30+ OT Certifications and Specialties

Have you been wondering if you should pursue advanced certification following your OT degree? This post breaks down which certifications are available to OT and gives you an estimate of their cost and the amount of time it would take to complete them.

Your OT degree does not have to be your last stop on the education train. In fact, for many OTs, getting licensed is simply the first stop on a very specialized career track. 

There are TONS of additional certifications out there, which allow you to hone your skills and master new techniques so you can better treat a wider variety of clients.

I wrote this article to shed light on the most popular OT certifications out there, not only so you could learn more about the ways you can help patients—but also to give you some new career ideas in the process! 

For each certification, I provide a ballpark figure of the amount of training and cost involved. (Please note that the figures are estimates.) Regarding time for completion, I did not factor in the time needed to prepare for (nor take) the certification exam, as that would vary depending on the individual. If you want additional information, I provide links for you to learn more about each certification.

Before we dive in, here’s a handy list so you can jump right to the one(s) that interest you the most. Otherwise, you can simply browse through the whole list at your leisure :-)

Links are not endorsements of certain programs. Please do your research if you decide to pursue a particular topic. The certifications’ requirements actually change somewhat frequently, so this is intended to give you a ballpark figure of what each certification entails. 

Author note: If you are an OTA, please check out my post Your Guide to COTA Certification and Specialities!

Assistive Technology Professional (ATP)

Thank goodness for the assistive technology professionals (ATPs) with whom I've consulted over the years. As an average OT, you will quickly discover that the world of assistive technology can be hard to keep up with when you are managing a busy caseload.

An ATP certification can open the door to specializing in: job accommodations, computer accessibility, vehicle modifications, architectural and home modifications, augmentative and alternative communication, environmental controls, positioning devices, seating and mobility, sensory aids, and learning accommodations.

ATPs in North America are certified by RESNA. Certification requires:

  • Time: 1000 hours of work experience

  • Cost: The application fee for the certification exam is $500

  • Renewal: Every two years, $150 and documentation of related work experience and continuing education

For more information, visit RESNA’s ATP info page

Seating and Mobility Specialist (ATP/SMS)

A seating and mobility specialist (SMS) is a specialized ATP. I have worked with SMSs in wheelchair-related matters, and have relied heavily on their expertise in assessment, funding options, and follow-ups. 

  • Prerequisite: ATP certification

  • Time: 1000+ hours in seating and mobility-related service

  • Cost: The application fee for the certification exam is $250

For more information, visit RESNA’s SMS info page

Aquatic Therapeutic Exercise Certification (ATRIC)

I was always jealous when our PTA headed off to the pool for aquatic sessions. It seemed like such a cool niche that OTs could also explore—so why not dive into the benefits of aquatic therapy with a certification of your own? 

  • Prerequisite: 15 hours of aquatic therapy, rehab and/or aquatic therapeutic exercise education

  • Time: Time to take the exam, as well as the 15 hours of prerequisites, if you don’t have them

  • Cost: There is a package for $675, Exam (onsite or online) $255

  • Renewal: $49 (per renewal year)

For more information, visit the Aquatic Therapy and Rehab Institute website

Basic DIRFloortime Certification

As a refresher, DIR stands for The Developmental, Individual Difference, Relationship-Based Model. Floortime is Dr. Stanley Greenspan’s framework for understanding play. This certification prepares clinicians to develop a DIRFloortime intervention program tailored to the unique challenges and strengths of children with Autism Spectrum Disorders (ASD) and other developmental challenges. 

Following the basic training, there are additional tiers of certification. You can read about those here

  • Time: 40 hours for two courses

  • Cost: $868 (for certificate and two courses)

For more information, visit the DIRFloortime info page

Neuro-Developmental Treatment Certification (C/NDT)

NDT is a hands-on approach based on movement analysis, and is most commonly utilized with adults who have sustained strokes or other brain injuries. NDT is also effective on children with cerebral palsy and other neuromotor disorders.

  • Prerequisite: Must be a member of the NDTA (Cost: $105/year)

  • Time: Completion of a certification course, which can be completed in two weeks (or over a series of weekends).

  • Cost: Courses range from $2,500-3,000

For more information, visit the NDT certification info page

Certified Autism Specialist (CAS)

If you regularly work with clients who fall on the autism spectrum, this certification is one way to demonstrate that you have continued education in the area of autism, and have achieved competency standards.

