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Occupational Therapy Assistant
Total cost: $640
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
OTA
Credential
Required
NBCOT Exam
Required
Supervision
Determined by supervising OT based on ability to safely supervise
Supervision Ratio
24 hrs
CE Hours
$640
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 16 weeks
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.
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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; 4 hours; scaled score 300-600, pass = 450; administered via 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
VerifiedSupervision by OTR/L Required
Supervisor Credential
Licensed Occupational Therapist (OT)
Supervision Ratio
Determined by supervising OT based on ability to safely supervise
Supervision Type
Personal supervision with weekly verbal contact and monthly documentation review
Initial Supervision Period
Personal supervision from the start; supervising OT evaluates performance
Ongoing Requirements
Weekly verbal contact and consultation, monthly review of patient care documentation, and specific delineation of tasks by the OT
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
VerifiedPermitted Activities
Restricted Activities (OTR/L Only)
Supervision Level for Tasks
Tasks specifically delineated by the supervising OT; routine tasks under general supervision, complex tasks 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 | $50 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee | $50 |
Renewal Fee | $50 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes application/license fee ($50 + $50) and NBCOT exam ($540) | $640 |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
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Renewal & CE Requirements
Verified2 years (expires March 31 of even-numbered years)
Renewal Period
24 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.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
OT Compact Member
Yes
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 and OT Compact
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 →
Compare Georgia with other states →
See how requirements, costs, and timelines differ across all 50 states.
Georgia requires 12 of the 24 CE hours to be in direct 'hands on' patient care, obtained exclusively through live presentations, workshops, seminars, conferences, or real-time interactive webinars. Paper applications are no longer accepted; all submissions must go through the GOALS online portal. Georgia uses CE Broker for free CE tracking.
Paper applications are no longer accepted; all applications must go through the GOALS online portal.
24 CE hours required per renewal, with 12 hours in direct patient care via live presentations or interactive webinars.
Minimum 2 hours in ethics required each renewal cycle.
Georgia uses CE Broker as the approved CE tracking system at no additional cost to licensees.
Supervision requires weekly verbal contact, monthly documentation review, and specific task delineation.
Licenses expire March 31 of even-numbered years.
Georgia is a member of the OT Licensure Compact.
OTA requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Georgia (you) | $640 | 112–126 wks | |
| Alabama | $628 | 112–126 wks | → |
| Florida | $720 | 112–126 wks | → |
| North Carolina | $650 | 112–126 wks | → |
| South Carolina | $655 | 112–126 wks | → |
See how Georgia compares: OTA License Fees by State — Cheapest to Most Expensive →
✓ OT Compact Compact State — Georgia is a member of the Occupational Therapy Licensure Compact. Licensed otas from other member states may be eligible for expedited practice privileges.
Related Guides
Explore requirements for other professional licenses in Georgia.
OTA Schools in Georgia
Compare approved training programs, costs, and requirements.
Moving to Georgia? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Georgia →
Transfer your OTA license from Georgia to: Alabama → | Florida → | North Carolina → | South Carolina → | Tennessee →
Georgia requires the NBCOT COTA exam for occupational therapy assistants. OTAs must practice under Licensed Occupational Therapist (OT) supervision. All licensing is managed through the Georgia State Board of Occupational Therapy.
Requirements vary by state. Always verify current requirements with your state licensing authority.