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All 50 states in the United States plus the District of Columbia, Puerto Rico, and Guam require occupational therapists and occupational therapy assistants to be licensed to provide occupational therapy services.
Find core state occupational therapy licensing requirements and additional requirements, as well as a state licensure checklist
State licensure laws establish requirements that must be met before someone can obtain a license and practice their profession. Initial certification with NBCOT is one of the core licensure requirements in the occupational therapy profession.
State license renewal requirements. You cannot provide occupational therapy services in the United States if you do not renew your license. Failure to maintain your state license can cost you your job and getting your license back once it has lapsed can be expensive and time-consuming.
In order to practice in the United States, you must pass the National Board of Certification in Occupational Therapy (NBCOT®) examination. State licensing requirements vary, so make sure to consult your state’s occupational therapy regulatory agency.
Learn about state requirements for supervision of occupational therapy assistants, aides, and students as well as the responsibilities of supervisors.
Six new states—Arkansas, Indiana, Louisiana, Mississippi, Montana, and South Dakota—passed Occupational Therapy Licensure Compact (OT Compact) legislation in 2023, bringing the total number of states that have enacted compact legislation to 28.
State Requirements: 1: Special Requirements : must be directly related to the occupational therapy practice. The remaining contact hours may be related to occupational therapy practice, the delivery of occupational therapy services, or to the practitioner's current professional role.
The OT compact is an interstate professional licensing compact for occupational therapy which will address licensure portability. This is a multi-year initiative that requires legislation to be passed in each state where the OT compact will apply.
This Capital Report provides an update and FAQ for the Occupational Therapy Licensure Compact and an update on the CMS Family Glitch fix.