Physical Therapy License from North Dakota to Iowa: Does It Transfer? (2026)
Yes, for working in Iowa — both North Dakota and Iowa are active members of the Physical Therapy Licensure Compact (PT Compact). If North Dakota is your primary state of residence and your North Dakota license is active and unencumbered, you can buy a compact privilege to practice in Iowa without a second license. A privilege is not a license transfer: if you are moving your residence to Iowa, you will need an Iowa license once Iowa becomes your home state.
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Verdict
Compact privilege — work there without a second license
Both North Dakota and Iowa are active PT Compact members, so this is a privilege move, not a license move. If North Dakota is your home state and primary residence and your license there is active, you do not apply to the Iowa Board of Physical and Occupational Therapy (Department of Inspections, Appeals & Licensing) — you buy an Iowa compact privilege through the commission and practice on it, with your North Dakota license staying in place. Two caveats worth planning around: Iowa may require its jurisprudence exam before the privilege issues, and the privilege lapses the moment your North Dakota license does. If you are genuinely relocating to Iowa rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into Iowa.
What changes, North Dakota → Iowa
| North Dakota (current) | Iowa (destination) | |
|---|---|---|
| PT Compact status | Licensure by endorsement · PT Compact privilege (not a license) | Licensure by endorsement · PT Compact privilege (not a license) |
| Application fee | $200 (Non-refundable application fee set by NDAC 61.5-02-03-01(1); the same application fee applies to licensure by endorsement. Annual renewal is $100 for physical therapists ($60 for PTAs) and the late renewal fee is $50. The criminal-history background check is billed separately at cost. The $40 'compact fee' in the same rule is North Dakota's PT Compact privilege fee, not the endorsement application fee.) | $120 (physical therapist license application fee (non-refundable) charged to the out-of-state endorsement applicant; + $55 non-refundable fingerprint/criminal-background-check fee (in notes, not the range). NOT the PT Compact privilege fee.) |
| Processing time | Neither the North Dakota Administrative Code nor the Board's rules state a processing timeframe for endorsement applications | the Board publishes no processing timeframe for endorsement applications |
| Licensing authority | North Dakota Board of Physical Therapy | Iowa Board of Physical and Occupational Therapy (Department of Inspections, Appeals & Licensing) |
The destination column is what you must satisfy — Iowa 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 Iowa: purchase a PT Compact privilege for Iowa through the compact commission and complete any Iowa jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Iowa: apply for an Iowa license with the Iowa Board of Physical and Occupational Therapy (Department of Inspections, Appeals & Licensing); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Does Iowa accept a North Dakota physical therapy license?
Yes, for working in Iowa — both North Dakota and Iowa are active members of the Physical Therapy Licensure Compact (PT Compact). If North Dakota is your primary state of residence and your North Dakota license is active and unencumbered, you can buy a compact privilege to practice in Iowa without a second license. A privilege is not a license transfer: if you are moving your residence to Iowa, you will need an Iowa license once Iowa becomes your home state.
Do I retake the NPTE moving from North Dakota to Iowa?
No — the NPTE is taken once and your score transfers through the FSBPT. NPTE is not retaken; the passing score is submitted to the Board directly by the FSBPT (Score Transfer Service). Iowa does not require a separate state jurisprudence/law exam for licensure.
What does the move cost?
If you are buying an Iowa compact privilege to work while living in North Dakota: the commission's uniform fee plus Iowa's privilege fee. If you are relocating and taking a full Iowa license by endorsement: $120 (physical therapist license application fee (non-refundable) charged to the out-of-state endorsement applicant; + $55 non-refundable fingerprint/criminal-background-check fee (in notes, not the range). NOT the PT Compact privilege fee.).
How long will it take?
A compact privilege issues quickly once your eligibility and any Iowa jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs the Board publishes no processing timeframe for endorsement applications.
Sources
Primary sources only — official boards and compact commissions. Data last verified 2026-08-07.
- Iowa DIAL — Apply for a Physical Therapist License ↗ (accessed 2026-07-21)
- Iowa Administrative Code 645 ch. 200 — Physical and Occupational Therapists ↗ (accessed 2026-07-21)
- North Dakota Administrative Code 61.5-02-03 - Fees (ND Legislative Branch) ↗ (accessed 2026-08-07)
- North Dakota Administrative Code 61.5-02-02 - Licensure (general requirements and types of licensure incl. endorsement) ↗ (accessed 2026-08-07)
- North Dakota Administrative Code Title 61.5 - ND Board of Physical Therapy (index) ↗ (accessed 2026-08-07)
- PT Compact - member state map ↗ (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
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