Upcoming Webinars

Site Updates


The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Log in

Log in

Massachusetts OT Temporary Permits 

A license granted under certain prescribed conditions for a limited period of time in the profession of Occupational Therapy and Athletic Training. A holder of a temporary license must practice under the supervision of a supervisor in that discipline.


Applicants for licensure in Occupational Therapy who have recently completed their professional education may apply for temporary license privileges by completing the requirements and submitting a request to the Board for temporary licensure.

    • A temporary license holder is required to practice under the SUPERVISION of a supervisor in that discipline. The supervisor must co-sign all documentation until the applicant receives an unrestricted license.
    • Applicants must take and pass the qualifying examination for their profession within a reasonable period of time.
      • If the profession’s qualifying examination is given only on certain, limited dates, the applicant is required to take the next scheduled examination.
      • If the test is given on an ongoing basis, the applicant must take and pass the examination within 120 days of being granted a temporary license.
    • A passing examination score will result in the issuance of an unrestricted license to the applicant. Upon receipt of notice of licensure, an applicant may practice without supervision.
    • The Board may rescind the temporary license and require the applicant to cease practice immediately if the applicant:
      • Does not take the next scheduled examination; or
      • Does not pass the next scheduled examination; or
      • Does not pass the examination within 120 days if the examination is offered on an ongoing basis.
    • Applicants may apply for an extension of their temporary license. Such extension shall not be unreasonably withheld by the Board. An Applicant with an extended temporary license must take and pass the qualifying examination for her/his profession within the period of time described in 259 CMR 2.02(2)(c)2.
    • An applicant may be granted a second extension of temporary licensure at the Board’s discretion. Applicants granted a second extension may practice only under the DIRECT SUPERVISION of a supervisor licensed in that discipline.
    • The Board may not issue more than two extensions of temporary licensure to an applicant.


Supervision. A process by which two or more people participate in joint effort to establish, maintain and elevate a level of performance. Supervision requires the physical presence of all parties at regularly scheduled supervision sessions. Supervision is structured according to the supervisee's qualifications, position, level of preparation, depth of experience and the environment within which the supervisee functions.

Direct Supervision. A process by which a supervisor is on the premises and available to provide supervision in the form of aid, direction, and instruction when procedures or activities are performed.


Occupational therapist or occupational therapy assistant applicants practicing under the direction of a licensee shall use the initials OT/c or OTA/c immediately after their name.


259 CMR 2.02

Mass. Gen. Laws ch. Section 23C

259 CMR 3.02

259 CMR 3.06

About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

Learn More 

Join Us

Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

Join Today 

Find Us

Powered by Wild Apricot Membership Software