  • Prerequisite: Two years working as an OT (or 10 years, if you don’t have a master’s degree or higher)

  • Time: 14 CEU hours related to autism

  • Cost: Registration fee for the exam is $495

  • Renewal: $199, every two years

For more information, visit the CAS information page

Certified Aging in Place Specialist (CAPS)

If you're like me, you've probably recommended a home modification without a full understanding of what its implementation would entail.

The CAPS certification signifies training in design, marketing, and business management—all of it being related to helping seniors age in place. The certification entails:

  • Time: Three day-long courses (Cost: $330)

  • Cost: $218 graduation fee

  • Renewal: $83 annual renewal fee and 12 hours of continuing education every three years to maintain certification

For more information, visit the CAPS information page

Certified Brain Injury Specialist (CBIS)

If you regularly work with patients with brain injuries, joining The Academy of Certified Brain Injury Specialists might be a worthwhile endeavor. A nice added perk for all new (paid) applicants includes a one-year subscription to the Journal of Head Trauma Rehabilitation—a $130 value! 

  • Time: 500 hours of direct contact experience with individuals with brain injury—and completion of training or self-study.

  • Cost: Application for the certification exam is $300

  • Renewal: $60 annually

For more information, visit the CBIS certification info page

Certified Clinical Anxiety Treatment Professional (CCATP)

Anxiety plagues far too many people, and it can be a barrier that prevents our clients from reaching their therapy goals. The CCATP certification is on the newer side, and it incorporates the theories and interventions to use neuroplasticity to help empower your clients to resist anxiety-inducing cognitions. 

  • Time: Between three and four weeks of online training

  • Cost: $399.99

  • Renewal: Must complete six anxiety-related CE hours per year, and pay a recertification fee of $49.99/year.

For more information, visit the CCATP certification info page

Certified Diabetes Educator (CDE)

This certification will be most beneficial to practicing OTs who work in primary care or community health, as a CDE specializes in pre-diabetes and diabetes prevention and management. There are also a few roles in the acute care setting where this certification is very helpful for landing a non-clinical OT role as a diabetes educator.

  • Prerequisite: Two years of OT practice

  • Time: Minimum of 1000 hours of DSME experience with a minimum of 40% of those hours accrued in the most recent year preceding application—AND a minimum of 15 hours of CE activities applicable to diabetes within the last two years.

  • Cost: $350 for application fee. Cost of continuing education not calculated due to variability.

  • Renewal: Every five years, 75 hours of continuing ed. Cost is $250

For more information, visit the CDE certification info page

Certified Ergonomics Assessment Specialist (CEAS®)

If you’re considering a career in ergonomics, you might want to pursue the CEAS. It’s one of the more recognizable ergonomic certifications, and you can opt to stop at level i or work all the way through level iii. Many practitioners stop at level i, which certifies the ability to perform basic ergonomics analyses on multiple task jobs in office, industrial, and healthcare environments. You’ll learn to use the OSHA ergonomics assessment tools: W-1, D-2, and WAC.

  • Time: Live two-day workshop or online (self-paced) formats. The online format has a 90-day window.

  • Cost: $475 for level i. 

For more information, visit the CEAS certification info page.

Certified Hand Therapist (CHT)

The OTs I know who hold this specialty identified that they wanted to pursue hand therapy early in their careers. Due to the amount of hours required, this is not a certification that you stumble into. You can practice hand therapy on a basic level with your OT degree, but a CHT certification will set you apart in terms of obtaining referrals. Basic requirements include: 

For more information, visit the Hand Therapy Certification Commission’s info page for CHT.

Certified Industrial Ergonomic Evaluator (CIEE)

This certification is a lesser-known alternative to CEAS. However, if you’re specifically interested in industrial, warehouse, and manufacturing ergonomics, you might want to opt for this cert instead. It is a great springboard to landing work in industrial rehabilitation and work hardening.

  • Time: Three-day course (either in-person or online)

  • Cost: $900 for course, $250 for application

  • Renewal: Every four years, $250

For more information, visit the CIEE certification info page

Certified Industrial Rehabilitation Specialist (CIRS) 

The CIRS is similar to the prior certification (CIEE), but focused more on the rehabilitative side of things. This cert is a great pick if you’re looking to implement or enhance a full industrial rehab or return-to-work rehabilitation program!

  • Time: Three-day course (either in-person or online)

  • Cost: $975 for course and $350 processing fee

  • Renewal: Every four years, $350

For more information, visit the CIRS certification info page

Certified Kinesio Taping Practitioner (CKTP)

If you love that colorful tape, a CKTP certification is a great way to incorporate Kinesio Taping into your practice with full confidence. Through the certification process, you can specialize in: Neurological Concepts, Sports Orthopedic Concepts, Myofascial Massage Concepts, Lymphatic Concepts, Pediatric Concepts and Hand Therapy Concepts. This certification is also available to OTAs! 

