PT, OT and SLP guides by state

For OT, PT and SLP clinics: DrSensory’s state guides cover 24 states, each on one page with who licenses the three disciplines, the direct-access and referral rules, Medicaid coverage for children and adults, telehealth and the PT, OT and ASLP compacts, business setup and records, every rule quoted from its official source.

What does each state therapy practice guide cover?

Each guide answers the questions a clinic meets when it opens or grows in one state, in the same order, so that two states can be read side by side.

• Licensing: who licenses physical therapists, occupational therapists and speech-language pathologists, the licensing law and rules, renewal and continuing education, and the rules for assistants.
• Referrals and direct access: what the licensing law says about treating without a referral, and what Medicare and Medicaid ask for as payers.
• Medicaid: the state program’s coverage for children and adults, prior authorization, managed care, billing codes and modifiers, school-based services and telehealth.
• Telehealth and the compacts: the state’s telehealth rules and its status in the PT Compact, the OT Compact and the ASLP Interstate Compact.
• Business steps: where the entity is registered, state tax registration, sales tax on goods sold to patients, and workers’ compensation.
• Records and privacy: retention periods, privacy and breach rules, and mandated reporting.
• Pediatric and adult clinics: early intervention, the autism insurance mandate, the Medicare contractor and the workers’ compensation fee schedule.
• Templates: a launch checklist, a license and renewal register and a payer register, with two worked examples.

Which states have a DrSensory therapy practice guide?

These 24 states have a guide. The table gives each guide’s own summary of its physical therapy referral rule; the guide quotes the full rule, with the payer’s rule beside it.

Where does each state stand in the PT, OT and ASLP compacts?

A compact privilege lets a clinician licensed in one member state practice in another member state that issues privileges; a state that has enacted a compact may not yet be issuing or accepting them. Each status below is the guide’s own, with the day its source was checked.

How should a clinic use these state practice guides?

Start with the state where the clinic’s patients are, since licensure follows the patient’s location for telehealth as well as in person, and read the guide’s sections in order before the clinic’s first claim.

• Read the rule, then its source. Every rule on a guide is followed by a numbered source with the passage it rests on; the source’s current text is the one that applies.
• Keep the registers current. The license and renewal register and the payer register at the end of each guide are meant to be copied and kept per clinician and per payer.
• Compare states before hiring across a line. A clinician who treats patients in two states needs authority to practice in both, by a license in each or by a compact privilege where the compact is live.
• Check the date. Each guide names the day its official sources were last checked, under the byline.

Sources

1. California Legislative Information (Office of Legislative Counsel). Business and Professions Code section 2620.1. Checked October 26, 2026.
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   “In addition to receiving those services authorized by Section 2620, a person may initiate physical therapy treatment directly from a licensed physical therapist if the treatment is within the scope of practice... The physical therapist shall not continue treating the patient beyond 45 calendar days or 12 visits, whichever occurs first, without receiving, from a person holding a physician and surgeon’s certificate... a dated signature on the physical therapist’s plan of care indicating approval of the physical therapist’s plan of care.”
2. The Florida Legislature (Online Sunshine). The 2026 Florida Statutes, section 486.021(11)(a). Checked October 30, 2026.
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   “A physical therapist may implement a plan of treatment developed by the physical therapist for a patient or provided for a patient by a practitioner of record or by an advanced practice registered nurse licensed under s. 464.012. The physical therapist shall refer the patient to or consult with a practitioner of record if the patient’s condition is found to be outside the scope of physical therapy. If physical therapy treatment for a patient is required beyond 30 days for a condition not previously assessed by a practitioner of record, the physical therapist shall have a practitioner of record review and sign the plan. The requirement that a physical therapist have a practitioner of record review and sign a plan of treatment does not apply when a patient has been physically examined by a physician licensed in another state, the patient has been diagnosed by the physician as having a condition for which physical therapy is required, and the physical therapist is treating the condition. For purposes of this paragraph, a health care practitioner licensed under chapter 458, chapter 459, chapter 460, chapter 461, or chapter 466 and engaged in active practice is eligible to serve as a practitioner of record.”
3. Georgia General Assembly (Official Code of Georgia Annotated, public access site maintained by LexisNexis). Official Code of Georgia Annotated § 43-33-18. Checked October 30, 2026.
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   “The board shall have authority to refuse to grant or restore a license to an applicant or to discipline a physical therapist licensed under this article upon a finding by the board that the licensee or applicant has: ... (2) Performed physical therapy care and services without examination and evaluation of patients or clients in order to determine a physical therapy diagnosis, prognosis, and plan of intervention, which, in the case of patients who have self-referred, means the physical therapist has: (A) Failed to refer the patient ... if at any time the physical therapist has reason to believe that the patient has symptoms or conditions that require treatment beyond the scope of practice of the physical therapist or, regardless of the patient’s condition, if after 21 days or eight visits from the initiation of a physical therapy plan of intervention, the physical therapist has not received a referral from the patient’s provider ...”
4. Hawaii Board of Physical Therapy. Hawaii Administrative Rules section 16-110-3, When referrals required. Checked October 30, 2026.
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   “A licensed physical therapist may perform an evaluation of any person without a referral. A physical therapist may treat a patient with or without a referral unless the physical therapist has reasonable cause to believe that the patient has a symptom or condition that is either beyond the physical therapist’s scope of practice, or for which physical therapy is contraindicated, in which case the physical therapist shall refer that patient to an appropriate healthcare provider.”
