As an OT, knowing your state’s rules is essential for practicing legally, ethically, and confidently. Each state’s Occupational Therapy Practice Act outlines key regulations like licensure requirements, scope of practice, supervision of OTAs, and continuing education (CEUs). Following these laws ensures you stay compliant, avoid disciplinary actions, and protect your license—your most valuable professional asset. Without it, you can’t practice! Staying informed also helps you deliver high-quality, ethical care by following standards like confidentiality, informed consent, and practicing within your scope.
Differences between states
Additionally, state laws vary, so what’s allowed in one state might not apply elsewhere. For example, direct access, telehealth rules, or OTA supervision requirements differ widely. Laws also evolve, such as telehealth provisions introduced during COVID-19 or changes to advanced practice areas. By staying up to date on your state’s practice act and staying connected to updates through your state OT board or association, you can ensure compliance, protect your career, and provide the best care for your clients.
Helpful state resources
OT Referral Requirements by State.pdfOT Scope of Practice by State.pdfOT CEU Requirements by State.pdfState OT websites
Territories
| Territory | State Board Website | OT Association Website |
| American Samoa | American Samoa OT Board | n/a |
| Guam | Guam OT Board | Guam OT Association |
| Northern Mariana Islands | Northern Mariana Islands Health Licensing Board | n/a |
| Puerto Rico | Puerto Rico OT Board | Puerto Rico OT Association |
| U.S. Virgin Islands | U.S. Virgin Islands OT Board | U.S. Virgin Islands OT Association |
| Washington, D.C. | Washington, D.C. OT Board | DC Occupational Therapy Association (DCOTA) |
The Takeaway
Knowing and following your state’s OT Practice Act isn’t just a legal must—it’s a professional power move 💪. Staying current with your state’s rules helps you protect your license, deliver ethical care, and stay confident in your practice. Bookmark your state board’s site, check for updates regularly, and keep your CEUs and supervision in check. Your license is your livelihood—treat it like gold!