Physical Therapy License from North Carolina to Washington: Does It Transfer? (2026)
Yes, for working in Washington — both North Carolina and Washington 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 Washington without a second license. A privilege is not a license transfer: if you are moving your residence to Washington, you will need a Washington license once Washington becomes your home state.
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Verdict
Compact privilege — work there without a second license
Both North Carolina and Washington 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 Washington State Board of Physical Therapy (Department of Health) — you buy a Washington compact privilege through the commission and practice on it, with your North Carolina license staying in place. Two caveats worth planning around: Washington 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 Washington rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into Washington.
What changes, North Carolina → Washington
| North Carolina (current) | Washington (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 | $80 (original application fee for a physical therapist under WAC 246-915-990 (PTA initial application is $75); active license renewal is $100 annually. Fingerprint/background-check surcharges 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 Department publishes no processing timeframe for endorsement applications; it warns only that delayed responses lengthen the wait. Military spouses may qualify for expedited processing |
| Licensing authority | North Carolina Board of Physical Therapy Examiners | Washington State Board of Physical Therapy (Department of Health) |
The destination column is what you must satisfy — Washington 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 Washington: purchase a PT Compact privilege for Washington through the compact commission and complete any Washington jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Washington: apply for a Washington license with the Washington State Board of Physical Therapy (Department of Health); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Does Washington accept a North Carolina physical therapy license?
Yes, for working in Washington — both North Carolina and Washington 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 Washington without a second license. A privilege is not a license transfer: if you are moving your residence to Washington, you will need a Washington license once Washington becomes your home state.
Do I retake the NPTE moving from North Carolina to Washington?
No — the NPTE is taken once and your score transfers through the FSBPT. NPTE is not retaken; the passing score is sent to the Department by the exam host (FSBPT Score Transfer Service). Washington additionally requires out-of-state applicants to pass the Washington PT jurisprudence exam.
What does the move cost?
If you are buying a Washington compact privilege to work while living in North Carolina: the commission's uniform fee plus Washington's privilege fee. If you are relocating and taking a full Washington license by endorsement: $80 (original application fee for a physical therapist under WAC 246-915-990 (PTA initial application is $75); active license renewal is $100 annually. Fingerprint/background-check surcharges are separate. NOT the PT Compact privilege fee.).
How long will it take?
A compact privilege issues quickly once your eligibility and any Washington jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs the Department publishes no processing timeframe for endorsement applications; it warns only that delayed responses lengthen the wait. Military spouses may qualify for expedited processing.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.
- WA DOH - PT/PTA Licensing Information ↗ (accessed 2026-08-07)
- WA DOH - Substantially Equivalent States (PT) ↗ (accessed 2026-08-07)
- WAC 246-915-990 - Physical therapist fees ↗ (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)
- 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)
- 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]