5. Illinois General Assembly. 225 ILCS 90/1.2, Physical therapy services. Checked October 30, 2026.
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   “(a) A physical therapist may provide physical therapy services to a patient with or without a referral from a health care professional. (b) A physical therapist providing services without a referral from a health care professional must notify the patient’s treating health care professional within 5 business days after the patient’s first visit that the patient is receiving physical therapy. ... (c) A physical therapist shall refer a patient to the patient’s treating health care professional of record or, in the case where there is no health care professional of record, to a health care professional of the patient’s choice, if: (1) the patient does not demonstrate measurable or functional improvement after 10 visits or 15 business days, whichever occurs first, and continued improvement thereafter; ... (d) Wound debridement services may only be provided by a physical therapist with written authorization from a health care professional.”
6. Indiana General Assembly. 2026 Indiana Code, IC 25-27-1-2.5 Evaluations and treatment without referral; exceptions; testing certification. Checked October 30, 2026.
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   “Sec. 2.5. (a) Except as provided in subsection (b), a physical therapist may evaluate and treat an individual during a period not to exceed forty-two (42) calendar days beginning with the date of the initiation of treatment without a referral from a provider described in section 2(b) of this chapter. However, if the individual needs additional treatment from the physical therapist after forty-two (42) calendar days, the physical therapist shall obtain a referral from the individual’s provider, as described in section 2(b) of this chapter. (b) A physical therapist may not perform spinal manipulation of the spinal column or the vertebral column unless: (1) the physical therapist is acting on the order or referral of a physician, an osteopathic physician, or a chiropractor; and (2) the referring physician, osteopathic physician, or chiropractor has examined the patient before issuing the order or referral.”
7. Michigan Legislature (Legislative Service Bureau). MCL - Section 333.17820, Public Health Code. Checked October 30, 2026.
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   “A physical therapist or a physical therapist assistant may engage in the treatment of a patient without the prescription of a health care professional who is an advanced practice registered nurse as that term is defined in section 17201, or who holds a license issued under part 166, 170, 175, or 180, or an equivalent license issued by another state, under either of the following circumstances: (a) For 21 days or 10 treatments, whichever first occurs. However, a physical therapist shall determine that the patient’s condition requires physical therapy before delegating physical therapy interventions to a physical therapist assistant. (b) The patient is seeking physical therapy services for the purpose of preventing injury or promoting fitness.”
8. Missouri Revisor of Statutes (revisor.mo.gov). RSMo 334.506: Physical therapists may provide certain services without prescription or direction of an approved health care provider. Checked October 30, 2026.
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   “2. A physical therapist may evaluate and initiate treatment on a patient without a prescription or referral from an approved health care provider, provided that the physical therapist has a doctorate of physical therapy degree or has five years of clinical practice as a physical therapist. 3. A physical therapist may provide educational resources and training, develop fitness or wellness programs, or provide screening or consultative services within the scope of physical therapy practice without a prescription or referral from an approved health care provider. 4. (1) A physical therapist shall refer to an approved health care provider any patient whose condition at the time of evaluation or treatment is determined to be beyond the scope of practice of physical therapy. The physical therapist shall not provide physical therapy services or treatment after this referral has been made. (2) A physical therapist shall refer to an approved health care provider any patient who does not demonstrate measurable or functional improvement after ten visits or thirty days, whichever occurs first. The physical therapist shall not provide further therapy services or treatment after this referral has been made.”
9. New York State Senate (NYS Open Legislation). Education Law section 6731, Definition of physical therapy. Checked October 30, 2026.
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   “Such treatment may be rendered by a licensed physical therapist for ten visits or thirty days, whichever shall occur first, without a referral from a physician, dentist, podiatrist, nurse practitioner or licensed midwife provided that: (1) The licensed physical therapist has practiced physical therapy on a full time basis equivalent to not less than three years. (2) Each physical therapist licensed pursuant to this article shall provide written notice to each patient receiving treatment absent a referral from a physician, dentist, podiatrist, nurse practitioner or licensed midwife that physical therapy may not be covered by the patient’s health care plan or insurer without such a referral and that such treatment may be a covered expense if rendered pursuant to a referral.”
10. Ohio Legislative Service Commission (Ohio Laws). Section 4755.481 | Treatment without prescription or referral.. Checked October 30, 2026.
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    “(A) If a physical therapist evaluates and treats a patient without the prescription of, or the referral of the patient by, a person described in division (H)(1) of section 4755.48 of the Revised Code, all of the following apply: (1) The physical therapist shall, upon consent of the patient, inform the relevant person described in division (H)(1) of section 4755.48 of the Revised Code of the evaluation not later than five business days after the evaluation is made. (2) If the physical therapist determines, based on reasonable evidence, that no substantial progress has been made with respect to that patient during the thirty-day period immediately following the date of the patient’s initial visit with the physical therapist, the physical therapist shall consult with or refer the patient to a person described in division (H)(1) of section 4755.48 of the Revised Code, unless either of the following applies: (a) The evaluation, treatment, or services are being provided for fitness, wellness, or prevention purposes. (b) The patient previously was diagnosed with chronic, neuromuscular, or developmental conditions and the evaluation, treatment, or services are being provided for problems or symptoms associated with one or more of those previously diagnosed conditions.”
11. Pennsylvania General Assembly. Physical Therapy Practice Act, Act of Oct. 10, 1975, P.L. 383, No. 110, section 9. Checked October 30, 2026.
