Therapy license and compact rules in Missouri

Missouri is in the PT Compact and issues and accepts compact privileges. Missouri is in the OT Compact and issues and accepts compact privileges. Missouri has joined the speech-language pathology compact (ASLP-IC) by law, but compact privileges are not issued there yet. The agencies that license each profession are listed below with links to their official sites.

Physical therapy boardMissouri Advisory Commission for Physical Therapists (Division of Professional Registration) official source
PT CompactMember, issuing compact privileges official source
Occupational therapy boardMissouri Board of Occupational Therapy official source
OT CompactMember, issuing compact privileges official source
Speech-language pathology boardMissouri Advisory Commission for Speech-Language Pathologists & Audiologists (Division of Professional Registration) official source
ASLP CompactMember by law, not issuing privileges yet official source
Respiratory care boardMissouri Board for Respiratory Care (Division of Professional Registration) official source
Respiratory therapist licenseRespiratory therapists are licensed in this state official source

Checked against official sources on Oct 27, 2026. Compact membership is not the same as being able to work there today: a compact privilege starts only once the compact issues privileges in that state. Confirm with the board before you apply.

Open therapy jobs in Missouri

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