Physical Therapy License from North Carolina to Massachusetts: Does It Transfer? (2026)
Last verified: 2026-08-07 · source: Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health) ↗
A physical therapy license transfers from North Carolina to Massachusetts by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health), verify your North Carolina license, and meet Massachusetts's endorsement requirements. The NPTE is not retaken; the passing score is reported to the licensing authority through the FSBPT Score Transfer Service (FSBPT charges $90 per jurisdiction). No separate Massachusetts jurisprudence examination appears in the Board's published application requirements..
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Verdict
Licensure by endorsement
Moving from North Carolina into Massachusetts leaves the compact behind: Massachusetts has not joined the compact, so no North Carolina privilege reaches it. You transfer by licensure by endorsement with the Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health) — your NPTE score moves through the FSBPT rather than being retaken, and Massachusetts adds its own jurisprudence exam and background check. Your North Carolina license and any privileges you hold elsewhere stay valid as long as your residence remains in North Carolina; file Massachusetts's application before you rely on income there.
What changes, North Carolina → Massachusetts
| North Carolina (current) | Massachusetts (destination) | |
|---|---|---|
| PT Compact status | PT Compact member — multistate license honored | Licensure by endorsement |
| Application fee | The Board's fee rule is 21 NCAC 48F .0102 (readopted eff. May 1, 2019), but on 2026-08-07 neither the rule text nor the Board's published Schedule of Fees could be retrieved from an official source - the Board's application host (www2.ncptboard.org) returned 403 and the NC OAH / NC Rules code servers were unreachable. No amount is stated rather than guess. Confirm the current endorsement application fee directly with the Board. | $226 (Physical Therapist Initial License by Reciprocity = $126.00 PCS vendor fee + $100.00 Board fee = $226.00, per the Board's published fee table. Fees are non-refundable and an additional processing fee may apply depending on payment method. Massachusetts is NOT a PT Compact state, so no compact privilege fee exists here.) |
| Processing time | The Board publishes no processing timeframe; 21 NCAC 48B .0102(a) provides only that each endorsement application is considered on an individual basis. | the Board publishes no processing timeframe for reciprocity applications; the initial application process is administered by its vendor, PCS |
| Licensing authority | North Carolina Board of Physical Therapy Examiners | Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health) |
The destination column is what you must satisfy — Massachusetts sets the rules for this move.
Step by step
- Confirm Massachusetts's current requirements on the Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health) website (linked below) — rules change.
- Submit the endorsement application to the Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health) (application linked below).
- Arrange license verification from your current state.
- Apply through Professional Credential Services, Inc. (PCS), the Board's application vendor, and pay the non-refundable application fee.
- Meet the Board's statutory and regulatory 'good moral character' standard; applicants with criminal records must follow the Board's criminal-records policy.
- Graduates of non-accredited foreign programs must obtain an FCCPT Type 1 credentials evaluation (FCCPT is the Board's only approved evaluator).
- Foreign-program graduates whose first language is not English must score at least 560 on the TOEFL and 4.5 on the Test of Written English.
- Pay the fees ($226 (Physical Therapist Initial License by Reciprocity = $126.00 PCS vendor fee + $100.00 Board fee = $226.00, per the Board's published fee table. Fees are non-refundable and an additional processing fee may apply depending on payment method. Massachusetts is NOT a PT Compact state, so no compact privilege fee exists here.)) and allow the Board publishes no processing timeframe for reciprocity applications; the initial application process is administered by its vendor, PCS.
Official links
Related guides
Frequently asked questions
Does Massachusetts accept a North Carolina physical therapy license?
A physical therapy license transfers from North Carolina to Massachusetts by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the Massachusetts Board of Allied Health Professions (Bureau of Health Professions Licensure, Department of Public Health), verify your North Carolina license, and meet Massachusetts's endorsement requirements. The NPTE is not retaken; the passing score is reported to the licensing authority through the FSBPT Score Transfer Service (FSBPT charges $90 per jurisdiction). No separate Massachusetts jurisprudence examination appears in the Board's published application requirements..
Do I retake the NPTE moving from North Carolina to Massachusetts?
No — the NPTE is taken once and your score transfers through the FSBPT. The NPTE is not retaken; the passing score is reported to the licensing authority through the FSBPT Score Transfer Service (FSBPT charges $90 per jurisdiction). No separate Massachusetts jurisprudence examination appears in the Board's published application requirements..
What does the move cost?
$226 (Physical Therapist Initial License by Reciprocity = $126.00 PCS vendor fee + $100.00 Board fee = $226.00, per the Board's published fee table. Fees are non-refundable and an additional processing fee may apply depending on payment method. Massachusetts is NOT a PT Compact state, so no compact privilege fee exists here.) (Physical Therapist Initial License by Reciprocity = $126.00 PCS vendor fee + $100.00 Board fee = $226.00, per the Board's published fee table. Fees are non-refundable and an additional processing fee may apply depending on payment method. Massachusetts is NOT a PT Compact state, so no compact privilege fee exists here.).
How long will it take?
the Board publishes no processing timeframe for reciprocity applications; the initial application process is administered by its vendor, PCS — the Board publishes no processing timeframe for reciprocity applications; the initial application process is administered by its vendor, PCS.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.
- Mass.gov — Apply for a license from the Board of Allied Health Professionals (fee table + requirements; mass.gov blocks automated access, page read via Internet Archive snapshot 2026-04-15) ↗ (accessed 2026-08-07)
- Massachusetts Division of Professional Licensure — Fees and License Renewal Schedules for Allied Health Professionals (board code AH) ↗ (accessed 2026-08-07)
- PT Compact — member state status map ↗ (accessed 2026-08-07)
- FSBPT — NPTE Score Transfer Service ↗ (accessed 2026-08-07)
- NC Office of Administrative Hearings - rule text, 21 NCAC 48B .0102 Licenses by Endorsement (with 48E .0104, 48F .0101, 48G .0105, 48G .0203) ↗ (accessed 2026-08-07)
- NC OAH - G.S. 150B-21.3A periodic review report for 21 NCAC 48, Board of Physical Therapy Examiners (rule inventory incl. 48E .0105, 48E .0113, 48F .0102) ↗ (accessed 2026-08-07)
- NC Board of Physical Therapy Examiners - official site ↗ (accessed 2026-08-07)
Reviewed by Billy Reiner, Editor · verified against primary sources 2026-08-07
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