Massachusetts OT and OTA license renewal and continuing competence
Massachusetts regulation 259 CMR 7.01 requires occupational therapists, occupational therapy assistants, physical therapists, and physical therapist assistants “to complete a minimum of 24 points of Board recognized activities for maintaining continuing competence during the preceding biennial renewal period.”
Quoted from official pages checked November 12, 2026. Confirm current requirements, fees, and dates on those sites. This page is not legal advice and does not guarantee eligibility, certification, or licensure.
Source read on November 12, 2026: 259 CMR 7.00, Continuing Competence (PDF) from the Massachusetts Board of Allied Health Professionals, posted on mass.gov.
Content
“For each renewal period, each physical and occupational therapy professional's continuing competency points must include two points in ethics, laws and regulations governing practice in the Commonwealth of Massachusetts, or some combination thereof.”
Timing
“Only those continuing competence activities which are completed during the required continuing competence period, 24 months prior to each renewal date, will be acceptable as qualifying continuing competence activities for that period.” For those first licensed by examination, the requirement “commences following their first renewal period after initial licensure.”
Caps
Programs count one point per contact hour, up to all 24 points. Teaching is capped at 10 points, academic coursework at 6, and other AOTA- or APTA-approved activities at 6 (paraphrased).
Audits
At renewal, licensees sign a statement on a board form attesting that they met the requirement (paraphrased). The board may randomly audit and may ask for documentation “for two prior licensure renewal/periods.”
What this page does not do
It covers the state occupational therapy license only, and only what the official page or pages named above say. It does not cover NBCOT certification renewal, does not list fees, and does not replace the board’s own instructions. Rules change; check the board before you renew.