  • Time: Four eight-hour courses

  • Cost: $1,049

  • Renewal: Annual membership in Kinesio Taping Association International is required ($49/year)

For more information, visit the CKTP info page

Certified Living in Place Professional (CLIPP)

The course teaches the skills to help make homes accessible, comfortable, and safe for everyone—regardless of ability. CLIPP-certified professionals perform comprehensive home assessments, enabling them to identify and offer solutions for home accessibility and safety. 

  • Prerequisites: There are some requirements for those pursuing CLIPP, including five years of prior work experience, liability insurance, etc. 

  • Time: Two-day course followed by an examination

  • Cost: $999 (there may be scholarship funds or savings for members of trade associations; also a $50 early-bird registration discount)

  • Renewal: $85 per year

For more information, visit the CLIPP info page

Certified Lymphedema Therapist (CLT) 

In the SNF setting, I practiced basic lymphedema management under the close supervision of a CLT. However, the opportunity to serve more clients by expanding my expertise was apparent. There are many CEUs out there about lymphedema management, but to become a full-fledged CLT, it will involve: 

  • Time: 135 hours of instruction

  • Cost: $3,000

  • Recertification: There’s a pretty involved, two-part recertification process, details of which are on the info page linked below.

For more information, visit the Norton School of Lymphatic Therapy’s info page

Certified Low Vision Therapist (CLVT)

The CLVT uses functional vision evaluation instruments to assess vision impairment and address disability. CVLTs will look at visual acuity, visual fields, contrast sensitivity function, color vision, stereopsis, visual perceptual and visual motor functioning, literacy skills in reading and writing, etc. 

  • Prerequisites: Verification from CLVT supervisor that the applicant demonstrates basic competency in all core domain areas

  • Time: 350 hours of discipline-specific, supervised practice

  • Cost: Eligibility, exam, and certifications fees amount to $680

For more information, visit the Academy for Certification of Vision Rehabilitation and Education Professionals’ CLVT info page

Certified Psychiatric Rehabilitation Practitioner (CPRP)

The CPRP credential is for professionals who work in adult psychiatric settings and wish to stay up-to-date on best practices for serving adults with severe and persistent mental illness. The test provides credentialing, and also demonstrates competency in best practices. 

  • Prerequisite: Work experience must be in a psychiatric rehabilitation/recovery-oriented environment, and must have involved serving adults and transition-age youth (ages 16+ years) with serious and persistent mental illness

  • Time: 45 training hours that relate to the seven practice domains of psychiatric rehabilitation

  • Cost: Exam fees amount to $495

  • Renewal: Every three years, 45 contact hours, $245

For more information, visit the CPRP info page

Certified Driver Rehabilitation Specialist (CDRS)

If you’ve always wanted to become a driver rehabilitation specialist—or you’re already working in driver rehab, but want a few extra letters to validate your skills—take the wheel and apply for certification through the Association for Driver Rehabilitation Specialists

  • Time: 1,664 hours of experience providing direct driver rehabilitation services

  • Cost: Examination fee is $550

For more information, visit the CDRS info page

Certified Stroke Rehabilitation Specialist (CSRS)

This is a great option for those of you working in inpatient rehab or acute care settings. If you're looking to invest in some continuing education that directly relates to one of your primary patient populations, why not get a certification while you’re at it?

  • Time: Four eight-hour seminars (Cost: $800)

  • Cost: The application fee for the online certification exam is $175

For more information, visit the American Stroke Association’s CSRS info page

Certified Hippotherapy Clinical Specialist (HPSC)

It takes the right setup to provide hippotherapy, but for occupational therapists who have experience with horses—and access to the necessary facilities—this is a great opportunity.

  • Prerequisites: At least three years of full-time—or the equivalent (6,000 hours)—experience as an OT AND two years of experience riding horses

  • Time: A minimum of 100 hours of one-on-one direct treatment in hippotherapy practice within the three years prior to certification application deadline

  • Cost: The cost for applying for the certification is $375

  • Renewal: Every five years

For more information, visit the Hippotherapy Certification Board’s info page

Lee Silverman Voice Treatment- BIG (LSVT BIG)

Don’t be thrown off by the name. LVST treatment is for people with Parkinson’s disease. While the program began with a focus on voice treatment, it now includes a BIG certification that focuses on utilizing “bigness” of motions to improve overall movement quality. This certification can be completed completely online! 

