New Grad Licensure 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. Simultaneously apply for compact privilege if your state is a member.

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: Individual state applications only — 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.

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, October 4, 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.

But you'll pay upfront. Factor this into your financial preparation.