The Complete Guide to getting your occupational therapy license in all fifty states

How To Get Your Occupational Therapy License In All 50 States

All states require that occupational therapists and occupational therapy assistants obtain state licensure in order to practice. However, the path to gaining your occupational therapy license differs from state to state, which can make the process a little tricky. Some states have simple applications that get approved in a week, whereas others can take months. Some state boards have all necessary information on their website, while others require multiple phone calls and knowing just the right questions to ask.

Once you pass the NBCOT exam, you’re excited to dive into work and start your career. Not being prepared for your state’s licensing process can delay your ability to gain employment, which can be very frustrating — and you certainly don’t want to experience burnout before you even begin! After going through an obstacle course to get my state license, I felt that a central resource needed to exist that contains all information on the licensing process for every state. The result is what you see before you.

Below is a list of initial licensing requirements for all 50 states as well as the District of Columbia. While licensing requirements change over time, especially as applications are converted into an online format, this information is up to date as of the time of writing. Still, I strongly advise you to visit your state’s licensing website and/or contact your state’s regulatory body to ensure the information is correct. This list is also geared toward common requirements for both OT and OTA applicants, so you may need to check if there are additional requirements for your license type (e.g. OTAs often need to submit a supervision form).

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About Morgan Gralla

Morgan Gralla
Morgan Gralla currently works as a school-based OT. She is committed to developing the OT profession, and was recognized as an AOTA/AOTF Future Scientist in Occupational Therapy.


  1. Dominic Lloyd-Randolfi

    Everything looks correct for my state! Thanks for making this 🙂

  2. Ac Bernardez


    I was just wondering if all these requirements are for US citizens only. They seem not applicable to OTRs from other countries who are eyeing to work in the US 😉

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