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Occupational Therapy Assistant
Total cost: $678.25
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
1 OTR:3 OTAs
Supervision Ratio
18 hrs
CE Hours
$678.25
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 (scale: 300–600)
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:3 OTAs
Supervision Type
General supervision
Initial Supervision Period
First 90 days — direct supervision required
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 | $105.00 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee | Included in application fee |
Renewal Fee | $105.00 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes application/license fee ($105), NBCOT exam ($540), and criminal background check ($33.25) | $678.25 |
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Renewal & CE Requirements
Verified2 years (biennial)
Renewal Period
18 hrs
CE Hours Required
No
NBCOT Renewal
CE Topics
Renewal Fee
$105
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
Minnesota is a LIVE compact member. 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 (active) / 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 Minnesota with other states →
See how requirements, costs, and timelines differ across all 50 states.
Minnesota was among the first three states to go live with the OT Licensure Compact on January 12, 2026. The state requires 18 CE hours per biennial cycle with at least 2 hours in ethics, and charges a $33.25 criminal background check fee for initial licensure.
Minnesota was one of the first three states (along with Ohio and West Virginia) to begin accepting OT Compact applications on January 12, 2026.
18 CE contact hours required per biennial renewal, with at least 2 hours in ethics.
Criminal background check fee of $33.25 is required for initial licensure.
Minnesota has a standalone Board of Occupational Therapy Practice.
OTA requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Minnesota (you) | $678.25 | 112–126 wks | |
| Iowa | $715 | 112–126 wks | → |
| North Dakota | $700 | 112–126 wks | → |
| South Dakota | $625 | 112–126 wks | → |
| Wisconsin | $600 | 112–126 wks | → |
See how Minnesota compares: OTA License Fees by State — Cheapest to Most Expensive →
✓ OT Compact Compact State — Minnesota 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 Minnesota.
OTA Schools in Minnesota
Compare approved training programs, costs, and requirements.
Moving to Minnesota? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Minnesota →
Transfer your OTA license from Minnesota to: Iowa → | North Dakota → | South Dakota → | Wisconsin →
Minnesota 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 Minnesota Board of Occupational Therapy Practice.
Requirements vary by state. Always verify current requirements with your state licensing authority.