Licensure guide · Oklahoma

How to get a Oklahoma occupational therapy license

Occupational therapists in Oklahoma are licensed by the Oklahoma State Board of Medical Licensure and Supervision. Below is what the board requires, from education to renewal, with every requirement linked to the board page it comes from. Checked October 22, 2026.

Step by step

Getting licensed

Education: Occupational therapist applicants must complete an educational program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) and at least six months of supervised fieldwork experience. [2]
National exam: The Board recognizes the National Board for Certification in Occupational Therapy (NBCOT) examination for licensure, and applicants must have passing scores submitted through a Board-approved reporting service. [3]
Background check: The Board's occupational therapist forms list includes an Extended Background Check (EBC) consent to perform a criminal history background check. [1]

Moving to the state

Already licensed somewhere else?

Oklahoma has enacted the OT Compact but is not yet issuing compact privileges, so occupational therapists and occupational therapy assistants licensed elsewhere still need a Oklahoma license for now.

Licensed in another state: Occupational therapists currently licensed by examination in another U.S. state, the District of Columbia or Puerto Rico are eligible for licensure by endorsement if their exam was the NBCOT exam or another Board-approved exam, with proof of passing required. [3]
Interstate compact: Oklahoma enacted the Occupational Therapy Licensure Compact through Senate Bill 1653, effective November 1, 2026. [4]

Before your full license

New graduates and clinical fellows

Temporary or provisional license: The Board may issue a temporary license for no more than 90 days to an endorsement applicant once it receives the application and a completed Verification of Supervision form; new graduates who meet the academic and clinical requirements may practice under direct on-site supervision in graduate status for up to one year. [3]

After you are licensed

Keeping the license active

Renewal: Occupational therapist licenses must be renewed yearly on October 31, with fees set by the Board and late fees for late renewal. [3]
Continuing education: Occupational therapists must complete 20 hours of approved continuing education every two years, with the cycle ending October 31 of every even year; no hours may be carried over. [1]

Working in Oklahoma

Pay and openings

Occupational therapists in Oklahoma earn a mean of $104,370 a year (BLS). Most of our Oklahoma searches are confidential and never posted; tell us what you want and we will match you quietly.

Sources

Every requirement above was checked against the official page listed here on October 22, 2026. Boards change fees and rules, so confirm with the Oklahoma board before you apply. This page is a guide, not legal advice.

Other Oklahoma licenses

Occupational therapy licenses in other states

State-by-state license guides →

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