Most states require Occupational Therapists to be licensed. Licensure requires students to take and pass a national exam through the National Board for Certification in Occupational Therapy (NBCOT). Licensure allows a graduate of an accredited Occupational Therapy program to assume the credential of Occupational Therapist Registered, or OTR.
In the United States, candidates for testing must graduate from a Master of Occupational Therapy program accredited through The Accreditation Council for Occupational Therapy Education (ACOTE), of the American Occupational Therapy Association, Inc., (AOTA).
In Illinois, Occupation Therapists must be licensed through the Illinois Department of Financial and Professional Regulation.