Occupational Therapist License in Maryland
Everything you need to know about getting your OT license to practice in Maryland.
* Maryland's temporary OT license is for applicants awaiting NBCOT exam results — endorsement applicants wait for the full license (or use OT compact privilege).
Occupational Therapy Licensure Compact
The OT Compact is rolling out via CompactConnect in 2026 — most member states have enacted the compact but have NOT yet completed operational integration, so compact privileges can only be used in a small set of states today. Check the per-state status before relying on compact privilege.
Maryland is an active OT Compact member state. If your primary state of residence is also a compact member, you may be able to practice in Maryland under your multistate license or compact privilege without applying for a separate Maryland license.
Visit OT Compact PortalCommon OT Licensure Requirements
Generic credentialing prerequisites at the profession level. Maryland-specific add-ons (jurisprudence exams, fingerprint vendors, CE coursework, etc.) are not listed here — verify directly with the Board of Occupational Therapy.
- 1Graduation from accredited OT program
- 2NBCOT certification (current)
- 3Criminal background check
- 4Application fee payment
Processing Timeline
Most OT endorsement applications in Maryland are processed within 2 to 6 weeks. Processing times may vary based on completeness of your application and current board workload.
Occupational Therapist licensure in Maryland — FAQ
How long does it take to get a Occupational Therapist license in Maryland?
Most OT endorsement applications in Maryland are processed in about 2–6 weeks, depending on application completeness and current board workload.
How much does a Maryland OT license cost?
Expect $200 in Maryland board fees for a OT license, not including fingerprinting, verification, or background-check costs.
Is Maryland a OT Compact state for OTs?
Yes. Maryland is an active OT Compact member state, so a multistate license from your home compact state may let you practice without a separate Maryland license.
Can I get a temporary OT permit in Maryland?
No. Maryland's temporary OT license is for applicants awaiting NBCOT exam results — endorsement applicants wait for the full license (or use OT compact privilege). Plan to have your full license issued before your assignment start date.
This guide is for informational purposes only. Licensure requirements change frequently. Always verify current requirements directly with the Maryland Board of Occupational Therapy.
Last updated July 31, 2026.
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