Career roadmap
How to Become an Occupational Therapist
The education, training, certifications and steps it takes to start working as an occupational therapist, plus how long it takes and where the career can lead.
To become an occupational therapist: (1) earn a bachelor’s degree, (2) get observation hours, (3) complete an OT program, (4) pass the NBCOT exam, (5) specialize. Most people need about 6–7 years. BLS lists “master's degree” as the typical entry-level education.
5 steps to become an occupational therapist
Earn a bachelor’s degree
Psychology, biology or kinesiology.
Get observation hours
Shadow OTs.
Complete an OT program
Master’s or doctorate.
Pass the NBCOT exam
Get licensed.
Specialize
Pediatrics, hand therapy or neuro.
Education and training requirements
A master’s or doctoral degree in occupational therapy from an accredited program is required, plus the NBCOT exam and a state license.
| Typical entry-level education (BLS) | Master's degree |
|---|---|
| Related work experience | None |
| On-the-job training | None |
| Typical training time | 6–7 years |
Certifications and licenses
- NBCOT certification (OTR): National certification.
- State OT license: Required to practice.
- Certified Hand Therapist (CHT): Hand therapy specialty.
- AOTA board certification: Specialty credentials.
Skills to build now
Start with functional assessment, activities of daily living training, and adaptive equipment, and practice creativity and patience. Learning the occupational therapist vocabulary early makes training and interviews easier.
Where the career can lead
- Staff OT: Treat patients.
- Specialist OT: Specialize.
- Rehab Manager: Lead teams.
- Director or Faculty: Lead programs.
Get a head start
Our self-paced Occupational Therapist training gives you a realistic, practical overview of the job (duties, terminology, step-by-step tasks, safety and interview prep) so you can decide with confidence and show employers you’re serious.
Common questions about getting started
How long does it take to become an occupational therapist?
Most people need about 6–7 years of training. A master’s or doctoral degree in occupational therapy from an accredited program is required, plus the NBCOT exam and a state license.
Do you need a degree to be an occupational therapist?
Yes. BLS lists a master's degree as the typical entry-level education, and you also need a state license to practice.
What certifications are available for occupational therapists?
Common credentials include NBCOT certification (OTR), State OT license, Certified Hand Therapist (CHT), and AOTA board certification. All states license occupational therapists, requiring an accredited degree and the NBCOT exam.
Sources
- U.S. Bureau of Labor Statistics, BLS Occupational Employment and Wage Statistics (OEWS), May 2025, SOC 29-1122 (Occupational therapists).
- U.S. Bureau of Labor Statistics, BLS Employment Projections, Table 1.2 (2025–35).
- O*NET OnLine summary for Occupational therapists (U.S. Department of Labor).
- BLS Occupational Outlook Handbook.
Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.