2026 How to Become an Occupational Therapist in Colorado

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Colorado offers a thriving landscape for occupational therapists, with a 15% projected job growth rate through 2030, well above the national average. The state's expanding healthcare sector and rising demand for rehabilitation services create numerous rewarding opportunities. Pursuing a career in this field in Colorado means joining a profession dedicated to improving lives through purposeful activity and holistic care.

This article, crafted by experts in career planning, guides aspiring occupational therapists through the essential steps to enter the profession within Colorado. It provides clear, reliable information to empower readers in navigating education, certification, and licensure requirements, setting a strong foundation for a successful and fulfilling career path.

Key Things to Know About Becoming an Occupational Therapist in Colorado

What are the education requirements to become an occupational therapist in Colorado?

Formal education is the cornerstone for occupational therapists, equipping them with the expertise to address patients' physical, emotional, and developmental needs with confidence and compassion. A well-structured educational path empowers therapists to create personalized interventions that truly transform lives.

Below are the essential education requirements to pursue this fulfilling career in Colorado.

• Bachelor's Degree Preparation: While a bachelor's degree is not mandatory, most aspiring therapists build a strong foundation by earning a degree in fields such as psychology, biology, or health sciences. These studies often cover crucial topics like human anatomy and physiology, providing valuable background knowledge before graduate school.
• Accredited Graduate Program: Completing a master's or doctoral degree in occupational therapy through one of the accredited occupational therapy programs in Colorado is a vital step. These programs are accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or an equivalent body, offering both rigorous classroom instruction and diverse clinical experiences designed to prepare students thoroughly.
• Supervised Fieldwork: Hands-on experience is essential to bridge theory and practice. Graduate students undertake supervised fieldwork for a minimum of twenty-four weeks, enabling them to apply skills in real-world settings and build confidence in delivering effective patient care.

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How do you get a state license to practice occupational therapy in Colorado?

Obtaining an occupational therapy license in Colorado is a vital step that confirms your professional credibility and grants you the legal authority to practice. By fulfilling state-specific requirements, you demonstrate your commitment to high standards of care and ensure your capability to positively impact clients’ lives.

Here are the essential steps to secure your occupational therapy license in Colorado.

• Graduate from an Accredited Occupational Therapy Program: Complete an occupational therapy degree from a program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE). This ensures your education meets national standards and prepares you thoroughly for clinical practice in Colorado.
• Complete Supervised Fieldwork: Gain valuable real-world experience through at least 24 weeks of supervised fieldwork. This hands-on training sharpens your skills and builds confidence needed for independent practice.
• Pass the NBCOT Certification Exam: Successfully passing the National Board for Certification in Occupational Therapy (NBCOT) exam verifies your competency. Submit your NBCOT certification as part of your Colorado occupational therapy license requirements to move one step closer to your career goals.
• Submit a Colorado State License Application: Apply through the Colorado Department of Regulatory Agencies by submitting official transcripts, NBCOT verification, and the required licensing fee. The state ensures all documentation is complete for a smooth license approval process.
• Complete a Criminal Background Check: Undergo a state and federal background check to ensure the safety of the clients you will serve. This is a mandatory step for all applicants seeking Colorado occupational therapist state licensure.

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How often do you need to renew an OT license in Colorado?

License renewal is a vital part of sustaining excellence and professionalism in occupational therapy. It reinforces accountability and ensures that practitioners in Colorado remain current with evolving clinical practices, regulations, and ethical standards. This ongoing process safeguards the community by promoting consistent competency among licensed therapists, fostering trust and confidence in the care they provide.

In Colorado, occupational therapists must renew their licenses every two years. All licenses expire on December 31 of even-numbered years, creating a predictable renewal cycle for practitioners to plan around. While the renewal fee is modest, timely completion is essential as late renewals may involve penalties or temporary suspension of practice rights.

This structured schedule encourages therapists to stay engaged with professional development and compliance requirements, supporting their eligibility to provide safe, effective care while adapting to new state regulations and standards in the field.