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    “Licensees who meet the standards set forth in this subsection may apply to the board for a certificate of authorization to practice physical therapy under this act without the required referral under subsection (a). ... A physical therapist may treat an individual without a referral as provided for in subsection (b) for up to 30 days from the date of the first treatment. A physical therapist shall not treat an individual beyond 30 days from the date of the first treatment unless he or she has obtained a referral from a licensed physician; a licensed physician assistant practicing pursuant to a written agreement with a physician; a certified registered nurse practitioner practicing pursuant to a collaborative agreement with a physician; or a licensed dentist or licensed podiatrist, for the treatment of a condition that is within the scope of practice of dentistry or podiatry. ... Nothing herein shall preclude an insurer or other third-party payor from requiring that a physical therapist obtain a referral ...”
12. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-303. Checked October 30, 2026.
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    “(a) (1) The practice of physical therapy must be under the written or oral referral of a referring practitioner as described in § 63-13-104(b)(1), except that a licensed physical therapist may: (A) Conduct an initial patient visit without referral; ... (D) Treat a patient without a referral, within the scope of practice of physical therapy, when the following are met: (i) The patient’s physician, as defined in § 63-6-204(f)(7), has been notified by the physical therapist; (ii) If the physical therapist determines, based on clinical evidence, that no progress has been made with respect to that patient’s condition within thirty (30) days, immediately following the date of the patient’s initial visit with the physical therapist, then the physical therapist does not provide additional physical therapy services and refers the patient to a healthcare practitioner who qualifies as a referring practitioner; (iii) The physical therapist does not continue physical therapy services for the patient beyond ninety (90) days without consulting with the patient’s appropriate healthcare practitioner; (iv) If the patient was previously diagnosed by a licensed physician with chronic, neuromuscular, or developmental conditions, and the evaluation, treatment, or services are being provided for problems or symptoms associated with one (1) or more of those previously diagnosed conditions, then subdivisions (a)(1)(D)(ii) and (iii) do not apply; and (v) A physical therapist refers patients under the physical therapist’s care to appropriate healthcare practitioners, if, at any time, the physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice of a physical therapist ...”
13. Texas Legislative Council (Texas Constitution and Statutes). Occupations Code section 453.301 (as amended by H.B. 4099, effective September 1, 2025). Checked October 30, 2026.
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    “A physical therapist may treat a patient for an injury or condition in a manner described by Section 453.005 without a referral if the physical therapist: (1) has been licensed to practice physical therapy for at least one year; (2) is covered by professional liability insurance in the minimum amount required by board rule; and (3) either: (A) possesses a doctoral degree in physical therapy from: ... (B) has completed at least 30 hours of continuing competence activities in the area of differential diagnosis. (a-1) A physical therapist may treat a patient under Subsection (a) for not more than 30 consecutive calendar days. ... (b) The physical therapist must obtain a referral from a referring practitioner before the physical therapist may continue treatment that exceeds treatment authorized under Subsection (a-1).”
14. Utah State Legislature. Utah Code section 58-24b-307, No referral required for physical therapy (enacted 2025 General Session). “A physical therapist may evaluate, initiate, and provide physical therapy treatment for a client without a referral from another health service provider.” Checked October 30, 2026.
15. Vermont General Assembly. 26 V.S.A. §§ 2081a(8) and 2082(a). Checked October 29, 2026.
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    ““Practice of physical therapy” means: (A) examining, evaluating, and testing, in order to determine a plan of care inclusive of appropriate therapeutic interventions and expected outcome and effect of the interventions of individuals with: ... (B) alleviating impairments and functional limitations in physical movement and mobility and disabilities by developing, implementing, and modifying treatment interventions; ... No person shall: (1) practice or attempt to practice physical therapy or hold himself or herself out as being able to do so in this State without first having obtained a license ...”
16. Virginia General Assembly, Legislative Information System (Code of Virginia). Code of Virginia § 54.1-3482. Practice of physical therapy; certain experience and referrals required; physical therapist assistants. Checked October 30, 2026.
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    “A. It shall be unlawful for a person to engage in the practice of physical therapy except as a licensed physical therapist, upon the referral and direction of a licensed doctor of medicine, osteopathy, chiropractic, podiatry, or dental surgery, a licensed advanced practice registered nurse practicing in accordance with the provisions of § 54.1-2957, or a licensed physician assistant acting under the supervision of a licensed physician, except as provided in this section. B. A physical therapist who has completed a doctor of physical therapy program approved by the Commission on Accreditation of Physical Therapy Education or who has obtained a certificate of authorization pursuant to § 54.1-3482.1 may evaluate and treat a patient without a referral under the following conditions: ... (a) the patient identifies a licensed doctor of medicine, osteopathy, chiropractic, podiatry, or dental surgery, a licensed advanced practice registered nurse practicing in accordance with the provisions of § 54.1-2957, or a licensed physician assistant acting under the supervision of a licensed physician from whom he is currently receiving care; (b) the patient gives written consent for the physical therapist to release all personal health information and treatment records to the identified practitioner; and (c) the physical therapist notifies the practitioner identified by the patient no later than 14 days after treatment commences and provides the practitioner with a copy of the initial evaluation along with a copy of the patient history obtained by the physical therapist. C. A physical therapist who has not completed a doctor of physical therapy program approved by the Commission on Accreditation of Physical Therapy Education or who has not obtained a certificate of authorization pursuant to § 54.1-3482.1 may conduct a one-time evaluation that does not include treatment of a patient without the referral and direction of ... (iii) infants and toddlers, from birth to age three, who require physical therapy services to fulfill the provisions of their individualized services plan under Part C of the Individuals with Disabilities Education Act (20 U.S.C. § 1431 et seq.) and students with disabilities who require physical therapy services to fulfill the provisions of their individualized education plan or physical therapy services provided under § 504 of the federal Rehabilitation Act of 1973 ...”
