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District of Columbia

Getting Your Occupational Therapist License in District of Columbia

Here's what you need to know.

Last updated 2026-02-25 · Sources verified

Licensing Path

There is no active interstate compact route for occupational therapist licensing in District of Columbia. Plan on endorsement through DC Board of Rehabilitative Therapies.

Endorsement fee
$314
Processing time
4 to 6 Weeks
Fingerprinting
Required
Temporary license
Available
Compact
No active compact path
Board
DC Board of Rehabilitative Therapies

Endorsement Steps

  1. Step 1

    Complete Education & Fieldwork

    Earn a master's or doctoral degree in occupational therapy from an ACOTE-accredited program and complete specific fieldwork requirements.

  2. Step 2

    Pass the NBCOT Examination

    Pass the National Board for Certification in Occupational Therapy (NBCOT) exam for OTRs.

  3. Step 3

    Submit Application and Fees

    Complete the state application, undergo a background check if required, and submit the necessary licensing fees.

Quick Facts

Total fee
Processing time
4 to 6 Weeks
Renewal fee
Renewal cycle
Every 2 years
Application
N/A
Background check
$0 (included in application)
Jurisprudence exam
$0
Total estimated cost

License Types

Occupational Therapist Registered (OTR): The standard credential to practice occupational therapy independently in District of Columbia.

Certified Occupational Therapy Assistant (COTA): Requires an associate degree and practicing under the supervision of a licensed OTR.

Required Documents

Board Contact

Board
DC Board of Rehabilitative Therapies
Department
DC Department of Health, Health Regulation and Licensing Administration (HRLA)
Phone
(202) 442-8336
Email
See board website
Board site
https://dchealth.dc.gov/service/occupational-therapy-licensing
Compact source
https://otcompact.org/

Source: Primary board website

Renewal

Renewal fee is . Renewal cycle: Every 2 years.

District of Columbia Occupational Therapist Licensing FAQ

How much does a District of Columbia OT license cost?

The initial application and licensing fee varies, often around to . Check the specific fee breakdown.

Is NBCOT certification required?

Yes, passing the NBCOT exam is a standard requirement for initial licensure across all states.

Does District of Columbia have reciprocity for occupational therapists?

No interstate compact currently covers occupational therapist practice in District of Columbia. To work in District of Columbia, apply for licensure by endorsement through the state board.

How long does it take to transfer my occupational therapist license to District of Columbia?

Most endorsement applications take 4 to 6 Weeks. If you qualify for an active compact privilege, there may be no separate wait to start practicing.

Can I start working in District of Columbia while my endorsement application is processing?

A temporary or provisional credential is available while the full endorsement application is pending.