Becoming an Occupational Therapist: Education, Licensure, and Career Path

Occupational therapists (OTs) help people across the lifespan participate in meaningful occupations (self-care, work, play, leisure) through therapeutic use of everyday activities.

Educational Pathway (U.S.)

1. Bachelor's Degree (4 yrs): Any major; prerequisites: anatomy, physiology, psychology, statistics, sociology, human development, medical terminology. Volunteer/observation hours (40–100+) required.
2. Accredited OT Program (ACOTE):
   • Master's (MOT/MSOT): 2–3 years (most common entry)
   • Doctorate (OTD): 3–3.5 years (new entry-level standard by 2027)
3. Fieldwork: Level I (observation/participation); Level II (full-time 24 weeks supervised practice in 2+ settings: physical rehab, pediatrics, mental health, community).
4. NBCOT Exam: Pass national certification exam → OTR (Occupational Therapist Registered).
5. State Licensure: Apply in practice state (requires NBCOT, background check, jurisprudence exam, fees).

Specialty Certifications (AOTA)

BCG (Gerontology), BCP (Pediatrics), BCPR (Physical Rehab), BCH (Hand), SCFES (Feeding/Eating/Swallowing), SCLV (Low Vision), etc.

Practice Settings & Outlook

• Hospitals, schools, outpatient, home health, SNFs, mental health, early intervention, ergonomics, driver rehab.
• BLS: 12% growth (2022–2032); median $93,180 (2023).

OT is a versatile, client-centered profession blending science, creativity, and advocacy.