Occupational Therapy Certification Requirements

Occupational therapists provide health and wellness for those individuals who have experienced serious injury, illness, or disorders that have lost the ability to perform everyday life functions. Patients who have suffered diseases or disorders need support to regain the knowledge and physical ability to complete activities to enhance their quality of life. Conditions can result from emotional, physical, mental, or developmental conditions.

Occupational therapists usually work in rehabilitation centers or hospitals that are equipped with machines and adaptive equipment to assist patients in regaining independence. Therapists are often on their feet most of the day and although equipment is used, therapists must take appropriate measures to ensure that lifting and moving patients does not result in personal injury.

Occupational therapy work is usually a full-time 40 hour a week career. They work in environments such as hospitals, clinics, rehabilitation centers, client homes, and long-term care facilities.

Geographic location and years of experience determine the pay of an occupational therapist, but the average salary is $46,500. Salaries usually range from $40,000 to $95,000.

The occupational therapy field is expected to increase by more than 30% in the next ten years; which is much faster than any other career field.

Certificate and Licensing Requirements.

Occupational therapist programs are regulated by each state, but each state requires that practicing occupational therapy requires a master’s degree or higher in order to practice. In order to become licensed, therapists must graduate from an accredited program and pass a national exam. Passing the exam awards the student the title of ‘Occupational Therapist Registered’. For those students who will be working with children or in schools, additional early intervention certification is required.

Accreditation is maintained from the Accreditation Council for Occupational Therapy Education (ACOTE).  A baccalaureate degree is a prerequisite for master’s and doctorate-level occupational therapy programs. Although it is not a requirement for training, a background check is necessary for an O.T. license.

In order to maintain licensure, therapists must continue professional development by participating in continuing education credits. Each state has specific requirements for how many continuing credits and workshops are necessary.

Examples of the OTR exam topics include: professional obligations, human development and aging, trauma to the body, musculoskeletal disorders, neurological disorders, cardiovascular and pulmonary disease, psychiatric and cognitive disorders, neurological approaches, evaluation and intervention, and advanced therapy techniques.

The OTR/COTA examinations cost $500 and are delivered via computer and take about four hours to complete. Grading is done on a pass/fail basis and scoring can take up to four weeks to complete and get back to the student. The score range is from 300 to 600 points and students must get at least 450 points to receive a ‘pass’ score. If students are not able to pass, they must wait 45 days before completing the application process again, including pay all applicable fees.

Once certified, therapists are required to recertify every three years after the initial five years of certification. Recertifying includes a $50 fee and documentation that recertification requirements have been met.