Therapy License in Texas

Step-by-step licensing requirements for PT, OT, SLP, BCBA and mental health therapists.

Interstate Compact Member

Texas participates in the following interstate licensure compacts:

If you're already licensed in another compact state, you may qualify for a compact privilege instead of a full Texas license.

Licensing by Specialty

Licensing Board
Executive Council of Physical Therapy and Occupational Therapy Examiners (ECPTOTE)
Processing Time
4-8 weeks
Initial Fee
$170
Renewal Fee
$133 (Biennial)
CEU Hours
30 hours per renewal
Compact Member
Yes (PTLC)

Requirements

  • DPT or equivalent
  • Pass NPTE
  • Jurisprudence exam (Texas-specific)
  • Background check

Important Notes

PTLC member. Texas requires a jurisprudence exam. One of the largest PT job markets in the country.

Frequently Asked Questions

How long does it take to get a PT, OT, or SLP license in Texas?

Processing times in Texas typically run: Physical Therapy: 4-8 weeks; Occupational Therapy: 4-8 weeks; Speech-Language: 4-8 weeks. Times vary based on background-check turnaround and application completeness.

Does Texas participate in the PT, OT, or SLP licensure compact?

Yes — Texas is a member of: Physical Therapy Licensure Compact (PTLC), Occupational Therapy Licensure Compact (OT Compact), Interstate Compact for Audiology and Speech-Language Pathology (ICASLP). Therapists already licensed in another compact state may apply for a compact privilege rather than a full Texas license.

Can I use my license from another state in Texas?

If you hold an active license in a compact-member state and your specialty's compact (Physical Therapy Licensure Compact (PTLC), Occupational Therapy Licensure Compact (OT Compact), Interstate Compact for Audiology and Speech-Language Pathology (ICASLP)) covers Texas, you can apply for a compact privilege to practice without a full Texas license. Otherwise, you'll need to apply for licensure by endorsement.

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