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GUIDRYALLIED

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Compacts

Interstate compacts are described here only as their official sites state them. Membership maps and applications live on those sites, not on this page.

PT Compact

The official PT Compact site is the source for physical therapist and physical therapist assistant compact privileges. As of our check on November 10, 2026, the compact is in operation, and the official site stated that compact privileges have been utilized by 11k+ PTs and PTAs.

The official site also states: “Only need to meet the continuing competence requirements for your home state license.” Confirm current rules, fees, and participating jurisdictions on ptcompact.org and the official PT Compact map.

OT Compact

The official OT Compact homepage, in a status update of October 2026, says both of the following.

Visit the “Before You Apply” webpage to learn which states are accepting OTC applications.

You cannot practice in an OTC state under the OT Compact, even if that state has enacted OTC legislation. You can only apply when the state opens applications, deems you eligible to apply, AND your application is approved.

That same update still states: “The OT Compact is enacted in some states, meaning those states have passed legislation to be part of the compact (check out the ‘Maps’ page tabs to see which states have joined the OTC). However, the OT Compact is not yet operationalized, meaning the process to apply for and receive compact privileges is still developing.”

This directory lists which member states are accepting applications, and which are not yet, from the official Before You Apply table, checked November 10, 2026. The official sentences quoted above are the compact’s application and practice rules. Confirm current status on that page and the official compact map.

From the official Before You Apply table, checked November 10, 2026, these member states are listed as accepting OTC applications:

The other compact member states on that table — Alabama, Alaska, Arizona, Colorado, Delaware, Georgia, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Washington, Wyoming — are listed as “Not Yet” accepting. Official wording on the table: states not listed there are not a member of the Occupational Therapy Compact.

The official OT Compact homepage also states:

You must apply through the OTC to receive your privileges to practice in OTC states.

Until you receive your OTC privilege to practice, you need a license to practice in any state you wish to provide OT services. Follow that state licensing board’s traditional licensing process to obtain your license to practice.

ASLP-IC (audiology and speech-language pathology)

The official ASLP-IC site states: “At this time, 37 jurisdictions (36 states and 1 territory) have enacted ASLP-IC legislation to be part of the compact.” It also states: “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Mississippi, Ohio, Tennessee, and West Virginia.” The compact covers audiologists and speech-language pathologists; its FAQ states: “Assistants are not eligible for compact privileges.” Details: ASLP-IC and ASLP-IC privilege vs a second state license.

Applying, and privilege vs license

How each compact contrasts a compact privilege with a separate state license, in the compacts’ own words, is on compact privilege vs a second state license. The PT Compact publishes a five-step application process, and the OT Compact’s FAQ describes when and how OTC applications open. Both are quoted, without added steps, on how to apply for a compact privilege. What ASHA and APTA say about licensure for remote services is on telepractice and telehealth. What the compacts say happens when you change your home state is on moving with a compact privilege. The three compacts are compared point by point on OT Compact vs PT Compact vs ASLP-IC. What federal law and each compact say about active-duty service members and their spouses is on military spouses and license portability.