North Dakota Administrative Code Title 55.5 - Occupational Therapy Practice, Board of
Here’s a clear breakdown of North Dakota Administrative Code Title 55.5 – Occupational Therapy Practice, Board of:
🧩 Structure of Title 55.5
Article 55.5‑01 – General Administration (e.g., chapter 55.5‑01‑01)
Covers board structure, composition, appointments, terms, and authority
Article 55.5‑02 – Occupational Therapy Practice Licensure (chapters 55.5‑02‑01 to 55.5‑02‑05)
Sets out licensing requirements for OTs and OTAs (including military spouses), renewals, limited permits, supervision, and delegation
Article 55.5‑03 – Practice of Occupational Therapy (chapter 55.5‑03‑01)
Defines scope of practice, evaluation, intervention—including telerehabilitation, physical, cognitive, psychosocial therapies, and delegation boundaries (law.cornell.edu, aota.org).
📌 Selected Highlights
1. Board Composition & