Application requests are normally processed within a week of receipt by the Board office. Licenses are usually issued on Fridays within two (2) weeks after the application and all required documentation is received and processed by the Board office. Click the License Verification tab of the website after 5:00 p.m. on Fridays or call the Board office after 5:00 p.m. and press 1 for the voicemail listing of licenses issued that day.
Annual License Renewal Fee
Directory (for non-licensees)
Duplicate License Certificate
Duplicate Renewal Card
Initial License Fee
Late Renewal Fee
License Verification Fee
Practice Act Booklet
Returned Check Fee
You may go to the License Verification tab of this website (free of charge) or submit a written verification request to the Board office along with a $20 fee. The fee must be in the form of a certified check or money order if your NC license is not current at the time of the request.
NO LICENSE VERIFICATIONS ARE DONE BY PHONE OR FAX
Please refer to Application Process link.
Licenses are usually issued on Fridays within two (2) weeks after the application and all required documentation is received and processed by the Board office. Check the License Verification tab of the website after 5:00 p.m. on Fridays or call the Board office after 5:00 p.m. and press 1 for the voicemail listing of licenses issued that day.
Please refer to the Application Process link.
No, foreign trained therapist who have not taken and passed the NBCOT exam are not eligible for licensure in North Carolina.
The forms should be completed by two different occupational therapists or occupational therapy assistants who have at one time been certified by the NBCOT.
If the state did not require licensure at the time of your practice, include a written statement to that effect with your application.
Licenses expire on June 30th every year. If your license is issued between January 1st and March 31st, it will expire on June 30th of the same year it is issued. If it is issued between April 1st and December 31st, it will expire on June 30th of the following year.
A letter in your application packet contains all of the information you will need to take the Jurisprudence Exam.
The licensure process is not different but Rule .0201(b) states that an applicant re-entering the field after more than 24 months shall complete 90 days of general supervision and shall provide to the Board a written plan for the supervision within 10 days of accepting employment and monthly documentation confirming that the supervision is being provided.
You need to re-apply just as if you’d never held a NC license before. Please see the Application Process tab on this website.
Please refer to the Renewals tab of the website for detailed instructions.
Online renewal is not be mandatory but highly encouraged by the Board. The necessary forms to renew your license will be available at the Renewals tab on this website.
No. You do not need to maintain your certification with the NBCOT in order to be licensed in NC. However, the NBCOT owns the trademarks OTR and COTA. If you wish to use those letters, you must maintain certification with NBCOT or you will be violating trademark laws.
Continuing education is a structured educational experience beyond entry-level academic degree work that is intended to provide advanced or enhanced knowledge in a particular area. Continuing education is only one of several types of continuing competence activities. Section .0805 of the Rules of the North Carolina Occupational Therapy Board lists the activities that qualify as continuing competence activities.
One contact hour of continuing competence equals 60 minutes in a learning activity, excluding meals and breaks. Each contact hour equals one (1) point.
OTs and OTAs are both required to complete fifteen (15) continuing competence activity points annually.
All continuing competence courses and activities must relate to roles and responsibilities in occupational therapy and must enhance the therapist’s continuing competence. Qualified activities are set out in Rules .0803(a) and .0805 and contain many opportunities for completing continuing competence requirements.
Licensees have to submit proof of completion of continuing competence activities and shall keep such proof for at least two (2) years and may be subject to random audits by the Board.
No. Rule .0802(d) states that continuing competence activities may not include new employee orientation or annual training required by the employer.
Rule .0802(b) states for each renewal period, each licensee shall document completion of at least one contact hour (one point) of an ethics course related to the practice of occupational therapy. The one point may be included in the total of the required point total for the renewal period.
Ethics is required for the 2015 renewal and every renewal thereafter.
The ethics course must meet the requirements for continuing competence activity found in Rules Section .0800 (Rules .0801 - .0808). Additionally, whoever presents the course must meet the requirements of Rule .0803(b). It may not be an in-service offered by a co-employee who attended an ethics course.
Enter your ethics activity in the CCA category Ethics regardless of what category of CCA it belongs. This allows the computer to recognize it as your ethics requirement.
You are now able to store your continuing competence activity online by clicking on the Continuing Competence tab and following the detailed instructions.
The occupational therapy Board does not pre-approve individual continuing competence activities. Rule .0804 states that CCA must be related to roles and responsibilities in OT and must serve to protect the public by enhancing the licensee's continuing competence.
