Physical Therapy License from Virginia to Missouri: Does It Transfer? (2026)
Yes, for working in Missouri — both Virginia and Missouri are active members of the Physical Therapy Licensure Compact (PT Compact). If Virginia is your primary state of residence and your Virginia license is active and unencumbered, you can buy a compact privilege to practice in Missouri without a second license. A privilege is not a license transfer: if you are moving your residence to Missouri, you will need a Missouri license once Missouri becomes your home state.
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Verdict
Compact privilege — work there without a second license
Both Virginia and Missouri are active PT Compact members, so this is a privilege move, not a license move. If Virginia is your home state and primary residence and your license there is active, you do not apply to the Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration) — you buy a Missouri compact privilege through the commission and practice on it, with your Virginia license staying in place. Two caveats worth planning around: Missouri may require its jurisprudence exam before the privilege issues, and the privilege lapses the moment your Virginia license does. If you are genuinely relocating to Missouri rather than working there temporarily, the privilege model doesn't fit — you would change your home state by endorsing into Missouri.
What changes, Virginia → Missouri
| Virginia (current) | Missouri (destination) | |
|---|---|---|
| PT Compact status | Licensure by endorsement · PT Compact privilege (not a license) | Licensure by endorsement · PT Compact privilege (not a license) |
| Application 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.) | $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.) |
| Processing time | 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 | 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) |
| Licensing authority | Virginia Board of Physical Therapy (Department of Health Professions) | Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration) |
The destination column is what you must satisfy — Missouri 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 Missouri: purchase a PT Compact privilege for Missouri through the compact commission and complete any Missouri jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Missouri: apply for a Missouri license with the Missouri Board of Registration for the Healing Arts — Advisory Commission for Physical Therapists (Division of Professional Registration); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Does Missouri accept a Virginia physical therapy license?
Yes, for working in Missouri — both Virginia and Missouri are active members of the Physical Therapy Licensure Compact (PT Compact). If Virginia is your primary state of residence and your Virginia license is active and unencumbered, you can buy a compact privilege to practice in Missouri without a second license. A privilege is not a license transfer: if you are moving your residence to Missouri, you will need a Missouri license once Missouri becomes your home state.
Do I retake the NPTE moving from Virginia to Missouri?
No — the NPTE is taken once and your score transfers through the FSBPT. The NPTE is not retaken; the applicant requests an FSBPT score transfer so the passing score is reported to the Board. Missouri additionally requires its own jurisprudence examination, which is included in the application packet, answered from the Missouri statutes and rules, returned with the application and scored by the Board — a score of 75% or higher is required.
What does the move cost?
If you are buying a Missouri compact privilege to work while living in Virginia: the commission's uniform fee plus Missouri's privilege fee. If you are relocating and taking a full Missouri license by endorsement: $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.).
How long will it take?
A compact privilege issues quickly once your eligibility and any Missouri jurisprudence exam are cleared — usually faster than a full license. A relocation endorsement runs 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).
Sources
Primary sources only — official boards and compact commissions. Data last verified 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)
- PT Compact — member state status map ↗ (accessed 2026-08-07)
- FSBPT — NPTE Score Transfer Service ↗ (accessed 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 - how to get privileges (state fee and jurisprudence table) ↗ (accessed 2026-08-07)
Reviewed by the License Reciprocity Editorial Team · verified against primary sources 2026-08-07
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