LicenseCompass

OCCUPATIONAL THERAPIST License in Texas

Quick Answer

To get an OT license in Texas, complete a degree, pass both the state exam and NBCOT exam, and submit a background check. Apply through the Executive Council of PT and OT Examiners at ptot.texas.gov. Expedited processing for military and spouses.

Exam
NBCOT plus state exam (both state and third-party exams required)
Timeline
3-6 months
Background Check
Required

Requirements

OCCUPATIONAL THERAPIST license in Texas

gold
Education
Degree required
Exam
Both state and third-party exams required
Background Check
Background check required
Continuing Education
Continuing education required to maintain license
Veterans Benefits
Expedited processing is available for military and spouses

Licensing Agency

Executive Council of Physical Therapy and Occupational Therapy Examiners

OCCUPATIONAL THERAPIST Salary in Texas

Entry Level

$69,700

Median

$101,760

Experienced

$136,380

Source: Bureau of Labor Statistics. Salary data is for informational purposes only.

How to Get Licensed

Step-by-step roadmap to becoming a licensed OCCUPATIONAL THERAPIST in Texas.

  1. 1

    Complete Education Requirements

    Degree required

  2. 2

    Submit Background Check

    Background check required

  3. 3

    Pass the Required Exam

    Both state and third-party exams required — NBCOT plus state exam (both state and third-party exams required)

  4. 4

    Submit Your Application

    File your application with the licensing agency.

  5. 5

    Receive Your License

    Processing typically takes 3-6 months.

OCCUPATIONAL THERAPIST Licensing in Texas: What to Know

Texas describes the OT role as evaluating and treating individuals of all ages with impaired abilities due to developmental disorders, aging, sensory impairment, physical injury/illness, or psychological/social dysfunction. The Executive Council of Physical Therapy and Occupational Therapy Examiners oversees OT licensing. Both a state exam and third-party exam (NBCOT) are required. A degree, background check, and CE are required. No experience requirement. Expedited processing is available for military and spouses.

Frequently Asked Questions

How long does it take to get a OCCUPATIONAL THERAPIST license in Texas?
The process typically takes 3-6 months, depending on education completion and exam scheduling.
What exam do I need for a OCCUPATIONAL THERAPIST license in Texas?
You need to pass the NBCOT plus state exam (both state and third-party exams required). Both state and third-party exams required

Considering another state?

Compare OCCUPATIONAL THERAPIST requirements across states.

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Data from CareerOneStop (DOLETA/DEED). Last updated: February 15, 2026.