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Massachusetts Occupational Therapy

Licensure Information & Updates

Support for the OT Interstate Licensure Compact

Click here to view the most recent (1/8/2024) update on the OT Interstate Licensure Compact from

MAOT Government Relations Co-Representatives Mary O'Donnell and Karen Hefler

Continuing Competency Regulations enacted April 29, 2022

Regulations were enacted requiring licensees to complete continuing education activities.  This will take effect in September 2022 and will provide for a graduated/incremental implementation over the next two years.

According to 259 CMR 7.01

7.01: Continuing Competence Requirements

(1) Licensed physical therapists, physical therapist assistants, occupational therapists, and occupational therapy assistants (hereinafter collectively "physical therapy and occupational therapy professionals") are required, as a condition of license renewal, to complete a minimum of 24 points of Board recognized activities for maintaining continuing competence during the preceding biennial renewal period. For each renewal period, each physical and occupational therapy professional's continuing competency points must include two points in ethics, laws and regulations governing practice in the Commonwealth of Massachusetts, or some combination thereof.

Click here to view the full Code of Massachusetts Regulations regarding Continuing Competence for occupational     

                                      therapy practitioners

Occupational Therapy Practitioner Continuing Education

Competency Requirements in Massachusetts

24 units per licensure cycle (2 units must be Law and Ethics)

Until August 2024, licensees renewing their occupational therapy license will only be required to complete 1 - 23 units of depending on the month of their license renewal.

Not sure how many CEU's you are required to complete?

Use this Continuing Competency Compliance chart from to find out!

Occupational Therapy Practitioner Signature Update

According to 259 CMR 3.06:

3.06: Designations

(1) Occupational therapists shall use the initials OT after their name.

(3) Occupational therapy assistants shall use the initials OTA after their name.

Click here to view Code of Massachusetts Regulations regarding Occupational Therapists, updated August 2020

Of particular note, the designation for OTR/L and COTA/L no longer exist in Massachusetts 

(and should not not have been used since November 2016).

All occupational therapy practitioners should be signing their documentation and appropriately using the appropriate professional designation immediately following your name. Massachusetts law requires an OT or an OTA signing any medical record, or any other professional documentation, with the licensee’s name, professional designation, and license number.

An example of correct signature would be: Mary Smith, OT, xxxx, / John Doe, OTA, xxxx

Occupational Therapy Assistants can now participate in screenings

According to 259 CMR 3.02:

(2) Responsibility of Occupational Therapy Assistants.

(a) Occupational therapy assistants may contribute to the Screening process by collecting data with Service Competency and shall communicate the information gathered to the supervising occupational therapist.

Click here to view the Code of Massachusetts Regulations regarding Occupational Therapists, updated August 2020

Massachusetts Department of Public Health eLicensing System

Practitioners should use the Massachusetts Department of Public Health eLicensing System portal for licensing-related matters including applications and renewals.

If you have questions or issues about setting up your new account you can:

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