17. Arizona State Legislature. Arizona Revised Statutes § 32-2041. “A. A physical therapist shall refer a client to appropriate health care practitioners if the physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice or if physical therapy is contraindicated.” Checked October 30, 2026.
18. Colorado Division of Professions and Occupations. Physical Therapy Practice Act, Colorado Revised Statutes 2026, sections 12-285-108 and 12-285-109. Checked October 29, 2026.
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    “(2) Nothing in this section prevents a physical therapist from making a physical therapy diagnosis within the physical therapist’s scope of practice. ... Except as otherwise provided by this article 285, any person who practices physical therapy or who represents himself or herself as being able to practice physical therapy in this state must possess a valid license under this article 285.”
19. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 13-101. Checked October 30, 2026.
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    “(i) (1) “Practice physical therapy” means to design, implement, and modify therapeutic interventions for the purpose of: (i) The prevention of disability in patients or clients; and (ii) The physical rehabilitation of patients or clients with a congenital or acquired disability. (2) “Practice physical therapy” includes: (i) Performing an evaluation of the physical therapy needs of patients or clients; (ii) Performing and interpreting tests and measurements of neuromuscular and musculoskeletal functions to aid treatment; (iii) Planning treatment programs that are based on test findings ...”
20. Massachusetts General Court (malegislature.gov). M.G.L. c. 112, § 23A: Definitions applicable to Secs. 23A to 23P. Checked October 30, 2026.
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    “Physical therapy practice is evaluation, treatment and instruction related to neuromuscular, musculoskeletal, cardiovascular and respiratory functions. Such evaluation shall include but is not limited to performance and interpretation of tests as an aid to the diagnosis or planning of treatment programs.”
21. New Jersey Office of Administrative Law (New Jersey Administrative Code, LexisNexis free public access). N.J.A.C. 13:39A-2.5, Referral of patients and consultation standards for licensed physical therapists. Checked October 30, 2026.
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    “(a) A licensed physical therapist shall refer a patient to a health care professional ... evaluation or intervention has reason to believe that physical therapy is contraindicated or symptoms or conditions are present that require services outside the scope of practice of the licensed physical therapist; or 2. When the patient has failed to demonstrate reasonable progress within 30 days of the date of the initial treatment.”
22. North Carolina General Assembly. G.S. 90-270.90. (Effective October 1, 2026) Definitions.. Checked October 30, 2026.
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    “(4) "Physical therapy" means the evaluation or treatment of any person by the use of physical, chemical, or other properties of heat, light, water, electricity, sound, massage, or therapeutic exercise, or other rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental disability. Physical therapy includes the performance of specialized tests of neuromuscular function, administration of specialized therapeutic procedures, interpretation and implementation of referrals from licensed medical doctors or dentists, and establishment and modification of physical therapy programs for patients.”
23. Washington State Legislature (Office of the Code Reviser). RCW 18.74.012: Consultation with health care practitioner not required for certain treatments. “A consultation and periodic review by an authorized health care practitioner is not required for treatment of neuromuscular or musculoskeletal conditions.” Checked October 30, 2026.
24. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.56, Practice requirements. Checked October 30, 2026.
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    “(1) Written referral. Except as provided in this subsection and s. 448.52, a person may practice physical therapy only upon the written referral of a physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse. Written referral is not required if a physical therapist provides services in schools to children with disabilities, as defined in s. 115.76 (5), pursuant to rules promulgated by the department of public instruction; provides services as part of a home health care agency; provides services to a patient in a nursing home pursuant to the patient’s plan of care; provides services related to athletic activities, conditioning, or injury prevention; or provides services to an individual for a previously diagnosed medical condition after informing the individual’s physician, naturopathic doctor, physician assistant, chiropractor, dentist, podiatrist, or advanced practice registered nurse who made the diagnosis. The examining board may promulgate rules establishing additional services that are excepted from the written referral requirements of this subsection.”
25. PT Compact Commission. PT Compact Map. “Member States (38) Alabama Alaska Arizona ...” Checked October 30, 2026.
26. Arizona State Legislature. Arizona Revised Statutes § 32-2053. “The physical therapy licensure compact is adopted and enacted into law as follows ...” Checked October 30, 2026.
27. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... Arizona Not Yet ...” Checked October 30, 2026.
28. Arizona State Legislature. Arizona Revised Statutes § 32-3431. “The occupational therapy licensure compact model legislation is adopted and enacted into law as follows ...” Checked October 30, 2026.
29. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Arizona Audiology Appointment Pending Arizona SLP Appointment Pending ...” Checked October 30, 2026.
30. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
31. Arizona State Legislature. Arizona Revised Statutes § 36-1940.11. “36-1940.11. Audiologists and speech-language pathologists; compact SECTION 1. PURPOSE A. The purpose of this compact is to facilitate the interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
32. Arizona State Legislature. Laws 2025, Chapter 179 (Senate Bill 1075). “Sec. 8. Effective date This act is effective from and after December 31, 2025. APPROVED BY THE GOVERNOR MAY 13, 2025.” Checked October 30, 2026.
33. PT Compact Commission. PT Compact Map. “Member States (38): Alabama, Alaska, Arizona... [not including California]. ... Non-Members (10): California, Florida, Hawaii, Idaho...” Checked October 26, 2026.
34. Occupational Therapy Compact Commission. State Commissioners. Checked October 26, 2026.
35. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. Checked October 26, 2026.
36. PT Compact Commission. PT Compact Map. “Member States (38): Alabama, Alaska, Arizona, Arkansas, Colorado... [38] Member States: Actively Issuing and Accepting Compact Privileges ...” Checked October 29, 2026.
37. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State / Accepting OTC Applications? ... Colorado / Not Yet ...” Checked October 29, 2026.
38. Occupational Therapy Compact Commission. State Commissioners. “State / Appointed Commissioner / Appointment Date ... Colorado / Zen Mayhugh / Aug. 28, 2024 ...” Checked October 29, 2026.
39. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Colorado / Agency / Appointment Pending / Colorado / Agency / Appointment Pending ...” Checked October 29, 2026.
40. Colorado Division of Professions and Occupations. Speech-Language Pathologists Practice Act, Colorado Revised Statutes 2026, section 12-305-115.5. “(2) With regard to the compact, the director has the following powers and duties: (a) To facilitate Colorado’s participation in the compact ...” Checked October 29, 2026.
41. PT Compact Commission. PT Compact Map. “Non-Members (10) California Florida Hawaii ...” Checked October 30, 2026.
42. Florida Department of Health, Division of Medical Quality Assurance. Compact - FL HealthSource. “While certain provisions in Senate Bill 7016 (2024) materially deviate from the model PT Compact statute and Florida is unable to obtain compact privileges at this time, Florida remains committed to aligning with the PT Compact’s standards ...” Checked October 30, 2026.
43. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
44. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Florida Audiology Fredrick Rahe Florida SLP Dania Lopez Ramirez ...” Checked October 30, 2026.
45. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
46. Florida Department of Health, Division of Medical Quality Assurance. Compact - FL HealthSource. “Florida joined the ASLP-IC as the 30th member state upon the passage of Senate Bill 7016 during the 2024 legislative session.” Checked October 30, 2026.
47. The Florida Legislature (Online Sunshine). The 2026 Florida Statutes, section 468.1335. “The Audiology and Speech-Language Pathology Interstate Compact is hereby enacted into law and entered into by this state with all other states legally joining therein ...” Checked October 30, 2026.
48. PT Compact Commission. PT Compact Map. “Member States (38) ... Delaware District of Columbia Georgia Indiana ...” Checked October 30, 2026.
49. Georgia Secretary of State, Professional Licensing Boards Division. FAQ for the Georgia State Board of Physical Therapy. “We are pleased to announce that compact privileges will be available for the state of Georgia staring Monday, March 1, 2021.” Checked October 30, 2026.
50. Georgia General Assembly (Official Code of Georgia Annotated, public access site maintained by LexisNexis). Official Code of Georgia Annotated § 43-33-31. “The Physical Therapy Licensure Compact is enacted into law and entered into by the State of Georgia with any and all other states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
51. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... Georgia Not Yet not required GA OT Law ...” Checked October 30, 2026.
52. Georgia General Assembly (Official Code of Georgia Annotated, public access site maintained by LexisNexis). Official Code of Georgia Annotated § 43-28-20. “This article shall be known and may be cited as the “Occupational Therapy Licensure Compact Act.”” Checked October 30, 2026.
53. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Georgia Audiology Alice Cellino Georgia SLP Kelley Claas ...” Checked October 30, 2026.
54. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
55. Georgia General Assembly (Official Code of Georgia Annotated, public access site maintained by LexisNexis). Official Code of Georgia Annotated § 43-44-31. Checked October 30, 2026.
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    “The Audiology and Speech-Language Pathology Interstate Compact is enacted into law and entered into by the State of Georgia with any and all other states legally joining therein in the form substantially as follows ...”
56. PT Compact Commission. PT Compact Map. “Non-Members (10) ... California ... Florida ... Hawaii ...” Checked October 30, 2026.
57. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. Checked October 30, 2026.
58. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map. “Legislation Enacted - Not Yet Issuing Privileges: 33 ... Legislation Enacted - Issuing Privileges: 4 ...” Checked October 30, 2026.
59. PT Compact Commission. PT Compact Map. “Introduced Legislation (2) Illinois Massachusetts ... PT Compact Legislation Introduced but Not Enacted Yet ...” Checked October 30, 2026.
60. Occupational Therapy Compact Commission. State Commissioners. Checked October 30, 2026.
61. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. Checked October 30, 2026.
62. PT Compact Commission. PT Compact Map. “Member States (38) ... Georgia Indiana Iowa ...” Checked October 30, 2026.
63. Indiana General Assembly. 2026 Indiana Code, IC 25-27-2-1 Purpose and objectives. “Sec. 1. PURPOSE The purpose of this Compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services.” Checked October 30, 2026.
64. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? ... Indiana March 9, 2026 ...” Checked October 30, 2026.
65. Indiana Professional Licensing Agency. Occupational Therapy Licensure Compact Implemented and Live in Indiana, Beginning Monday, March 9, 2026 (press release, March 9, 2026). Checked October 30, 2026.
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    “The Indiana Professional Licensing Agency (IPLA) and the Indiana Occupational Therapy Committee (the Committee) are pleased to announce that the Occupational Therapy Licensure Compact (OT Compact) is now fully implemented and live in the state of Indiana, as of Monday, March 9, 2026.”
66. Indiana General Assembly. 2026 Indiana Code, IC 25-43-1-1 Purpose and objectives. “Sec. 1. (a) The purpose of this compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
67. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Indiana Audiology Blair Mattern Indiana SLP Ann Bilodeau ...” Checked October 30, 2026.
68. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
69. Indiana General Assembly. 2026 Indiana Code, IC 25-35.6-5-1 Purpose. “Sec. 1. The purpose of this compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
70. PT Compact Commission. PT Compact Map. “Member States (38) ... Louisiana Maryland Mississippi ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
71. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 13-3A-01. “The Interstate Physical Therapy Licensure Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows ...” Checked October 30, 2026.
72. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. Checked October 30, 2026.
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    “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? Jurisprudence Information State Regulations / Practice Acts State Fee for OTs State Fee for OTAs OT Compact Fee for OTs and OTAs ... Maryland April 15, 2026 MD Jurisprudence Information MD OT Practice Act ...”
73. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 10-3A-01. “The Interstate Occupational Therapy Licensure Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows ...” Checked October 30, 2026.
74. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Maryland Audiology Appointment Pending Maryland SLP Jill Silverman ...” Checked October 30, 2026.
75. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
76. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 2-3A-01. “The Audiology and Speech–Language Pathology Interstate Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows ...” Checked October 30, 2026.
77. PT Compact Commission. PT Compact Map. “Introduced Legislation (2) Illinois Massachusetts ... PT Compact Legislation Introduced but Not Enacted Yet ...” Checked October 30, 2026.
78. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
79. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. Checked October 30, 2026.
80. PT Compact Commission. PT Compact Map. “Enacted Legislation (3) Maine Michigan Rhode Island ... 3 Enacted Legislation Not Yet Issuing or Accepting Compact Privileges ...” Checked October 30, 2026.
81. Michigan Legislature (Legislative Service Bureau). MCL - Section 333.16187a, Public Health Code (Physical therapy licensure compact). “***** 333.16187a.added THIS ADDED SECTION IS EFFECTIVE JANUARY 22, 2028 ***** ... Physical therapy licensure compact.” Checked October 30, 2026.
82. Michigan Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing. Physical Therapy. Checked October 30, 2026.
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    “In July 2026, the Governor signed ... into law, permitting Michigan to begin the process of participating in the Physical Therapy Licensure Compact. Pursuant to the laws’ timelines, the Bureau does not expect the compact’s privilege to practice process to being in Michigan until early 2028.”
83. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State Accepting OT Applications? ... Michigan Not Yet ...” Checked October 30, 2026.
84. Michigan Legislature (Legislative Service Bureau). MCL - Section 333.16188, Public Health Code (Occupational therapy licensure compact). “***** 333.16188.added THIS ADDED SECTION IS EFFECTIVE JANUARY 22, 2028 ***** ... Occupational therapy licensure compact.” Checked October 30, 2026.
85. Michigan Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing. Occupational Therapy. Checked October 30, 2026.
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    “In July 2026, the Governor signed ... into law, permitting Michigan to begin the process of participating in the Occupational Therapy Licensure Compact. Pursuant to the laws’ timelines, the Bureau does not expect the compact’s privilege to practice process to begin in Michigan until early 2028.”
86. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map. “Active Legislation: 3 ... Michigan HB 4509 ...” Checked October 30, 2026.
87. Michigan Legislature (Legislative Service Bureau). House Bill 4509 of 2025. “(House actions in lowercase, Senate actions in UPPERCASE) ... 10/28/2025 HJ 103 Pg. 1712 passed; given immediate effect Roll Call #269 Yeas 101 Nays 3 Excused 0 Not Voting 6 ... 10/30/2025 SJ 100 Pg. 1700 REFERRED TO COMMITTEE ON HEALTH POLICY ...” Checked October 30, 2026.
88. PT Compact Commission. PT Compact Map. “Member States (38) ... Mississippi Missouri Montana ...” Checked October 30, 2026.
89. Missouri Revisor of Statutes (revisor.mo.gov). RSMo 334.1200: Physical Therapy Licensure Compact, purpose. “The purpose of this compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services.” Checked October 30, 2026.
90. Missouri Division of Professional Registration. Physical Therapists: PT / PTA Compact. “Physical Therapists and Physical Therapist Assistants Compact Privilege holders are required to complete a jurisprudence examination before purchasing a compact privilege.” Checked October 30, 2026.
91. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? ... Missouri October 26, 2026 MO Jurisprudence Information MO OT Practice Act ...” Checked October 30, 2026.
92. Missouri Revisor of Statutes (revisor.mo.gov). RSMo 324.087: Occupational Therapy Licensure Compact. “The purpose of this Compact is to facilitate interstate practice of Occupational Therapy with the goal of improving public access to Occupational Therapy services.” Checked October 30, 2026.
93. Missouri Board of Occupational Therapy. Missouri OT/OTA Compact (board FAQ). “Missouri became an active member of the OT Compact on October 26, 2026.” Checked October 30, 2026.
94. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Missouri Audiology Appointment Pending Missouri SLP Sara Steele ...” Checked October 30, 2026.
95. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
96. Missouri Revisor of Statutes (revisor.mo.gov). RSMo 345.085: Audiology and speech-language pathology compact. “The purpose of this Compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
97. PT Compact Commission. PT Compact Map. “Member States (38) ... New Jersey ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
98. New Jersey Legislature (N.J. Legislative Statutes). N.J.S.A. 45:9-37.34h, Physical Therapy Licensure Compact. “The State of New Jersey enacts and enters into the Physical Therapy Licensure Compact with all other jurisdictions that legally join in the compact in the form substantially as follows ...” Checked October 30, 2026.
99. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
100. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLPCompact. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
101. PT Compact Commission. PT Compact Map. “Non-Members (10) California Florida Hawaii Idaho Minnesota New Mexico New York ...” Checked October 30, 2026.
102. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
103. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. Checked October 30, 2026.
104. PT Compact Commission. PT Compact Map. “North Carolina 06/08/2017 Date Enacted 07/01/2019 Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
105. PT Compact Commission. PT Compact Map. “Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
106. PT Compact Commission. PT Compact Map. “Jurisprudence Exam Requirement Must be passed within 30 days after CP issued (Initial & Renewal)” Checked October 30, 2026.
