Loading...
Loading...
Occupational Therapy Assistant
Total cost: $680
Governing Authority
Rhode Island Department of Health — Board of Occupational Therapy
Official website →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
20 hrs
CE Hours
$680
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 12 weeks 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.
Browse OTA study materials on Amazon →(affiliate link)
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
Browse study guides
OTA Exam Prep Books
Affiliate link — we may earn a commission at no extra cost to you.
Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
Study guides for the NBCOT COTA certification exam.
Browse Study Guides on Amazon →As an Amazon Associate, we earn from qualifying purchases.
Shop essential tools and supplies to get started in your career.
As an Amazon Associate, we earn from qualifying purchases.
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
General supervision
Initial Supervision Period
Direct supervision required during initial practice period
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 | $140 |
NBCOT Exam Fee Paid directly to NBCOT | $540 |
License Fee Included in application fee; additional $30 for hard copy license | $140 |
Renewal Fee | $50 |
NBCOT Renewal Fee Online renewal every 3 years to maintain NBCOT certification | $65 |
Total Initial Fees Includes application/license fee ($140) and NBCOT exam ($540) | $680 |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
Calculate your licensing ROI →
See how quickly your license investment pays for itself.
Renewal & CE Requirements
Verified2 years (biennial)
Renewal Period
20 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
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 Rhode Island with other states →
See how requirements, costs, and timelines differ across all 50 states.
Rhode Island regulates OTAs through the Department of Health rather than a standalone board. The application fee is $140 with an additional $30 if a hard copy license is desired. The renewal fee is relatively low at $50 per biennial cycle. Rhode Island has not joined the OT Licensure Compact.
Rhode Island regulates OTAs through the Department of Health rather than a standalone OT board.
Application fee of $140 with an additional $30 for a hard copy license.
20 CE hours required every 2 years for renewal.
Rhode Island has not enacted the OT Licensure Compact.
NBCOT certification required for initial licensure but ongoing renewal not required.
OTA requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Rhode Island (you) | $680 | 112–126 wks | |
| Connecticut | $740 | 112–126 wks | → |
| Massachusetts | $640 | 112–126 wks | → |
See how Rhode Island compares: OTA License Fees by State — Cheapest to Most Expensive →
Rhode Island 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 Rhode Island.
OTA Schools in Rhode Island
Compare approved training programs, costs, and requirements.
Moving to Rhode Island? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your OTA license to Rhode Island →
Transfer your OTA license from Rhode Island to: Connecticut → | Massachusetts →
Rhode Island 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 Rhode Island Department of Health — Board of Occupational Therapy.
Requirements vary by state. Always verify current requirements with your state licensing authority.