How to Get an Occupational Therapist License in West Virginia (2026)

West Virginia is an OT Compact member state, giving eligible occupational therapists the fastest path to practice privileges — typically 1–3 days via compact.aota.org. West Virginia requires a jurisprudence module covering WV OT practice laws when converting to a full state license.

West Virginia OT license at a glance

• Issuing board: West Virginia Board of Occupational Therapy
• OT Compact member: Yes
• Application fee: ~$100
• Processing time (compact): 1–3 business days
• Processing time (endorsement): 6–10 weeks
• NBCOT required: Yes
• Jurisprudence exam: Required for full state license
• CEU requirement (renewal): 20 hours per 2-year cycle

West Virginia OT compensation 2026

Where OT demand is highest in West Virginia

• Morgantown: WVU Medicine (J.W. Ruby Memorial Hospital), Mon Health
• Charleston: CAMC (Charleston Area Medical Center), Thomas Health
• Huntington: Cabell Huntington Hospital, St. Mary's Medical Center, Marshall Health
• Parkersburg: Camden Clark Medical Center (WVU Medicine)

Bottom line

West Virginia OT Compact membership provides fast access to a smaller but stable market. WVU Medicine and CAMC are the primary employers. Budget time for the jurisprudence module if converting to a full WV license.