Certified Occupational Therapy Assistant License in Missouri
Everything you need to know about getting your COTA license to practice in Missouri.
Occupational Therapy Licensure Compact
The OT Compact covers both OTs and OT assistants, but most member states have not yet completed CompactConnect integration — compact privileges can only be used in a small set of states today. Check the per-state status before relying on compact privilege.
Missouri has enacted the OT Compact but is not yet operationally issuing or accepting compact privileges. Until Missouri completes implementation, you must apply for a Missouri COTA license by endorsement — even if you hold an active compact license in another state. Verify current status with the Missouri Board of Occupational Therapy before assuming compact privilege is available.
Visit OT Compact PortalCommon COTA Licensure Requirements
Generic credentialing prerequisites at the profession level. Missouri-specific add-ons (jurisprudence exams, fingerprint vendors, CE coursework, etc.) are not listed here — verify directly with the Board of Occupational Therapy.
- 1Graduation from accredited OTA program
- 2NBCOT COTA certification (current)
- 3Criminal background check
- 4Application fee
Certified Occupational Therapy Assistant licensure in Missouri — FAQ
How long does it take to get a Certified Occupational Therapy Assistant license in Missouri?
Processing times for a Missouri COTA license vary; verify the current estimate with the Missouri Board of Occupational Therapy.
How much does a Missouri COTA license cost?
Published fee data for a Missouri COTA license is limited — confirm current fees with the Missouri Board of Occupational Therapy.
Is Missouri a OT Compact compact state for COTAs?
Missouri has enacted the OT Compact but is not yet issuing or accepting compact privileges, so you must still apply for a Missouri COTA license by endorsement until implementation is complete.
Can I get a temporary COTA permit in Missouri?
Temporary-permit availability for COTAs in Missouri isn't confirmed in our data — check with the Missouri Board of Occupational Therapy.
This guide is for informational purposes only. Licensure requirements change frequently. Always verify current requirements directly with the Missouri Board of Occupational Therapy.
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