Frequently Asked Questions

No. Please visit the Agency for Health Care Administrations (AHCA) Background Screening website to learn more about its background screening requirements. You may also contact the agency at (850) 412-4503 for additional information.

Once approved by the Board, the applicant has twelve months from the date of approval to take the NBCOT examination and submit proof of scores to the Board office. If you re-schedule your exam date with NBCOT, you must notify the Board office in writing. Scores must be requested and received directly from NBCOT. If one does not sit for the examination, or, if scores are not timely submitted, the temporary permit, and application will expire at the end of the twelve-month timeframe and one must immediately cease practice. No extensions are allowed.

Pursuant to 468.211(6), Florida Statutes, Applicants having taken the exam 3 times without success must complete additional education as prescribed by the Board. See the Florida OT Board’s recommendation under FAQ: “I FAILED the NBCOT Exam 3 times, What kind of education is prescribed by the Florida OT Board?” Also, pursuant to Pursuant to 468.211(6), Florida Statutes, after 5 unsuccessful examination attempts an applicant is no longer eligible to take the examination. However, the exam is not a Florida OT Board/state owned nor administered exam, it is a national Board exam, owned and administered by the National Board for Certification in Occupational Therapy (NBCOT). Please visit NBCOT’s website for more information on its exam re-take procedures and requirements at: www.nbcot.org.

NOTE: Individuals in these circumstances may apply for licensure, by the Endorsement application method, After successfully completing the NBCOT exam and receiving NBCOT certification, to be eligible for licensure in Florida. Please visit NBCOT’s website for more information on its exam re-take requirements and procedures, at: www.nbcot.org.

If you have a current licensure application by examination on file with the Board, your application and fees are valid for one year after the date the Board approved your application. You must re-apply with NBCOT to take the exam, request (and pay) for your scores to be sent to Florida, again. We will process your licensure when we receive your successful scores, if received before your application expires. It is your responsibility to make sure we receive your successful score or your NBCOT Certification number to verify and complete your licensure, prior to your file expiration date.

If you were issued a Temporary Permit you must STOP working immediately and notify the Board, as the Temporary Permit is invalid upon knowledge of your unsuccessful score. The temporary permit will be revoked by the Board upon receipt of your score.

If you do not have a current application on file for licensure in Florida, after you successfully complete the exam and receive your NBCOT certification number, you may apply for licensure, by the Endorsement application method. https://floridasoccupationaltherapy.gov/licensing/ Please visit NBCOT’s website for more information on the exam re-take requirements and procedures, at: www.nbcot.org.

There is no time limitation between graduation date and exam date.

Florida does not have a state exam, and does not honor other states or country exams for licensure. Licensure in Florida as an OT or an OTA requires the successful passage of the National Board of Certification for Occupational Therapy, Inc. (NBCOT) Examination. (www.nbcot.org or 301-990-7979)

Name changes require legal documentation showing the name change. To change your name, please submit supporting documents, which must be one of the following:

1. A copy of a state issued marriage license that includes the original signature and seal from the clerk of the court.
2. A divorce decree restoring your maiden name.
3. A court order showing the name change (adoption, legal name change, federal identity change).
4. A copy of a certificate of naturalization or H1B Employment Visa (Note: Foreign applicants and/or licensees may not have state issued documents)

Any one of these will be accepted unless the department has a question about the authenticity of the document.

The Division of Medical Quality Assurance is now issuing electronic licenses, which enables you to download a PDF copy of your license within two business days. The license can be retrieved in the License Documents menu of your MQA Online Services Portal, https://mqa-vo.doh.state.fl.us/datamart/voservicesportal account. To learn more, please visit the electronic licensing webpage at https://flhealthsource.gov/electronic-licensing/.”

Division of Medical Quality Assurance
Licensure Support Services
P.O. Box 6320
Tallahassee, Florida 32314-6320

For requests by mail, please include your full name as it appears on your license, profession, license number, your new name, your date of birth, the last four digits of your social security number, and your signature. Please submit your name change along with supporting document(s) 5-7 business days to allow processing if you need to renew online.

If you do not require a new license to reflect your new name, you may submit your request online or by mail along with legible supporting document(s) to one of the following:

•  Log onto your MQA Online Services Portal account , select “Request Name Change” from the “Manage My License” dropdown menu
• Mailing address – DOH, Division of Medical Quality Assurance, Post Office Box 6320, Tallahassee, Florida 32314-6320

At the following address:

Department of Health
MQA Agency Clerk’s Office
4052 Bald Cypress Way
Bin CO1
Tallahassee, Florida 32399-3251

No, you must apply for licensure and receive a Florida OT or OTA license to work legally. OTR or COTA Certification alone is not sufficient; it is only a requirement for Florida licensure. Anyone working with only a certification in the state is subject to Unlicensed Practice charges/discipline.

To find a list of all accredited OT and OTA programs you may visit the American Occupational Therapy Association website: at www.AOTA.org. “Find a School” under Education & Careers”. For a list of only Florida OT and OTA programs you may visit the Florida Occupational Therapy Association website at: www.FLOTA.org . and click on “Find a Florida OT School”.

The Florida Occupational Therapy Practice Act does not specifically address “COTA supervision” only the definition of “supervision” is defined by statute Chapter 468, Part III, 468.203(8). See copied below the Florida Statute excerpt with the definition of supervision as defined in the Florida OT licensure Practice Act. The statute allows and requires the licensed OTR the authority to determine what level of supervision is needed for each individual they agree to supervise, based on the individual’s skills, education, training, practice setting and management/administrative requirements, etc. An OTA must be under the supervision of a licensed OT that provides initial direction and follow-up on the implementation of a plan of treatment to provide occupational therapy services. NOTE: Some facilities, companies, etc., may have requirements based on billing purposes, facilities regulations, etc. It is advisable to review the American Occupational Therapy Association (AOTA) who has set forth practice Guidelines for COTA Supervision, roles, and responsibilities for the profession. You may contact AOTA directly at 301-652-2682 or at: www.aota.org.

• CHAPTER 468, PART III, 468.203 (8) “Supervision” means responsible supervision and control, with the licensed occupational therapist providing both initial direction in developing a plan of treatment and periodic inspection of the actual implementation of the plan. Such plan of treatment shall not be altered by the supervised individual without prior consultation with, and the approval of, the supervising occupational therapist. The supervising occupational therapist need not always be physically present or on the premises when the assistant is performing services; however, except in cases of emergency, supervision shall require the availability of the supervising occupational therapist for consultation with and direction of the supervised individual.

In many jurisdictions, the practice of occupational therapy is contingent upon the prescription or referral of a physician, however, the Florida Occupational Therapy Practice Laws and Rules are silent on this issue, not stating that a physician’s prescription is required to provide OT services. The regulations only state a licensed Florida OT and OTA with an active unencumbered license can provide occupational therapy services in the state.  See Chapter 468.203, (4) Definitions, Florida Statutes

NOTE: However, there may be, and often are, facilities, company policies, insurances, HMO’s, and/or billing requirements that may mandate a physician’s prescription for occupational therapy services, including other regulatory entities such as the Agency for HealthCare Administration (Facility Regulations), Medicare, Medicaid, etc.  You may wish to inquire and visit these entities websites:

Florida’s Agency for HealthCare Administration’s Facility Regulations page: https://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/index.shtml;
Medicare: https://www.mymedicare.gov/
Medicaid: https://www.medicaid.gov/