Courses that are sponsored or approved by the NCOTA, AOTA, or NBCOT are considered to be pre-approved by the NC Board. There is a pre-approval process that CE providers may complete in order to have their courses pre-approved by the NCBOT but it is not mandatory that they do so.
Read Section .0800 of the Rules of the North Carolina Board of Occupational Therapy for more information about continuing competence activities.
Please refer to the License Verification link.
Please refer to License Verification link
Name change requests are still required to be submitted to the Board office by mail, along with a photocopy of proof of your name change, i.e.: marriage license, divorce papers, or court documents relating to legal change of birth name. Please use the Name Change Only Notification Form located under the Information Update tab on the website.
Please refer to Renewals tab on the website.
Please refer to Continuing Competence tab on the website.
Please refer to Continuing Competence tab on the website.
Yes, an OTA must always have an OT supervisor. Please refer to the Practice Act pages 34 - 37 and 41.
The amount of supervision will depend on the experience and service competency demonstrated by the OTA. Supervision needs to be an interactive process between the OT and the OTA. Refer to pages 34 – 37, and 41 of the Practice Act and Rules Booklet.
Yes. Paragraph .0901 of the Rules of the North Carolina Occupational Therapy Board states: “Occupational therapy assistants and supervising occupational therapists must notify the Board office in writing of any change in ceasing or assuming supervision. The occupational therapist is responsible for supervision of the occupational therapy assistant until official notice that supervision has ceased is received at the Board office. Failure to notify the Board may subject both the occupational therapist and occupational therapy assistant to disciplinary action. Notices must be signed. Telephone or email notices shall not be accepted.
Your supervising OT is the person who has determined that you are competent to provide treatment in your particular work setting and who determines that you are receiving the appropriate supervision.
If you refer to pages 35 through 39 of the "Practice Act Booklet" you will find Section .0900 of the Rules relating to supervision and roles of the OTA. Rule .0903 states that entry-level OTAs require close supervision. Close supervision is defined in Section .0103(21) on page 17 as "daily, direct contact at the service delivery site (where treatment is provided)." It is the Board's opinion that working under close supervision of an OT during the first year of practice is critical for an OTA in order to develop clinical reasoning skills and a background of experience to make clinical decisions. If the facility does not have an OT to provide proper and adequate supervision, the OTA may not continue to provide OT services. Contact by phone is considered "indirect supervision" and is not appropriate for a new graduate.
Rule .0905(1)(a)(ix) of The Rules of the North Carolina Board of Occupational Therapy states that the OT must initiate the evaluation. In occupational therapy practice, the term initiate is understood to mean making the first, in person, face-to-face contact with the client.
In the initial contact with the client the OT: (1) determines the need for service, (2) defines the problems within the domain of occupational therapy that need to be addressed, (3) determines the client’s goals and priorities, (4) establishes intervention priorities, (5) determines specific further assessment needs, and (6) determines specific assessment tasks that can be delegated to the OTA.
After the initial contact with the client by the OT, the OTA may implement specifically delegated assessments for which service competency has been established, demonstrated and documented.
The OT is then responsible for completing the evaluation, interpreting the information provided by the OTA who completed the assessments, establishing intervention priorities, and developing the intervention plan.
How often an OT visits the home depends on the frequency of the OTA visits. Historically, the Board has been of the opinion that the supervising OT should be onsite with the OTA at least once a month, although the number and frequency of the visits is not specified in the statute. Supervision continues to be an interactive process, with the OT and the OTA sharing responsibility to see that the supervision is adequate. Since the OT is responsible for evaluations, assessments and discharges, it makes sense that the OT be familiar with the patient and the Board has recommended once a month as the frequency for OT supervisory visits.
The OTA with less than one year experience will require direct, daily supervision at EACH home care site for EACH home care patient. Home care is a difficult environment because many times there is no one present except the home care patient and the OTA. This is not an environment that lends itself to OTAs with less than one year of experience.
In an effort to “go green” the Board is no longer mailing directories to all licensees. If you need a directory complete the Directory Request Form and mail it to the Board at PO Box 2280, Raleigh, NC 27602. If you are not currently licensed by the Board there is a $15 charge for the directory.
