Texas Occupational Therapist Licensing Guide

Texas uses an online portal or paper application (both accepted). online pays by credit card or e-check; paper pays by check or money order. endorsement process for occupational therapists already licensed in another state. You'll need to submit your completed application along with supporting documents and the $140 application fee.

1. Submit endorsement application via Texas board portal
2. Request license verification from current state (via NBCOT or direct) (can run concurrently)
3. Complete any state-specific requirements (background check, etc.) (can run concurrently)
4. Await board review and license issuance

License verification is handled through NBCOT or direct board verification. Texas requires verification from every state where you hold or have held an occupational therapist license, so request verification early to avoid delays.

Background check requirements vary by applicant — confirm the current fingerprinting and screening steps with the Texas Board of Occupational Therapy Examiners (under the Executive Council of Physical Therapy and Occupational Therapy Examiners, ECPTOTE). Where fingerprinting applies, submit your authorization as early as possible, since background check processing is one of the most common sources of delay.

After all components are received, the Board reviews applications on a rolling basis. Check the Texas Board of Occupational Therapy Examiners (under the Executive Council of Physical Therapy and Occupational Therapy Examiners, ECPTOTE) website for status updates on your application.