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How to Get a Physical Therapist License in Missouri (2026)

Ava Health Team
6 min read

In brief

Physical Therapist licensure in Missouri 2026: PT Compact privilege, Missouri DPR endorsement, and 2026 compensation benchmarks for Kansas City and St. Louis.

Steps at a glance

  1. Confirm PT Compact eligibility

    Missouri is a PT Compact member. PTs with an active home-state Compact license can obtain Missouri Compact Privilege at ptcompact.org, 1-3 business days.

  2. Submit NPTE verification (endorsement path)

    For non-Compact applicants, request FSBPT send NPTE scores to the Missouri State Board of Registration for the Healing Arts (Physical Therapy). Minimum score 600.

  3. Submit endorsement application and fees

    Apply via the Missouri Division of Professional Registration (DPR) portal. Application fee approximately $80-$100. Include license verifications from all prior states.

  4. Background check

    Missouri state background check required. Results typically 2-3 weeks.

In this article
  1. Missouri PT license at a glance
  2. Missouri PT compensation 2026
  3. Where PT demand is highest in Missouri
  4. Bottom line

Missouri is a PT Compact member with licensing through the Missouri Division of Professional Registration. Kansas City and St. Louis are both significant PT markets, Kansas City's University of Kansas Health System (the dominant academic employer on the KS/MO border) and BJC Healthcare / Barnes-Jewish Hospital in St. Louis anchor the two markets. PTs working the Kansas City metro typically hold both MO and KS licenses.

Missouri PT license at a glance

  • Issuing board: Missouri Division of Professional Registration, Physical Therapy Board
  • PT Compact member: Yes
  • Compact Privilege processing: 1-3 business days
  • Endorsement processing: 5-7 weeks
  • Application fee: ~$80-$100
  • Jurisprudence exam: Not separately required

Missouri PT compensation 2026

SettingMedian BaseSign-On Range
Outpatient clinic$76,000$4,000-$10,000
Acute care hospital (Kansas City / St. Louis)$88,000$6,000-$16,000
Academic hospital (Barnes-Jewish / UMKC)$92,000$8,000-$18,000
SNF / sub-acute rehab$84,000$5,000-$14,000
Travel PT (13-week)$96,000 + housing stipend

Where PT demand is highest in Missouri

St. Louis metro: BJC Healthcare / Barnes-Jewish Hospital (Level I trauma, major academic PT, 15 hospitals), SSM Health (12 hospitals), Mercy Health St. Louis, St. Luke's Hospital. Kansas City: Saint Luke's Health System (KCMO flagship), Truman Medical Centers / University Health, AdventHealth. Many KC PTs hold dual MO/KS license for the metro. Rural Missouri (Ozarks, Bootheel): NHSC loan repayment widely available in underserved counties.

Bottom line

Missouri's dual-city market offers both academic (Barnes-Jewish, St. Louis Children's) and regional system employment at Midwest-competitive compensation. Barnes-Jewish is a nationally recognized PT training environment. Rural Missouri loan repayment is accessible for PTs willing to serve underserved communities.

Related: PT License Florida 2026, Healthcare Recruiting in Missouri 2026.

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