One occupational therapist from Colorado, who graduated from a local university, shared his reflections on the renewal process. He described approaching license renewal as both a responsibility and a reminder of his commitment to growth. “It’s not just a formality,” he explained, “but a chance to revisit what I’ve learned and plan for new skills.”

He noted occasional anxiety about gathering all documentation but found the process rewarding because it kept him accountable and motivated to maintain his best practice. This personal perspective highlights how the renewal cycle can inspire ongoing professional development and reinforce a meaningful connection to the occupational therapy community in Colorado.

What continuing education is required for OT license renewal in Colorado?

Continuing education is vital for occupational therapists in Colorado to uphold their professional competence, meet state regulatory standards, and stay informed on the latest advancements in therapeutic techniques and healthcare policies. Embracing ongoing learning empowers practitioners to provide exceptional care and adapt to the evolving needs of their clients.

• Biennial Renewal & Hours Requirement: Colorado occupational therapists and occupational therapy assistants must complete 24 hours of continuing education or professional development within each two-year license renewal cycle. This ensures consistent growth and adherence to updated practice standards by the renewal deadline every even-numbered year.
• Acceptable Course Topics and Formats: The state accepts a wide variety of learning activities relevant to occupational therapy, such as formal courses, workshops, online programs, and independent study. There is no limit on online hours, allowing flexibility in how professionals fulfill their continuing education requirements while focusing on areas that enhance their clinical expertise.
• Continuing Professional Competency (CPC) Program: Practitioners participate in the CPC program by completing a reflective self-assessment, implementing a learning plan, and documenting 24 professional development activities. This approach fosters self-directed growth and accountability, supporting lifelong learning within the profession.
• Reporting and Documentation: Licensees must keep detailed records of their continuing education, including certificates and transcripts, for at least six years. The Colorado Department of Regulatory Agencies may conduct audits to verify compliance, so maintaining thorough documentation helps ensure readiness and confidence.
• Requirements for Occupational Therapy Assistants (OTAs): OTAs in Colorado follow the same continuing education requirements as occupational therapists, including completing 24 hours and participating in the CPC program. This alignment guarantees that all practitioners remain proficient and provide effective support in clinical settings.

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How much does it cost to become an occupational therapist in Colorado?

The total cost of becoming an occupational therapist (OT) in Colorado varies depending on educational choices, exam fees, and state licensing expenses. Knowing these costs upfront allows students to plan their finances wisely and move confidently toward their career goals.

• Tuition and Fees for Accredited OT Programs: Tuition is the biggest investment, with in-state costs around $46,715 to out-of-state tuition reaching nearly $70,000 for two-year programs. Additional expenses include about $1,000 for equipment, $2,500 for textbooks, and another $2,500 for a computer or printer, all essential tools for success.
• NBCOT Exam Fees: Passing the National Board for Certification in Occupational Therapy exam requires a $515 fee. Some students may want to budget extra for preparatory materials or potential retakes to ensure smooth certification.
• Colorado State Licensure Application: After certification, the state fee to apply for occupational therapy licensure is typically $120, securing your right to practice professionally in Colorado.
• Background Check and Drug Screening: These safety requirements cost between $85 and $150 and are important steps during application or enrollment, reinforcing the profession’s commitment to ethical care.
• Professional Memberships and Insurance: Joining organizations like AOTA costs about $150 annually and opens doors to growth. Liability insurance, vital for clinical placements, ranges from $10 to $30 per year, safeguarding your journey.

What financial aid options are available for OT students in Colorado?

Financial aid plays a vital role in making occupational therapy education attainable for many students in Colorado. Graduate programs can be costly, but a variety of funding options are designed to ease this burden and open doors to this rewarding career. Here are key financial aid opportunities available to help you invest in your future as an occupational therapist.

