The Occupational Therapy Licensure Compact (OT Compact) is an interstate compact, or a formal agreement among states, to facilitate 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” that is equivalent to a license.

The OT Compact establishes a licensure data system allowing for instantaneous verification of licensure information. The Compact also establishes an interstate commission, composed of member state officials, to carry out the purposes of the Compact.

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

Technical support for the project is provided by the National Center for Interstate Compacts (NCIC) at the Council of State Governments (CSG).