Executive Council of Physical Therapy and Occupational Therapy Examiners
Online Application for Physical Therapy or Occupational Therapy License

Identification

You are applying for the Occupational Therapist License

Do not use your browser's back button to return to a previous page, as it will cancel your application. You will be prompted to review and edit your entries when you've completed all sections of the application.

Do you hold, or have you ever held, a license from this board?(required)


Enter your name exactly as you want it to appear on your license. (This MUST include your legal last name, and should be the same as or similar to the name you use on your driver's license.)

Personal Information
Statistical and Reporting Questions

The following two questions are for statistical and reporting purposes only and will not affect your application.

Gender(required)


Professional Education Information

The following questions pertain only to your professional entry-level degree.