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Occupational Therapy Assistant
Total cost: $720
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
OT is responsible for determining appropriate number of OTAs supervised based on competence and setting
Supervision Ratio
20 hrs
CE Hours
$720
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 of 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.
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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: 13/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
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OTA Exam Prep Books
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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
OT is responsible for determining appropriate number of OTAs supervised based on competence and setting
Supervision Type
General supervision; OTA works in collaboration with and under supervision of OT
Initial Supervision Period
Direct supervision during initial practice period as determined by supervising OT
Ongoing Requirements
Regular supervisory contact with OTR/L; OTA must inquire of the OT regarding number of persons being supervised
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 under general supervision; tasks requiring interpretation or professional judgment are not delegable to OTAs
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 Includes initial one-year license | $180 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee Initial one-year license fee included in application | $180 |
Renewal Fee | $100 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes application/license fee ($180) and NBCOT exam ($540) | $720 |
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Renewal & CE Requirements
Mostly verified1 year (annual, by November 1)
Renewal Period
20 hrs
CE Hours Required
No
NBCOT Renewal
CE Topics
Renewal Fee
$100
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
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 →
Compare Oklahoma with other states →
See how requirements, costs, and timelines differ across all 50 states.
Oklahoma licenses OTAs through the State Board of Medical Licensure and Supervision rather than a dedicated OT board. Licenses are annual (not biennial), renewable by November 1 each year with a $100 renewal fee. The regulations specifically prohibit delegation of tasks requiring interpretation or professional judgment to OTAs.
Oklahoma OTA licenses are regulated by the State Board of Medical Licensure and Supervision, not a standalone OT board.
Licenses are renewed annually by November 1.
OTAs may only perform routine tasks that do not require interpretation or professional judgment.
The supervising OT determines the appropriate number of OTAs to supervise.
Oklahoma has not enacted the OT Licensure Compact.
OTA requirements in nearby states
See how Oklahoma compares: OTA License Fees by State — Cheapest to Most Expensive →
Oklahoma 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 Oklahoma.
OTA Schools in Oklahoma
Compare approved training programs, costs, and requirements.
Moving to Oklahoma? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Oklahoma →
Transfer your OTA license from Oklahoma to: Arkansas → | Colorado → | Kansas → | Missouri → | New Mexico → | Texas →
Oklahoma 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 Oklahoma State Board of Medical Licensure and Supervision.
Requirements vary by state. Always verify current requirements with your state licensing authority.