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Occupational Therapy Assistant
Total cost: $740
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
COTA
Credential
Required
NBCOT Exam
Required
Supervision
1 OTR:2 OTAs
Supervision Ratio
14 hrs
CE Hours
$740
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 (at least 2 months clinical experience under OT supervision)
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 (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: 12/100
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
Direct supervision initially, then general supervision
Initial Supervision Period
First 120 days — direct supervision required
Ongoing Requirements
Supervising OTR/L must be available for consultation and provide periodic direct supervision
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 | $100 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee | $100 |
Renewal Fee Annual renewal; $75 for OTAs, $100 for OTs | $75 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes application fee ($100), NBCOT exam ($540), and initial license fee ($100) | $740 |
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Renewal & CE Requirements
Verified1 year (annual renewal)
Renewal Period
14 hrs
CE Hours Required
No
NBCOT Renewal
CE Topics
Renewal Fee
$75
Annual; $75 for OTAs, $100 for OTs
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
OT Compact / 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 →
Compare Louisiana with other states →
See how requirements, costs, and timelines differ across all 50 states.
Louisiana OT/OTA licensing is managed by the Louisiana State Board of Medical Examiners (LSBME) rather than a standalone OT board. Annual CE requirements include a mandatory 1-hour LSBME rules and regulations course specific to the state. Louisiana is an OT Compact member state and requires proof of citizenship for licensure.
Louisiana OT/OTA licensing is administered through the Louisiana State Board of Medical Examiners (LSBME), not a standalone OT board.
Annual renewal requires 14 contact hours including 1 hour ethics and 1 hour LSBME rules and regulations.
Louisiana is an OT Compact member state.
Proof of citizenship is required for licensure in Louisiana.
OTAs must practice under the supervision of a licensed OTR/L.
OTA requirements in nearby states
See how Louisiana compares: OTA License Fees by State — Cheapest to Most Expensive →
✓ OT Compact Compact State — Louisiana 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 Louisiana.
OTA Schools in Louisiana
Compare approved training programs, costs, and requirements.
Moving to Louisiana? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Louisiana →
Transfer your OTA license from Louisiana to: Arkansas → | Mississippi → | Texas →
Louisiana 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 Louisiana State Board of Medical Examiners (LSBME).
Requirements vary by state. Always verify current requirements with your state licensing authority.