Thursday, November 27, 2025

How to become an occupational therapist in California

How to become an occupational therapist in California
Becoming an occupational therapist (OT) in California requires completing specific education, fieldwork, and certification requirements
. The process culminates in state licensure through the California Board of Occupational Therapy (CBOT). 
Steps to Become an OT in California
  1. Earn a Bachelor's Degree
    • You must first obtain a bachelor's degree from a regionally accredited college or university.
    • While any major is acceptable, programs often require prerequisite courses such as human anatomy, physiology, statistics, and psychology.
  2. Complete an Accredited Graduate Program
    • The next step is to earn a graduate degree from a program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA).
    • You can choose between a Master of Occupational Therapy (MOT/MSOT) or a Doctor of Occupational Therapy (OTD).
    • MOT programs typically take 2-3 years, while OTD programs take around 3 years. Both prepare you for direct patient care and the national exam.
    • California has several accredited programs, including those at Loma Linda University, San Jose State University, University of Southern California, and others.
  3. Complete Supervised Fieldwork
    • All accredited programs include mandatory fieldwork. You must complete at least 24 weeks of supervised Level II fieldwork in a clinical setting under a licensed occupational therapist to be eligible for licensure.
  4. Pass the National Certification Exam
    • After graduating and completing your fieldwork, you must pass the national certification exam administered by the National Board for Certification in Occupational Therapy (NBCOT).
    • Successful completion of the "Occupational Therapist Registered" (OTR) exam results in NBCOT certification, which is required for state licensure.
  5. Apply for California State Licensure
    • Submit your application to the California Board of Occupational Therapy (CBOT)through the BreEZe online portal.
    • The application requires:
      • Proof of education and NBCOT certification.
      • Official transcripts.
      • Verification of completed fieldwork hours.
      • A background check via Live Scan fingerprinting.
      • Payment of required fees.
  6. Maintain Licensure
    • To renew your license every two years, you must complete 24 professional development units (PDUs) during each licensure period. 
Note that a felony conviction may affect your ability to sit for the NBCOT exam or obtain state licensure. 
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