North Carolina OT and OTA license renewal and continuing competence
The North Carolina Board of Occupational Therapy’s renewal instructions call for “documentation showing proof of completion of a minimum of 15 continuing competence activity (CCA) points, including at least one CCA point in ethics”.
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.
Sources read on November 12, 2026: the board’s Online Renewal and Continuing Competence pages. Both are written for OT and OTA licensees. They point to Rule .0805 for the activity categories; that rule was not read for this page.
Cycle
Renewal is annual and online only (paraphrased). The renewal page states: “Online renewals begin April 1 and end June 30th of every year.”
Ethics
“One point in ethics is mandatory for this renewal period and every renewal thereafter.” The ethics activity must be entered in the Ethics category so the online system recognizes it (paraphrased).
First renewal
“If this is your first renewal, you are not required to provide CCA points (unless you have been notified by the Board that you are required to submit CCA points)”.
Records and audits
Licensees upload proof of completion with the renewal (paraphrased). “You should maintain copies of required documentation for a minimum of two (2) years following the last day of the license renewal period for which the continuing competence activity points were earned.” Rule 21 NCAC 38 .0808, quoted on the renewal page, states: “The Board shall perform a random audit or full review of licensees’ continuing competence activity requirements at least once during each licensing period.” The pages read do not name a carryover allowance.
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.