Maryland Occupational Therapy Schools - MD | Therapist | Certification | How to Become

Maryland Occupational Therapist School

Steps to Become an Occupational Therapist in Maryland

After graduating from their respective programs through Maryland occupational therapy schools, both Occupational Therapists and Occupational Therapy Technicians must pass a National Board for Certification in Occupational Therapy (NBCOT) examination.  The testing process is the second step to a career in Occupational Therapy.

NBCOT is a not-for-profit credentialing entity that offers a national exam for certification in the OT profession.  Applicants for the exam must pre-register with NBCOT by completing an application form and paying a fee of $420 to apply online or $470 to apply by mail.

After NBCOT processes the application and verifies that the applicant has met all requirements, an authorized letter will be sent which gives the applicant contact information to schedule the exam. 

The exam is computerized and timed, allowing a person up to four hours to complete it.  NBCOT conducts examination scoring twice each month, so it can take a few weeks to get the results. Those interested should check out NBCOT’s website at for additional information and practice questions. 

The final step on the OT career ladder is licensing through the Maryland Board of Occupational Therapy Practice. The board reviews all license applications at its monthly board meeting (third Friday of the month) and all applications must be submitted by the Wednesday prior to the meeting.

The board can issue a temporary license after completion of the certification exam and receipt of the results by the MD Board of OT.  A temporary license is valid until the official license is issued.

To be licensed, an OT must complete a license application, submit a photograph with a Notary Seal imprint, pay a $200 licensing fee, and include two self-addressed labels.  In addition, two moral character forms must be completed and sent directly to the board from the people completing them.  (These forms cannot be submitted by the license applicant.)

Licenses are valid for up to two years and must be renewed by May 31 of each even-numbered years.  The renewal fee for OTR is $297 and OTRs must take continuing education classes as part of the license renewal process. These courses are intended to act as refresher courses and also to help practicing OTRs stay current with new developments in their chosen profession.

Through campus based and online programs, aspiring Occupational Therapists in Baltimore, Columbia, Silver Spring and Ellicot City, Maryland may be able to prepare themselves for the possibility of employment in some of the largest hospitals and healthcare facilities in the state including the Franklin Square Hospital Center, Holy Cross Hospital, John Hopkins Medicine and Prince George’s Hospital Center.
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