New Grad Licensure Timeline
A new grad's licensure path runs from passing the board exam for their discipline, to a license in their home state, to a compact privilege or a separate license for each other state they want to work in. Each board sets its own processing time and a compact privilege can only be added once the home-state license is issued, so apply for that license as soon as you pass and file other states' applications alongside it.
The Timeline
Step 1: Graduate & Apply for Board Exam
Register for your board exam ASAP. PT/PTA: NPTE through FSBPT. OT/COTA: NBCOT exam. SLP: Praxis SLP exam through ETS. Study aggressively — first-attempt pass saves months.
Step 2: Pass Boards & Apply for State License
Apply for your home state license immediately after passing. Once that license is issued, you can buy compact privileges if your state is a member and issuing them.
Step 3: Apply for Additional Licenses
PT/PTA: PT Compact: once your home state issues privileges, buy one for each of the 38 issuing states you need. For non-compact states, apply individually. OT/COTA: OT Compact (growing list). SLP: ASLP Compact privileges where the compact issues them; individual state applications elsewhere — start 2-3 states you'd like to work in.
Step 4: Sign with Agencies While Licenses Process
Don't wait for all licenses to arrive. Sign with agencies, start browsing assignments, and begin your compliance packet. Your recruiter can submit you for positions as soon as your license is active. When your license is close, tell a recruiter so the search can start: Find my next contract.
Timeline by Discipline
| Discipline | Exam | Home State License | Compact/Multi-State | Ready to Travel |
|---|---|---|---|---|
| PT/PTA | Set by FSBPT's test schedule | Set by the state board | A privilege where the PT Compact issues them | Depends on the board |
| OT/COTA | Set by NBCOT | Set by the state board | A privilege where the OT Compact issues them | Depends on the board |
| SLP | Set by the exam provider | Set by the state board | A privilege where the ASLP Compact issues them | Depends on the board |
Each board posts its own processing time, and the PT, OT and ASLP compacts each publish where they issue privileges. Start applications early and in parallel.
Cost Breakdown
Board exam: the NPTE fee is set by FSBPT. Home state and individual state licenses: each board sets its own fee; FSBPT's licensing authorities directory links every board. PT Compact privilege: $45–$309 per state (PT Compact Commission, November 2, 2026). Background check: set by the board or its vendor.
Add up the fees for your own states from those sources; totals vary too much by state to quote.
You'll pay these fees upfront. Factor this into your financial preparation.
Frequently asked questions
Who sets the NPTE fee?
Board exam: the NPTE fee is set by FSBPT.
Who sets the fee for a state license?
Home state and individual state licenses: each board sets its own fee; FSBPT's licensing authorities directory links every board.
What does a PT Compact privilege cost?
PT Compact privilege: $45–$309 per state (PT Compact Commission, November 2, 2026).
Need Licensure Guidance?
Talk to a ProTherapy recruiter about your first contract.