Yes. Pursuant to Section .0401 of the Rules, it is the licensee’s responsibility to notify the Board of each change of name, residence, trade name, business address or mailing address within ten days of such change. You may now do this online by going to the Information Update tab of the website and following the detailed instructions. Do not mail written updates to the Board office after you update your online profile.
See the Practice Act (N.C.G.S.90-2570.78 (3)) which lists the abbreviations you may use once you are licensed. Remember that the NBCOT owns the trademarks OTR and COTA. If you wish to use those letters, you must maintain certification with NBCOT or you will be violating trademark laws.
The Board does not require that you maintain your certification with the National Board for Certification in Occupational Therapy and does not use the C for OTAs or the R for OTs in its records. You may use such designations if you maintain your national certification.
First, there is no distinction between a full-time OT and an OT who is working PRN. They both must follow the rules regarding patient care and supervision of OTA’S. If a PRN OT cannot provide adequate supervision for the OTA, the OTA should not accept the patient for treatment and the PRN OT should not allow the OTA to provide treatment. Please be mindful of your legal and ethical responsibilities.
The Occupational Therapy Practice Act does not specifically mention physical agent modalities. Therefore, they are not specifically allowed or disallowed in OT practice. It is the opinion of the NC Board that an OT may use PAMs, in the course of their occupational therapy practice, so long as they are trained and competent to do so AND their competency has been demonstrated and documented, provided they are billing for OT services. It is also the opinion of the Board that an OTA may use PAMs, in the course of their occupational therapy practice, so long as they AND their supervising OT are trained and competent to do so AND their competency has been demonstrated and documented, provided they are billing for OT services.
The burden is on the occupational therapy practitioners to prove that they are competent to provide the treatment.
Yes, under the supervision of an Occupational Therapist.
The OT is responsible for the overall completion of the discharge summary. The OT should write the discharge summary or should provide or review the information the OTA uses to write the discharge summary for the OT. The OT should sign the discharge summary. The OTA may report data for the discharge summary and may formulate discharge and/or follow-up plans under the supervision of the OT.
Yes, you can treat in groups if that is what is on the IEP.
It is not a requirement of the NCBOT but may be required by some facilities, billing services or third party payers.
Whether or not an OTA can do "screens" depends on the information sought to be gathered in the "screen". An OTA can state or write observations but cannot make an evaluation, request an order for occupational therapy or determine a need for occupational therapy services. This must be determined and requested by an OT.
Go to the How to File a Complaint tab at the Board’s website and follow the instructions.
Name change requests are still required to be submitted to the Board office by mail, along with a photocopy of proof of your name change, i.e.: marriage license, divorce papers or court documents relating to legal change of birth name. Please use the Name Change Only Notification Form located under the Information Update tab of this website.
There is a $5 charge for a duplicate renewal card or a $15 charge for a duplicate license certificate. You may print out a license verification at the License Verification tab at this website at no charge.
- An OT may provide wound care, including sharp wound debridement, so long as it is in the course of OT treatment and the OT is trained and competent to provide wound care, including sharp wound debridement, and such competency has been demonstrated and documented.
- An OTA may provide wound care, excluding sharp wound debridement, so long as it is in the course of OTA treatment and the OTA and the supervising OT are trained and competent to provide wound care, excluding sharp wound debridement, and such competency has been demonstrated and documented by both the supervising OT and the treating OTA
- In all instances, the burden of proof is on the therapist (OT or OTA) to prove competency to provide wound care.
There is no “Inactive” status. Your license is either current or expired. If you choose to renew your license within 24 months of the expiration date, you will still be required to complete the continuing competency requirements and pay the renewal fees for the period of time your license was not current, along with any applicable late fee.
Persons whose license has expired for more than 24 months, and who desire to reinstate their license, must make a new application for licensure and meet all requirements then existing.
In 2006 the Board agreed to participate annually with the Cecil G. Sheps Center for Health Services Research at UNC Chapel Hill in collecting data for their annual publication on NC Health Professions. Each year the Center publishes a book with data from approximately 20 health care professions. This data is used by the legislature, policy makers, educators, the press and others in identifying emerging health workforce issues, monitoring trends in health professional supply and distribution and providing policy makers with objective, timely data for informed health workforce policy debates. You may get more information on this program at http://www.shepscenter.unc.edu.
There is a $15 fee for a duplicate license and a $5 fee for a duplicate renewal card. Send a written request to the Board office along with the appropriate fee. Beginning with the 2012 – 2013 renewal period you will be able to print your own renewal card.