  • Time: Online workshop, approximately two days 8am-5pm

  • Cost: $580 for the workshop

For more information, visit LSVT Global’s certification info page

Physical Agent Modalities (PAM) Certification

Many states do not consider PAM application to be an entry-level skill, so it in important to look-up whether PAMs are covered within your license or if you need an additional certification. The AOTA does have a handy list of the PAM regulations in each state that you can access if you are an AOTA member. Otherwise you will have to dig around on your state’s licensing website.

As for my experience, when I first started working, my COTA was certified in PAM and I was not. As the requirements vary from state to state, the ongoing training hours and costs will vary as well. Here is one example of a course: 

  • Time: Two-day course

  • Cost: $600

For more information, visit PAMPCA’s PAM information page

SAEBO Certified Therapist

This certification indicates that you understand the principles of Saebo’s Functional Dynamic Orthoses and the Saebo Arm Training Program. The course also covers current research for common treatment strategies for the upper hemiparetic limb.

  • Time: Eight hours (self-study available) (includes post-course exam for certification)

  • Cost: $195 for the course

For more information, visit the SAEBO courses overview info page

Sensory Integration and the Sensory Integration Praxis Test (SIPT)

The once popular  USC/WPS SIPT certification has actually been phased out. At one time it was one of the most intensive certifications available to OTs.

The landscape of sensory integration is in a shift right now, with new certifications being offered. Those interested in sensory integration can check out the following options: 

AOTA-sponsored certifications 

AOTA Board Certifications are offered in the areas of...

  • Gerontology (BCG)

  • Mental Health (BCMH)

  • Pediatrics (BCP)

  • Physical Rehabilitation (BCPR)

Board certification in these practice areas is awarded through the AOTA. Here's a nice article on the "Why & How” of board and specialty certifications. 

Requirements include: 

  • Five years of experience as an OT

  • 5,000 hours in any capacity in the certification area in the past five years

  • 500 hours of delivering OT services as a OT in the certification area in the past five years

  • An extensive application, including a reflective portfolio, that will be peer-reviewed (Cost: $525)

  • Renewal after five years

For more information about AOTA’s board certifications, visit their info page

AOTA Speciality Certifications are offered in the areas of... 

  • Driving and Community Mobility (SCDCM)

  • Environmental Modification (SCEM)

  • Feeding, Eating, and Swallowing (SCFES)

  • Low Vision (SCLV)

  • School Systems (SCSS)

Specialty certifications are less intensive than board certifications. Note that many of the requirements in the application are already met by obtaining your license and NBCOT credentials. Requirements include: 

  • 2,000 hours in any capacity the certification area in the past five years

  • 600 hours of delivering OT services as an OT in the certification area in the past five years

  • An extensive application, including a reflective portfolio, which will be peer-reviewed (Cost: $375)

  • Renewal after five years

For more information about AOTA’s specialty certifications, visit their info page

Obtaining your post-professional OTD

Recently obtained your MOT, but want to get the OTD? Many distance-learning programs now offer the option of getting your post-professional OTD online. 

There are some juicy conversations on Reddit and other places about the merit of the OTD vs. a PhD vs. sticking with an MOT. The short version seems to be if you are interested in clinical leadership or education, the OTD is the way to go. If you wish to focus on research, a PhD could be beneficial.

You need to be aware that obtaining an OTD will not automatically translate to a higher salary or new job opportunities. 

Below is one example of a program. I would love to know the full range of costs between the different universities. 

Related degrees 

I would be remiss not to mention that many occupational therapists pursue second degrees that complement their work as OTs. When I first started reading OT publications regularly, I was often confused by the alphabet soup following people's names. Here is a list of common degrees: 

  • Doctor of Education (EdD)

  • Doctor of Science (ScD)

  • Doctor of Philosophy (PhD)

  • Master of Public Health (MPH)

  • Certified Rehab Counselor (CRC)

  • Master of Business Administration (MBA) in Health Care

  • Master of Health Administration (MHA)


There is so much to learn about the different conditions and treatment techniques that can enhance our delivery of occupational therapy. I hope this article has inspired you, and given you concrete information for exploring which certifications/specializations will best help you grow your career.

I know for many of us, choosing whether to pursue one of these certifications will come down to money. For this reason, I also encourage you to read the article Should I Be an AOTA member?: A Guide to Investing in Your OT Career to help couch the expense within the broader context of the investments we make for our OT career.