• Federal Student Aid (FAFSA-based Grants and Loans): By completing the FAFSA, students may access federal grants such as the Pell Grant and loans including Direct Unsubsidized and Graduate PLUS Loans. These aid options support tuition and living expenses for U.S. citizens and eligible non-citizens enrolled at least half-time.
• Colorado State Grants and Financial Aid: Residents can apply for state grants and need-based aid through FAFSA or the Colorado Application for State Financial Aid (CASFA). This assistance is targeted at those with financial need and can reduce out-of-pocket costs at public institutions.
• Western Regional Graduate Program (WRGP) Tuition Savings: Students from Western states can benefit from paying in-state tuition rates in participating Colorado OT programs, potentially saving around $15,000 yearly. This program encourages regional access to quality education.
• University-Based Scholarships: Many Colorado universities offer scholarships for OT students, awarded for academic achievement, leadership, or financial need. Applicants often can apply once through university portals to be considered for multiple awards.
• Professional and Association-Sponsored Scholarships: Organizations like the American Occupational Therapy Foundation provide numerous scholarships to accredited OT students, rewarding academic excellence and commitment to the profession. State associations may also offer valuable support and awards.

Can out-of-state occupational therapists work in Colorado?

Out-of-state occupational therapists can indeed work in Colorado, but they must first obtain a Colorado state license to practice regularly. The state requires all occupational therapists to be licensed by Colorado’s Department of Regulatory Agencies, regardless of their standing elsewhere. There is no direct reciprocity or endorsement program, and Colorado is not part of the Occupational Therapy Licensure Compact, so interstate privileges don’t apply.

Applicants must submit proof of graduation from an accredited program, NBCOT certification eligibility, and completion of required fieldwork. The state also verifies current licenses from other jurisdictions to ensure standards are met, making the process thorough yet fair for committed professionals.

Temporary practice without a Colorado license is possible only for up to four weeks within a year—and only if working under a Colorado-licensed therapist’s supervision. This exception helps out-of-state therapists assist in unique situations while protecting the integrity of occupational therapy services statewide.

When I spoke with a Colorado occupational therapist who graduated locally, she reflected on out-of-state peers navigating this process. “It took patience and care to gather all documentation and complete approval,” she shared. “Some felt daunted by the detailed verification, but most emerged with a deeper respect for Colorado’s high standards. It’s rewarding to see others join our community ready to uphold those standards and grow in this beautiful state.”

What additional certifications can enhance your career prospects in Colorado?

Expanding your qualifications beyond the standard occupational therapy curriculum can create new opportunities and improve patient outcomes. Earning supplementary certifications, for example in advanced caregiver support, can complement your practice and foster stronger collaborative care with families and community health workers. For those considering a diversified skill set, exploring the option to how to become a caregiver in Colorado can provide valuable insights and professional versatility while reinforcing your commitment to holistic patient care.

What skills do you need to be a successful occupational therapist in Colorado?

Success as an occupational therapist in Colorado requires more than technical expertise; it demands a dynamic set of skills that empower therapists to restore independence, enhance quality of life, and collaborate effectively within multidisciplinary healthcare teams. These competencies are crucial for meeting Colorado’s rigorous licensure standards and delivering compassionate, client-centered care.

Below are the essential skills that define impactful occupational therapy practice in the state:

• Clinical Reasoning and Problem-Solving: This skill enables therapists to analyze complex client needs, design personalized intervention plans, and adapt approaches as clients progress, directly improving therapy outcomes and satisfaction.
• Communication Skills: Clear, empathetic communication fosters trust and engagement with clients and families, especially in Colorado’s diverse cultural environment, while supporting strong collaboration with healthcare professionals.
• Adaptability and Flexibility: The ability to respond to changing client conditions and healthcare policies ensures continuous, high-quality care in ever-evolving clinical settings.
• Professionalism and Ethical Practice: Upholding ethical standards, confidentiality, and integrity builds client trust and aligns with state and national occupational therapy codes.
• Teamwork and Collaboration: Working effectively within interdisciplinary teams promotes coordinated care and optimizes client health outcomes across hospital, school, and community environments.

What specializations are available for occupational therapists in Colorado?