107. North Carolina General Assembly. Chapter 90 - Article 18F, Physical Therapy Licensure Compact. “The purpose of this Compact is to facilitate the interstate practice of physical therapy with the goal of improving public access to physical therapy services.” Checked October 30, 2026.
108. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OT Applications? ... North Carolina Not Yet ...” Checked October 30, 2026.
109. North Carolina General Assembly. Chapter 90 - Article 18I, Occupational Therapy Licensure Compact. “The purpose of this Compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
110. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates State Affiliation Name ... North Carolina Audiology ... North Carolina SLP ...” Checked October 30, 2026.
111. North Carolina General Assembly. Chapter 90 - Article 22A, Interstate Compact For Audiology And Speech Pathology. “The purpose of this Compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.
112. PT Compact Commission. PT Compact Map. “Member States (38) ... Ohio ... Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
113. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. PT Compact. Checked October 30, 2026.
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     “If you have a license in another PT Compact state, you may receive authority to practice in Ohio in an expedited way by signing up for a PT Compact privilege. Ohio PT and PTA license holders may use their Ohio license to obtain a privilege to practice in another PT Compact state.”
114. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State Accepting OT Applications? ... Ohio January 12, 2026 ...” Checked October 30, 2026.
115. Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. OT Compact. “Ohio has gone live with the Occupational Therapy Compact. ... Ohio OT and OTA license holders may use their Ohio license to obtain a compact privilege in another member state.” Checked October 30, 2026.
116. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege Status Update. “February 9, 2026 Licensed practitioners in Ohio can register and begin the privilege to practice process.” Checked October 30, 2026.
117. Ohio Speech and Hearing Professionals Board. Interstate Compact - ASLP. “Ohio became the 14th state to join the ASLP-IC and will begin processing applications on February 9, 2026. ... As of February 2026, Ohio licensees will only be able to apply for privileges in West Virginia and Louisiana.” Checked October 30, 2026.
118. PT Compact Commission. PT Compact Map. “Member States (38) ... Pennsylvania ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
119. Pennsylvania Department of State, State Board of Physical Therapy. Physical Therapy Compact. “Pennsylvania fully implemented the PT Compact on July 7, 2025, and Pennsylvania physical therapists and physical therapist assistants can now apply for a compact privilege.” Checked October 30, 2026.
120. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
121. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLPCompact. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
122. PT Compact Commission. PT Compact Map. “Member States (38) ... South Dakota Tennessee Texas ...” Checked October 30, 2026.
123. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-402. “The Physical Therapy Licensure Compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
124. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OT Applications? ... Tennessee May 20, 2026 not required TN OT Practice Act ...” Checked October 30, 2026.
125. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-13-502. “The Occupational Therapy Licensure Compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
126. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Tennessee Audiology Skye Jones Tennessee SLP Courtney Painter ...” Checked October 30, 2026.
127. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
128. Tennessee General Assembly (Tennessee Code Annotated, public access site maintained by LexisNexis). Tennessee Code Annotated § 63-17-302. “The Audiology and Speech-Language Pathology Interstate Compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
129. PT Compact Commission. PT Compact Map. “Member States (38) ... Texas ... Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
130. Executive Council of Physical Therapy and Occupational Therapy Examiners. Compact. Checked October 30, 2026.
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     “Texas joined the PT Compact with the enactment of the enabling statutes in Senate Bill 317 that was signed into law by Governor Greg Abbott on June 9, 2017. ... Compact privileges for Texas licensees to practice in another member state and for licensees of other member states to be able to practice in Texas became available January 02, 2019.”
131. Occupational Therapy Compact Commission. State Commissioners. Checked October 30, 2026.
132. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. Checked October 30, 2026.
133. PT Compact Commission. PT Compact Map. “Member States (38) ... Utah ... Member States ... Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
134. Utah Department of Commerce, Division of Professional Licensing. Physical Therapy. “If you want to verify if a Physical Therapist or Physical Therapist Assistant has a privilege to practice in Utah under the compact, browse to: https://purchase.ptcompact.org/Verify ...” Checked October 30, 2026.
135. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “Accepting OTC Applications? ... Utah ... Not Yet ...” Checked October 30, 2026.
136. Occupational Therapy Compact Commission. State Commissioners. “Appointed Commissioner ... Appointment Date ... Utah ... Lisa Martin ... Feb. 11, 2025 ...” Checked October 30, 2026.
137. Utah State Legislature. Utah Code section 58-42b-101, Occupational Therapy Licensure Compact (enacted 2022 General Session). Checked October 30, 2026.
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     “The purpose of this Compact is to facilitate interstate practice of Occupational Therapy with the goal of improving public access to Occupational Therapy services. The Practice of Occupational Therapy occurs in the State where the patient/client is located at the time of the patient/client encounter.”
138. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Utah ... Audiology ... Lauren Snyder ... Utah ... SLP ... Lindsey Hardcastle ...” Checked October 30, 2026.
139. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
140. Utah Department of Commerce, Division of Professional Licensing. Speech-Language Pathology and Audiology. “As of October 2021, the ASLP-IC has been enacted into law in 15 states, including Utah, surpassing the threshold for activation of the compact.” Checked October 30, 2026.
141. PT Compact Commission. PT Compact Map. “Member States (38) ... Vermont ... Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 29, 2026.
142. Vermont Secretary of State, Office of Professional Regulation. Physical Therapy Licensure Compact. “As of July 1, 2024, Vermont is a member of the Physical Therapy Licensure Compact. ... Vermont went live with the compact on March 1, 2025, and Vermont licensees are now eligible to join the Physical Therapy Licensure Compact.” Checked October 29, 2026.
143. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State Accepting OT Applications? ... Vermont Not Yet ...” Checked October 29, 2026.
144. Vermont Secretary of State, Office of Professional Regulation. Occupational Therapy Forms & Instructions. Checked October 29, 2026.
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     “Although the Occupational Therapy Licensure Compact is live in some states, it is not yet active in Vermont. ... Until the Compact is implemented in Vermont a person who currently has a compact license in another state must also have a Vermont license to practice in Vermont.”
145. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map. “Legislation Enacted - Not Yet Issuing Privileges ...” Checked October 29, 2026.
146. Vermont Secretary of State, Office of Professional Regulation. Speech-Language Pathologist Forms & Instructions. Checked October 29, 2026.
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     “Although the ASLP-IC is live in some states, it is not yet active in Vermont. ... Until the Compact is implemented in Vermont a person who currently has a compact license in another state must also have a Vermont license to practice in Vermont.”
147. PT Compact Commission. PT Compact Map. “Member States (38) ... Utah Vermont Virginia Washington ...” Checked October 30, 2026.
148. Virginia Department of Health Professions. Virginia Board of Physical Therapy - PT Licensure Compact. “As a reminder, all compact privileges expire on the same date as your home state license. If Virginia is your home state, then your compact privileges are set to expire on December 31 of even numbered years.” Checked October 30, 2026.
149. Virginia General Assembly, Legislative Information System (Code of Virginia). Code of Virginia § 54.1-3485. Form of compact; declaration of purpose. Checked October 30, 2026.
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     “A. The General Assembly hereby enacts, and the Commonwealth of Virginia hereby enters into, the Physical Therapy Licensure Compact with any and all jurisdictions legally joining therein according to its terms, in the form substantially as follows.”
150. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OT Applications? ... Virginia March 20, 2026 not required VA OT Practice Act ...” Checked October 30, 2026.
151. Virginia General Assembly, Legislative Information System (Code of Virginia). Code of Virginia § 54.1-2956.7:1. Occupational Therapy Interjurisdictional Licensure Compact. Checked October 30, 2026.
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     “The General Assembly hereby enacts, and the Commonwealth of Virginia hereby enters into, the Occupational Therapy Interjurisdictional Licensure Compact with any and all states legally joining therein according to its terms, in the form substantially as follows ...”
152. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Virginia Audiology Bethany Rose Virginia SLP Jennifer Radford Gay ...” Checked October 30, 2026.
153. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
154. Virginia General Assembly, Legislative Information System (Code of Virginia). Code of Virginia § 54.1-2606. Audiology and Speech-Language Pathology Interstate Compact; purpose. Checked October 30, 2026.
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     “The General Assembly hereby enacts, and the Commonwealth of Virginia hereby enters into, the Audiology and Speech-Language Pathology Interstate Compact with any and all states legally joining therein according to its terms, in the form substantially as follows ...”
155. PT Compact Commission. PT Compact Map. “Member States (38) ... Washington ... Compact Privilege Availability 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
156. Washington State Department of Health. Physical Therapist and Physical Therapist Assistant - Licensure Compact. “Washington State joined the Physical Therapy Compact (PTC) on April 25, 2017, making Washington the 10th state to enact the PTC. Privileges for Washington became available in September 2019.” Checked October 30, 2026.
157. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “Accepting OT Applications? ... Washington Not Yet ...” Checked October 30, 2026.
158. Occupational Therapy Compact Commission. State Commissioners. “State Appointed Commissioner Appointment Date ... Washington Kathy Weed Apr. 22, 2022 ...” Checked October 30, 2026.
159. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Washington ... Audiology ... Nichole Kingham ... Washington ... SLP ... Sonja Bradford ...” Checked October 30, 2026.
160. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia. As more member states launch, the ASLP-IC Home Page and Compact Map will be updated.” Checked October 30, 2026.
161. Washington State Department of Health. Audiologist Speech-Language Pathologist Interstate Compact (ASLP-IC). “Washington state joined the Audiologist Speech-Language Pathologist Interstate Compact (ASLP-IC) on 07/23/2023.” Checked October 30, 2026.
162. PT Compact Commission. PT Compact Map. “Member States (38) ... Washington West Virginia Wisconsin Enacted Legislation (3)” Checked October 30, 2026.
163. PT Compact Commission. PT Compact Map. “38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
164. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.985, Physical therapy licensure compact. Checked October 30, 2026.
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     “(a) The purpose of this compact is to facilitate interstate practice of physical therapy with the goal of improving public access to physical therapy services. The practice of physical therapy occurs in the state where the patient/client is located at the time of the patient/client encounter. The compact preserves the regulatory authority of states to protect public health and safety through the current system of state licensure.”
165. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? ... Wisconsin May 29, 2026 ...” Checked October 30, 2026.
166. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 448.987, Occupational therapy licensure compact. “(1) Purpose. The purpose of this compact is to facilitate interstate practice of occupational therapy with the goal of improving public access to occupational therapy services.” Checked October 30, 2026.
167. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Wisconsin Audiology Appointment Pending Wisconsin SLP Catherine Kanter ...” Checked October 30, 2026.
168. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
169. Wisconsin State Legislature. 2023-24 Wisconsin Statutes (published October 1, 2026), s. 459.70, Audiology and speech-language pathology interstate compact. “(a) The purpose of this compact is to facilitate interstate practice of audiology and speech-language pathology with the goal of improving public access to audiology and speech-language pathology services.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.