you are moving your residence to Virginia, you will need a Virginia license once Virginia becomes your home state.
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Verdict
Compact privilege — work there without a second license
Both Missouri and Virginia are active PT Compact members, so this is a privilege move, not a license move. If Missouri is your home state and primary residence and your license there is active, you do not apply to the Virginia Board of Physical Therapy (Department of Health Professions) — you buy a Virginia compact privilege through the commission and practice on it, with your Missouri license staying in place. Two caveats worth planning around: Virginia may require its jurisprudence exam before the privilege issues, and the privilege lapses the moment your Missouri license does. If you are genuinely relocating to Virginia rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into Virginia.
What changes, Missouri → Virginia
| Missouri (current) | Virginia (destination) | |
|---|---|---|
| PT Compact status | Licensure by endorsement · PT Compact privilege (not a license) | Licensure by endorsement · PT Compact privilege (not a license) |
| Application 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.) | $140 (licensure-by-endorsement application fee for a physical therapist under 18VAC112-20-27 (most recently amended June 18, 2025); the PTA endorsement fee is $100. Active PT renewal is $135 biennially. The $50 compact privilege fee and the $75 direct access certification fee in the same section are separate charges. Criminal background check costs are not included.) |
| Processing time | 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 publishes no processing timeframe; its FAQ states only that an application remains valid for one year before a new application and fee are required |
| Licensing authority | Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration) | Virginia Board of Physical Therapy (Department of Health Professions) |
The destination column is what you must satisfy — Virginia 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 Virginia: purchase a PT Compact privilege for Virginia through the compact commission and complete any Virginia jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Virginia: apply for a Virginia license with the Virginia Board of Physical Therapy (Department of Health Professions); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Does Virginia accept a Missouri physical therapy license?
Yes, for working in Virginia — both Missouri and Virginia are active members of the Physical Therapy Licensure Compact (PT Compact). If Missouri is your primary state of residence and your Missouri license is active and unencumbered, you can buy a compact privilege to practice in Virginia without a second license. A privilege is not a license transfer: if you are moving your residence to Virginia, you will need a Virginia license once Virginia becomes your home state.
Do I retake the NPTE moving from Missouri to Virginia?
No — the NPTE is taken once and your score transfers through the FSBPT. NPTE is not retaken; 18VAC112-20-65 requires documentation that the board-prescribed national examination was passed, and FSBPT transfers the score to the licensing authority. Virginia's endorsement regulation imposes no state jurisprudence examination, and the PT Compact Commission lists no Virginia jurisprudence requirement.
What does the move cost?
If you are buying a Virginia compact privilege to work while living in Missouri: the commission's uniform fee plus Virginia's privilege fee. If you are relocating and taking a full Virginia license by endorsement: $140 (licensure-by-endorsement application fee for a physical therapist under 18VAC112-20-27 (most recently amended June 18, 2025); the PTA endorsement fee is $100. Active PT renewal is $135 biennially. The $50 compact privilege fee and the $75 direct access certification fee in the same section are separate charges. Criminal background check costs are not included.).
How long will it take?
A compact privilege issues quickly once your eligibility and any Virginia jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs the Board publishes no processing timeframe; its FAQ states only that an application remains valid for one year before a new application and fee are required.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.
- 18VAC112-20-27 - Fees (Virginia Board of Physical Therapy) ↗ (accessed 2026-08-07)
- 18VAC112-20-65 - Requirements for licensure by endorsement ↗ (accessed 2026-08-07)
- Virginia Board of Physical Therapy - Licensure FAQ ↗ (accessed 2026-08-07)
- PT Compact - member state map ↗ (accessed 2026-08-07)
- PT Compact - how to get privileges (state fee and jurisprudence table) ↗ (accessed 2026-08-07)
- Missouri Board of Registration for the Healing Arts — Instructions for the Physical Therapist Application (fees, processing times, jurisprudence exam, background check, FSBPT score transfer) ↗ (accessed 2026-08-07)
- Missouri Division of Professional Registration — Advisory Commission for Physical Therapists ↗ (accessed 2026-08-07)
- FSBPT — NPTE Score Transfer Service ↗ (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]