Specializing allows occupational therapists in Colorado to concentrate their skills on specific populations, conditions, or environments, significantly enhancing their career paths and the quality of care they provide. By diving deeply into areas like pediatrics, geriatrics, or mental health, therapists can meet complex client needs with confidence and expertise.

Below are several common occupational therapy specializations in Colorado that open doors to meaningful professional opportunities.

• Pediatrics: These therapists work with children and adolescents, focusing on developmental challenges, autism spectrum disorders, and sensory processing issues. Pediatric occupational therapy Colorado professionals often collaborate with schools and specialized clinics to promote independence through play and functional activities.
• Geriatrics: Specialists supporting older adults help maintain mobility, cognitive health, and daily function, often working in skilled nursing facilities, home health, or outpatient rehabilitation. Their work enhances the quality of life for an aging population with diverse needs.
• Mental Health: Occupational therapists in this field assist individuals facing psychiatric or emotional challenges, providing strategies for social skills, coping, and vocational rehabilitation. These professionals typically serve in hospitals or community mental health centers.
• Hand Therapy: This advanced specialty focuses on the rehabilitation of the upper extremity, treating injuries to the hand, wrist, elbow, and shoulder. Practitioners often work in outpatient clinics and may pursue certification in hand therapy (CHT) for advanced practice.
• Rehabilitation: Occupational therapists in rehabilitation help patients recover from surgeries, strokes, or injuries by restoring function and independence in daily activities. They work across inpatient units, acute hospitals, and outpatient settings.

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What is the average salary of an occupational therapist in Colorado?

The average occupational therapist salary in Colorado is shaped by several key factors including experience level, work setting, and geographic location. These elements combine to create a dynamic pay landscape where earnings can vary widely depending on individual circumstances. Below are the primary factors influencing occupational therapist pay in Colorado.

• Years of Experience: Entry-level occupational therapists in Colorado generally start with salaries around $80,000 annually, while more experienced professionals can earn well above $100,000. Growth in income often reflects skill development, certifications, and time spent advancing in the field.
• Type of Employer and Work Setting: Different workplaces impact salary levels significantly. For example, school-based occupational therapists tend to earn more than average, while home health and outpatient settings may offer varied pay structures, sometimes including hourly wages or per-visit fees.
• Geographic Location Within Colorado: Urban centers such as Denver and Colorado Springs typically provide higher wages to counterbalance living costs, whereas rural areas might offer lower salaries but compensate with additional incentives like housing support or loan repayment programs.

For individuals considering how to become an occupational therapist in Colorado, these salary factors demonstrate the importance of strategic career planning and location choice. Pursuing further education and certifications can elevate earning potential.

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What Do Occupational Therapists in Colorado Say About Their Career?

References:

• Occupational Therapy Doctorate Prerequisite Courses https://www.chhs.colostate.edu/ot/programs-and-degrees/occupational-therapy-doctorate/prerequisite-courses/
• 5 must-have qualities of an occupational therapist – Amaré Health https://amarehealth.co.uk/5-must-have-qualities-of-an-occupational-therapist/
• Colorado Occupational Therapy https://www.occupationaltherapylicense.org/colorado-occupational-therapy/
• Colorado OT License – Uniti Med https://unitimed.com/colorado-ot-license/
• 12 Essential Skills for Occupational Therapy Assistants | Brookline College https://www.brooklinecollege.edu/blog/essential-skills-for-occupational-therapy-assistants/
• Multi-State Licensing for Traveling OT and PT Professionals https://www.coremedicalgroup.com/blog/multi-state-licensing-for-traveling-ot-pt
• The Future of Multi-State Licensing | AMN Healthcare https://www.amnhealthcare.com/blog/allied/travel/the-ot-compact-the-future-of-multi-state-licensing/
• Steps to Get Your Occupational Therapy License State by State - myotspot.com https://www.myotspot.com/occupational-therapy-license/
• Occupational Therapy Association of Colorado - OT/OTA Schools https://www.otacco.org/OT/OTA-Schools
• AOTF > Scholarships https://www.aotf.org/scholarships

Other Things You Should Know About Becoming an Occupational Therapist