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Tennessee Occupational Therapist License

Tennessee Board of Occupational Therapy

Total Fee
$165
Processing Time
4 to 6 Weeks
Fingerprints
Required
IdentoGO (IDEMIA)
Temp License
Available
See board

What You'll Need

  • Passport Style Photo — A recent (within 12 months) passport-style photograph, signed on the back.
  • Letter of Recommendation — One original letter of recommendation from a professional attesting to your good moral character (cannot be from a relative).
  • Declaration of Citizenship — A completed and notarized Declaration of Citizenship form with a copy of a valid ID (e.g., Driver's License or Birth Certificate). Download Form
  • Official Transcripts — Transcripts must be sent directly from the ACOTE-accredited institution to the Board.

How to Apply

  1. Create a LARS Account
    Register for an account on the Tennessee Licensure and Regulatory System (LARS) portal to begin the online application process.
    Access LARS Portal
  2. Submit Initial Application
    Complete the online application for Occupational Therapist licensure and pay the required fees ($110 total).
    Apply Online
  3. Criminal Background Check
    Schedule a fingerprinting appointment through IdentoGO using the Tennessee-specific OCA code 1594 for Occupational Therapists.
  4. Request Official Transcripts
    Contact your educational institution to have official transcripts sent directly to the Tennessee Board of Occupational Therapy.
  5. NBCOT Score Transfer
    Request that your official OTR examination scores be sent directly from NBCOT to the Tennessee Board.
    Request NBCOT Scores
  6. Submit Mandatory Practitioner Profile
    Complete the Mandatory Practitioner Profile Questionnaire, which is required for all licensed health care providers in Tennessee.
Total Fee
$165
Processing Time
4 to 6 Weeks
Fingerprints
Required
Temp License
Available

Transfer License

Requirements
Occupational therapists licensed in another state can often apply via endorsement by providing license verification and current NBCOT certification.

Steps

  1. Verify Out-of-State Licenses
    Request official verification of licensure from every state where you have ever held a license, to be sent directly to the Tennessee Board.
  2. NBCOT Verification
    Request that NBCOT send a verification of your current certification status to the Tennessee Board.
    NBCOT Verification
  3. Complete Tennessee Application
    Submit the application via the LARS portal, selecting the 'Reciprocity/Endorsement' path.
    Start Endorsement Application
Total Fee
$0
Renewal Cycle
Every 2 years
Compact
No
Board
Tennessee Board of Occupational Therapy

Keeping Your License Active

Tennessee Occupational Therapist licenses renew Every 2 years. Contact the Tennessee Board of Occupational Therapy for continuing education requirements and renewal deadlines.

Fees

ItemAmount
Application$165
Endorsement application$165
Fingerprint check$35-$50 (varies by state)
Temporary permitSee board

Slow Downs

Incomplete Background Checks
Using the wrong OCA code or failing to follow the IdentoGO instructions precisely can delay the receipt of criminal history reports.
Transcript Timing
Sending transcripts before the degree is officially conferred and posted will result in the Board rejecting the document.
Missing Verifications
Delays often occur when applicants forget to request verifications from states where they held a license that is now inactive.

Questions

How long does the application process take?
The typical timeline for licensure is 6 to 9 weeks once all documentation is received.
What are the continuing education (CE) requirements?
OTs must complete 24 hours of continued competence every two years, including 1 hour of ethics and 1 hour of Tennessee Jurisprudence (Rules and Laws).
When does my license expire?
Licenses expire every two years on the last day of the licensee's birth month.
Is Tennessee part of the OT Compact?
Tennessee has enacted OT Compact legislation but is currently in the implementation phase and not yet issuing or accepting compact privileges.

Board Info

Tennessee Board of Occupational Therapy
Sources
Last verified 2026-02-25