Hi Ron >From the information that I have been presented, South Carolina is the only state that requires continuing recertification with NBCOT. There are other states which continue to use OTR but not require recertification. I think, if memory serves me correctly, they are Michigan, Illinois, and Kentucky. Perhaps someone in those states can let us know. All other states/districts allow the use of alternate credentials such as LOT, OT/L, LOTA, etc... The variations of credentials are endless. With AOTA now finalizing their own plans for continuing competency we have to question whether there are too many cooks in the kitchen. How much regulation is too much? All states have their own continuing competency requirements/licensing arrangements now, California was one of the last big states to implement their own licensing board so they could have control over the therapists that work within their borders. I use the credentials LOT since continuing competency with NBCOT was not required by my state or by my employer. It's always good to check your state guidelines and with your employer before allowing your NBCOT certification to expire.
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