OT Compact Privileges to Practice are expected to be available in mid-2024. Click here for more information.
The Occupational Therapy Licensure Compact (OT Compact) is an interstate compact, or formal agreement among states, that facilitates interstate practice of occupational therapy.
Under the OT Compact, Occupational Therapists (OTs) and Occupational Therapy Assistants (OTAs) who are licensed in good standing in a Compact member state may practice in other Compact member states via a “compact privilege,” which is equivalent to a license.

The OT Compact is a joint initiative of the American Occupational Therapy Association (AOTA) and the National Board for Certification in Occupational Therapy (NBCOT®).