Healthcare Recruiting
How to Get an Occupational Therapist License in Texas (2026)
Texas is an OT Compact member state, giving eligible occupational therapists the fastest path to practice privileges — typically 1–3 days via compact.aota.org instead of 6–12 weeks for full endorsement.
Texas OT license at a glance
- Issuing board: Texas Executive Council of Physical Therapy and Occupational Therapy Examiners
- OT Compact member: Yes
- Application fee: ~$125
- Processing time (compact): 1–3 business days
- Processing time (endorsement): 6–10 weeks
- NBCOT required: Yes
- CEU requirement (renewal): 30 hours per 2-year cycle
Texas OT compensation 2026
| Setting | Annual Salary Range |
|---|---|
| Hospital / acute care | $72K–$95K |
| SNF / long-term care | $65K–$88K |
| Outpatient / clinic | $62K–$84K |
| School system | $58K–$78K |
| Home health | $68K–$92K |
Where OT demand is highest in Texas
- Dallas / Fort Worth: Baylor Scott & White Health, UT Southwestern Medical Center, Texas Health Resources, Methodist Health System
- Houston: Memorial Hermann Health System, Texas Children's Hospital, Houston Methodist, HCA Gulf Coast
- San Antonio: University Health, Baptist Health System, CHRISTUS Health
- Austin: Ascension Seton, St. David's HealthCare, Dell Seton Medical Center
Bottom line
Texas is one of the largest OT markets in the country. OT Compact membership means 1–3 day practice privileges. The $125 fee and no state income tax make Texas a top destination for traveling OTs.
Hiring in this space?
Browse 1.4M+ verified providers across all 50 states
NPI-sourced, free, no account required. Filter by specialty + state in seconds.
Search the directory →Free tool
2026 Healthcare Salary Calculator
Estimate comp by specialty, state, experience, and practice setting. Based on MGMA, AMGA, and BLS benchmarks.
Try the salary calculator →Be on the launch list
Salary data, hiring plays, and market trends. We'll email you when issue 1 ships. Free, unsubscribe anytime.
No spam. Unsubscribe anytime. We never share your email.