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How to Get an Occupational Therapist License in Mississippi (2026)

AH
Ava Health Team
··6 min read

Mississippi is an OT Compact member state, so compact-eligible OTs can activate a practice privilege in 1–3 days. The MS State Board of Health administers OT licensure, and major employers include Baptist Medical Center in Jackson, the University of Mississippi Medical Center, and Forrest General Hospital in Hattiesburg.

Mississippi OT license at a glance

  • Issuing board: MS State Board of Health — OT Licensure
  • OT Compact member: Yes
  • Compact Privilege processing: 1–3 days
  • Endorsement processing: 4–6 weeks
  • Application fee: ~$100
  • NBCOT required: Yes

OT Compact vs. full endorsement

Mississippi compact membership enables quick entry for travelers. Non-compact applicants complete full endorsement (4–6 weeks) by submitting NBCOT verification, prior license verification, and background check to the MS State Board of Health.

Mississippi OT compensation 2026

SettingMedian BaseSign-On Range
Outpatient / hand therapy$62,000$3,000–$5,000
Acute care hospital$70,000$4,000–$8,000
SNF / skilled nursing$68,000$4,000–$7,000
School-based OT$55,000$2,000–$4,000
Travel OT (13-week)$85,000 + housing stipend

Where OT demand is highest in Mississippi

Jackson is Mississippi's primary OT market with UMMC and Baptist Medical Center anchoring demand. Hattiesburg serves the southern part of the state, and Gulfport's Gulf Coast Memorial Hospital covers the coastal strip. Rural delta counties have persistent OT shortages with federally designated HPSA status.

Bottom line

Mississippi has the lowest OT salaries in the series but also among the lowest cost of living. Compact membership makes it a fast-access add-on for Southeast travelers, and rural HPSA designation opens NHSC loan repayment eligibility for qualifying OTs.

Related: OT License Alabama 2026, PT License Mississippi 2026.

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