Therapy license and compact rules in North Carolina

North Carolina is in the PT Compact and issues and accepts compact privileges. North Carolina has joined the OT Compact by law, but compact privileges are not issued there yet. North Carolina 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 boardNorth Carolina Board of Physical Therapy Examiners official source
PT CompactMember, issuing compact privileges official source
Occupational therapy boardNorth Carolina Board of Occupational Therapy official source
OT CompactMember by law, not issuing privileges yet official source
Speech-language pathology boardNorth Carolina Board of Examiners for Speech-Language Pathologists and Audiologists official source
ASLP CompactMember by law, not issuing privileges yet official source
Respiratory care boardNorth Carolina Respiratory Care Board 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 North Carolina

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