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How to become an OTA in Rhode Island. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
Occupational Therapy Assistant
Governing Authority
Rhode Island Department of Health — Board of Occupational Therapy
Official website →Some information on this page has not been fully verified.
68% of data points are verified against official sources. 13 fields based on preliminary research. We recommend confirming details with your state's licensing authority. See sources below · Report incorrect data
COTA
Credential
Required
NBCOT Exam
Required
Supervision
1 OTR:2 OTAs
Supervision Ratio
20 hrs
CE Hours
$680
Total Initial Fees
ACOTE-Accredited Education
VerifiedDegree Required
Associate's degree from ACOTE-accredited OTA program
ACOTE Accredited
Required
Program Length
2 years (Associate's degree)
Fieldwork Requirement
Level II fieldwork — minimum 12 weeks supervised clinical OT work
Accepted Alternatives
OTAs must graduate from an ACOTE-accredited (Accreditation Council for Occupational Therapy Education) associate’s degree program that includes Level II fieldwork. Some states may accept foreign-educated applicants who meet equivalent standards.
Browse approved ota training programs to find the right fit.
Browse OTA study materials on Amazon →(affiliate link)
National Certification Exam
VerifiedRequired
NBCOT COTA Exam
Administered By
National Board for Certification in Occupational Therapy (NBCOT)
190
Questions
4 hrs
Time Limit
Scaled score of 450 or higher
Passing Score
$540
Exam Fee
Format: Computer-based; 190 questions (multiple-choice + multi-select); 4 hours. Scoring: scaled 300-600, pass = 450. Provider: Pearson VUE.
The NBCOT (National Board for Certification in Occupational Therapy) COTA exam is the national certification examination for occupational therapy assistants. Most states require passing this exam for initial licensure.
Overall licensing difficulty: 13/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
Study guides for the NBCOT COTA certification exam.
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OTR/L Supervision
Mostly verifiedSupervision by OTR/L Required
Supervisor Credential
OTR/L (Occupational Therapist Registered/Licensed)
Supervision Ratio
1 OTR:2 OTAs
Supervision Type
General supervision
Initial Supervision Period
Direct supervision required during initial practice period
Ongoing Requirements
Periodic face-to-face meetings with supervising OTR/L required; frequency varies by setting
OTAs must practice under the supervision of a licensed and registered occupational therapist (OTR/L). Supervision ratios, types (direct, general, routine), and frequency requirements vary by state.
OTA Practice Scope
Mostly verifiedPermitted Activities
Restricted Activities (OTR/L Only)
Supervision Level for Tasks
Routine tasks may be performed under general supervision; complex or new interventions require direct supervision
OTAs implement treatment plans under OTR/L supervision. They may perform treatment implementation, documentation, and patient education, but evaluation, treatment planning, and discharge planning are typically reserved for the supervising OTR/L.
| Fee | Amount |
|---|---|
Application Fee | $140 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee Included in application fee; additional $30 for hard copy license | $140 |
Renewal Fee | $50 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes application/license fee ($140) and NBCOT exam ($540) | $680 |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
Government & exam fees
Application, exam & license fees
$820
Study guides & supplies
OTA Exam Prep Books
Estimated total (gov't fees)
$820
Average OTA salary in Rhode Island: $63,590/year
Your investment pays for itself in approximately 5 days
Education and training costs vary by provider. Government fees sourced from state licensing board websites.
Renewal & CE Requirements
Verified2 years (biennial)
Renewal Period
20 hrs
CE Hours Required
No
NBCOT Renewal
CE Topics
Renewal Fee
$50
Regulatory Board
OTA licenses must be renewed on schedule. Most states require continuing education covering occupational therapy practice, ethics, and specialized topics. Some states also require maintaining NBCOT certification.
We'll send you courtesy reminders at 90, 60, and 30 days before your license expires — so you can stay ahead of your CE and renewal deadlines.
