Physical Therapy License from North Carolina to South Dakota: Does It Transfer? (2026)
Yes, for working in South Dakota — both North Carolina and South Dakota are active members of the Physical Therapy Licensure Compact (PT Compact). If North Carolina is your primary state of residence and your North Carolina license is active and unencumbered, you can buy a compact privilege to practice in South Dakota without a second license. A privilege is not a license transfer: if you are moving your residence to South Dakota, you will need a South Dakota license once South Dakota becomes your home state.
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Verdict
Compact privilege — work there without a second license
Both North Carolina and South Dakota are active PT Compact members, so this is a privilege move, not a license move. If North Carolina is your home state and primary residence and your license there is active, you do not apply to the South Dakota Board of Physical Therapy (South Dakota Department of Health) — you buy a South Dakota compact privilege through the commission and practice on it, with your North Carolina license staying in place. Two caveats worth planning around: South Dakota may require its jurisprudence exam before the privilege issues, and the privilege lapses the moment your North Carolina license does. If you are genuinely relocating to South Dakota rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into South Dakota.
What changes, North Carolina → South Dakota
| North Carolina (current) | South Dakota (destination) | |
|---|---|---|
| PT Compact status | Licensure by endorsement · PT Compact privilege (not a license) | Licensure by endorsement · PT Compact privilege (not a license) |
| 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 | $120 (application fee payable to the SD Board of Physical Therapy per the Board's published licensing-requirements checklist; fingerprint/DCI background-check costs and the $90 FSBPT score-transfer fee are separate. NOT the PT Compact privilege fee.) |
| 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 overall processing timeframe; it states only that DCI background-check processing averages 3-4 weeks and is outside the Board's control, and that late fingerprint submission delays application review |
| Licensing authority | North Carolina Board of Physical Therapy Examiners | South Dakota Board of Physical Therapy (South Dakota Department of Health) |
The destination column is what you must satisfy — South Dakota 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 South Dakota: purchase a PT Compact privilege for South Dakota through the compact commission and complete any South Dakota jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to South Dakota: apply for a South Dakota license with the South Dakota Board of Physical Therapy (South Dakota Department of Health); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Does South Dakota accept a North Carolina physical therapy license?
Yes, for working in South Dakota — both North Carolina and South Dakota are active members of the Physical Therapy Licensure Compact (PT Compact). If North Carolina is your primary state of residence and your North Carolina license is active and unencumbered, you can buy a compact privilege to practice in South Dakota without a second license. A privilege is not a license transfer: if you are moving your residence to South Dakota, you will need a South Dakota license once South Dakota becomes your home state.
Do I retake the NPTE moving from North Carolina to South Dakota?
No — the NPTE is taken once and your score transfers through the FSBPT. NPTE is not retaken; the applicant requests the score through FSBPT and it is sent to the Board (FSBPT Score Transfer Service, $90 per report). The Board's licensing checklist lists no South Dakota jurisprudence exam.
What does the move cost?
If you are buying a South Dakota compact privilege to work while living in North Carolina: the commission's uniform fee plus South Dakota's privilege fee. If you are relocating and taking a full South Dakota license by endorsement: $120 (application fee payable to the SD Board of Physical Therapy per the Board's published licensing-requirements checklist; fingerprint/DCI background-check 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 South Dakota jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs the Board publishes no overall processing timeframe; it states only that DCI background-check processing averages 3-4 weeks and is outside the Board's control, and that late fingerprint submission delays application review.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.
- SD Board of Physical Therapy - Licensing Requirements (application checklist and fee) ↗ (accessed 2026-08-07)
- SD Board of Physical Therapy - board home page ↗ (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)
- 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)
- PT Compact - member state map ↗ (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]