How to transfer your Respiratory therapist licence to North Carolina (2026)

Respiratory therapist work in North Carolina is licensed at state level, by the North Carolina respiratory care board or licensing program. This page says what a respiratory therapist licensed or working in another state has to do to work in North Carolina, in the order to do it, and what goes wrong when the order is reversed.

How the transfer works

Every state licenses respiratory therapists and every one accepts NBRC credentials as the basis for licensure by endorsement. Apply to North Carolina's board with your NBRC credential, verification of your current licence, a background check and the fee.

Exam: NBRC (CRT or RRT).

How long: two to eight weeks. Fee: $50 to $250; the current figure is on the licensing body's own site.

What to have ready before you move

• NBRC credential
• Licence verification from your current state
• Continuing education record

Start the paperwork before you give notice. Every week the licence is not done is a week you are not paid, and nothing in the process needs you to be in North Carolina already.

What people get wrong

• Starting the application after accepting the job; a month of waiting is normal
• Letting the NBRC credential lapse

Who hires respiratory therapists in North Carolina

Respiratory therapists in North Carolina are hired by hospitals, long-term acute care, home oxygen and sleep labs. The metros with the most of that work are Charlotte, Raleigh, Greensboro, Durham and Winston-Salem. Employers who could not hire locally and have filed with the Department of Labor are on the North Carolina openings page.

For the money side: the median respiratory therapist in North Carolina earned $77,050 a year ($37 an hour) in May 2024 across 4,440 jobs, according to the Bureau of Labor Statistics, and North Carolina has a flat 4.25% state income tax. What that leaves you after tax is its own page.

Everything about North Carolina, on one page

The North Carolina page has the registries and boards, the income tax table, the programs that pay you to come and the openings filed this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of North Carolina employers hiring from out of state.