Out-of-State Reciprocity
Mostly verifiedAccepts Out-of-State Credentials
OT Compact Member
No
Endorsement Available
Yes
Compact Details
OT Compact is ACTIVE and partially operational. Covers both OTs and OTAs. Live states accepting applications as of early 2026: IN (Mar 9, 2026), MN, OH, WV (Jan 12, 2026). Apply through otcompact.gov (not state boards).
Reciprocity Type
Endorsement
Additional Requirements for Transfer
The Occupational Therapy Licensure Compact (OT Compact) allows OTAs to practice across member states with a compact privilege. Non-compact states may accept out-of-state credentials through endorsement or require a full application.
Moving to another state? Use our Transfer Tool to see what you need →
Rhode Island regulates OTAs through the Department of Health rather than a standalone board. The application fee is $140 with an additional $30 if a hard copy license is desired. The renewal fee is relatively low at $50 per biennial cycle. Rhode Island has not joined the OT Licensure Compact.
Rhode Island regulates OTAs through the Department of Health rather than a standalone OT board.
Application fee of $140 with an additional $30 for a hard copy license.
20 CE hours required every 2 years for renewal.
Rhode Island has not enacted the OT Licensure Compact.
NBCOT certification required for initial licensure but ongoing renewal not required.
OTA requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Rhode Island (you) | $680 | 112–126 wks | |
| Connecticut | $740 | 112–126 wks | → |
| Massachusetts | $640 | 112–126 wks | → |
Rhode Island ranks #31 out of 51 for lowest ota licensing fees ($680). See full ranking →
More rankings: Lowest Renewal Cost · Fewest CE Hours
Rhode Island is not currently a member of the Occupational Therapy Licensure Compact. OTA licensees must apply through standard reciprocity or endorsement. See which states are in the OT Compact →
Related Guides
Explore requirements for other professional licenses in Rhode Island.
OTA Schools in Rhode Island
Compare approved training programs, costs, and requirements.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#31 of 51
Cost
#31 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Occupational Therapy Assistants (SOC 31-2011)
Entry Level
$59,910
25th percentile
Median
$63,590
-7% vs. national avg ($68,340)Experienced
$71,420
75th percentile
Wage Distribution (Annual)
320 employed in this state
Source: BLS OEWS – Occupational Therapy Assistants (May 2024)
National employment projections for 2024-2034
Projected Growth
+16.5%
Very High DemandNew Jobs
+7,800
over 10 years
Annual Openings
5,000
per year (avg.)
47,500 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Occupational Therapy Career Ladder+56% salary growth potential
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Occupational Therapy Assistant
$63,590
Associate degree in OTA + NBCOT-COTA
You are here
Occupational Therapy Assistant
Associate degree in OTA + NBCOT-COTA
$63,590
Master's/Doctorate in OT + NBCOT-OTR
$99,150
Salary data from BLS OEWS May 2024 for this state. Career paths represent common advancement routes — actual progression may vary. Bureau of Labor Statistics — Occupational Outlook Handbook
NBCOT COTA Exam — 2024National rate
83%
Overall Pass Rate
Approximately 83%, varies by program (80-90% range).
Source: NBCOT (National Board for Certification in Occupational Therapy) (2024)
Pass rates are approximate national averages and may vary by state, exam provider, and candidate preparation.
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: 112–126 weeks
Timeline estimated from licensing requirements on this page.
Source: Rhode Island Department of Health — Board of Occupational Therapy — Licensing Requirements
4–8 weeks
Estimated processing time
Source: Rhode Island Department of Health — Board of Occupational Therapy — Licensing Requirements
Moving to Rhode Island? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Rhode Island →
Transfer your OTA license from Rhode Island to: Connecticut → | Massachusetts →
A week-by-week action plan built for your situation — with every cost, deadline, and next step mapped out.
A week-by-week action plan built for your situation — with every cost, deadline, and next step mapped out.
Rhode Island requires the NBCOT COTA exam for occupational therapy assistants. OTAs must practice under OTR/L (Occupational Therapist Registered/Licensed) supervision. All licensing is managed through the Rhode Island Department of Health — Board of Occupational Therapy.
Requirements vary by state. Always verify current requirements with your state licensing authority.