The Compact refers to a group of national licensing agreements—the PT Compact, OT Compact, and ASLP-IC—that make it easier for clinicians to practice across state lines without obtaining full licenses. Physical Therapists (PTs), Physical Therapist Assistants (PTAs), and Occupational Therapists (OTs) may qualify depending on their home state.
No. The OT Compact is separate but similar. Each compact has its own participating states and rules.
The PT Compact allows PTs and PTAs in member states to obtain compact privileges instead of full licenses, making multistate practice faster and easier.
Eligibility requires an active, unencumbered PT/PTA license, residency in a Compact member state, a valid driver’s license, no recent discipline, and meeting any state-specific requirements.
Your home state is the state of your legal permanent residence, validated by your driver’s license.
A compact privilege authorizes practice in a remote state but is not a traditional full state license.
Costs include a $45 Commission fee, state-specific privilege fees ($50–$300), and jurisprudence exam fees if required.
Most compact privileges are issued within minutes to hours once eligibility is confirmed.
A jurisprudence exam tests your knowledge of a state's practice laws. Some states require it before privileges can be issued.
You will need your FSBPT ID (for PT/PTA), verified eligibility, required jurisprudence exams, and payment of fees.
Privileges expire the same day your home state license expires.
You must notify the Compact within 60 days. Privileges end if your new home state is not a Compact member.
Yes. You must follow the practice act and regulations of any remote state where you work.
Yes. Any Compact state can discipline, suspend, or revoke your privilege.
Yes, if the remote state permits telehealth for Compact privilege holders.
All Compact privileges immediately terminate until your home state license is restored.
You can:
