Texas.gov Original Licenses Application

Process…

Welcome
Identification
Address
Current and Previous PT or OT Licensure Information
Questions
Review
Fee(s)
Payment
Receipt

Identification

You are applying for the Occupational Therapy Assistant 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)
Yes
No

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.)

Full Name of applicant (required)

Personal Information

Last Name(required)
First Name(required)
Middle Name
Suffix
Other Last Names (Maiden, Previous Married Name, etc. that might be on documents you must submit to the board)
Social Security Number (###-##-####)(required)
Date of Birth (MM/DD/YYYY)(required)
Driver License Number(required)
Issuing State of Driver License(required)
Email Address(required)

Statistical and Reporting Questions

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

Gender(required) Male Female
Ethnicity(required)

Professional Education Information

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

Professional Degree(required)
School conferring degree(required)
School Code (#### or #####)
Location of School(required)
Graduation Date [MM/YYYY](required)

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

Process…

Identification

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