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Occupational Therapy Assistant
Total cost: $840
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:2 OTAs
Supervision Ratio
24 hrs
CE Hours
$840
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 (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: 14/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
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Study guides for the NBCOT COTA certification exam.
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OTR/L Supervision
VerifiedSupervision by OTR/L Required
Supervisor Credential
Nevada licensed Occupational Therapist (OTR/L)
Supervision Ratio
1 OTR:2 OTAs
Supervision Type
General supervision; all OTA and provisional licensees must be under supervision of a Nevada licensed OT
Initial Supervision Period
Within 30 days from start of employment in Nevada, primary supervisor information must be submitted to the Board
Ongoing Requirements
Employment information must be submitted to the Board within 30 days from start or change of employment status
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 Standard license fee; provisional license $150 | $300 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee | Included in application fee |
Renewal Fee | $300 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes standard license fee ($300) and NBCOT exam ($540) | $840 |
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Renewal & CE Requirements
Verified2 years from date of issuance; renewal window opens 60 days prior to expiration
Renewal Period
24 hrs
CE Hours Required
Yes
NBCOT Renewal
CE Topics
Renewal Fee
$300
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
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 →
Compare Nevada with other states →
See how requirements, costs, and timelines differ across all 50 states.
Nevada requires a 100% passing score on the Nevada Jurisprudence Exam prior to application submission, and the exam must be re-passed at least every 5 years. Nevada is one of the few states that requires ongoing NBCOT certification for license renewal. Standard license fees are $300. Nevada is not an OT Compact member state.
Nevada requires passing the Nevada Jurisprudence Exam with a 100% score before submitting the application.
The jurisprudence exam must be passed at least once every 5 years for renewal.
Current NBCOT certification is required for both initial and renewal licensure in Nevada.
Primary supervisor information must be submitted to the Board within 30 days of starting employment.
Nevada is NOT an OT Compact member state.
License expires 24 months from date of issuance (not a fixed calendar date).
OTA requirements in nearby states
See how Nevada compares: OTA License Fees by State — Cheapest to Most Expensive →
Nevada 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 Nevada.
OTA Schools in Nevada
Compare approved training programs, costs, and requirements.
Moving to Nevada? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Nevada →
Transfer your OTA license from Nevada to: Arizona → | California → | Idaho → | Oregon → | Utah →
Nevada requires the NBCOT COTA exam for occupational therapy assistants. OTAs must practice under Nevada licensed Occupational Therapist (OTR/L) supervision. All licensing is managed through the Nevada State Board of Occupational Therapy.
Requirements vary by state. Always verify current requirements with your state licensing authority.