Occupational Therapy Licensing Requirements For States In Federal Region IV

Because of the federal government, each state in federal region IV has its own laws and statutes. Even laws regarding licensure of professions differ and such requirements too are varied.

States Included in The Standard Federal Region IV:

  • Alabama
  • Florida
  • Georgia
  • Kentucky
  • Mississippi
  • North Carolina
  • South Carolina
  • Tennessee


If you plan to practice in Alabama, you may waive the requirements provided you show proof of your licensure in another state. Education needs to be accredited by a recognized agency. Upon graduation, a temporary license is given and is valid up until the release of the results for the NBCOT.


To be a Floridian occupational therapist, you have to pass the NBCOT. If you passed elsewhere and have a license, present your certification to the Florida Board of Occupational Therapy Practice to have a valid license in Florida. Temporary permits are also issue but are valid only until the results of the exam. Education needs to be accredited by ACOTE and must have at least 6 months of fieldwork.


Occupational Therapy Licensing Requirements Georgia gives out licenses by reciprocity. You no longer need to take the exam again so long as you provide certification that you have passed elsewhere. If you are applying to take the NBCOT, you may also apply for a temporary license. Moreover, your education must be accredited by the board and must have at least 6 months of fieldwork.


If you are licensed elsewhere, to get your license in Kentucky, you need the following:

  • Application Form
  • Letter of good standing from which license has given
  • Current copy of NBCOT certificate
  • Appropriate fee

Temporary permits are also given up until the results of the exam and can be extended for up to 60 days. Your education must also be accredited by ACOTE and have at least 6 months of fieldwork.


The Mississippi State Department of Health Professional Licensure issues licenses via endorsement. Temporary licenses are issued but last for only 90 days. Education must be accredited by ACOTE and you must have had completed supervised fieldwork.

North Carolina

If you are already licensed in a state other than North Carolina, the board may accept your license already. No temporary licenses are given in this state. As usual, education needs to be accredited and you must complete the specified number of hours of supervised fieldwork.

South Carolina

As for South Carolina, you can be licensed through endorsement. For you to practice though, you need to receive your permanent South Carolinian license. Temporary licenses are also issued for those who will be taking the NBCOT and is valid up until the release of the exam results. This can be renewed upon showing a good cause and at the discretion of the board.



The Tennessee Board of Occupational Therapy Examiners does not license via reciprocity or endorsement. A temporary license is issued but applicants have to take the NBCOT within the next 6 weeks. If you are licensed in another state, bring your license verification and board may reconsider.

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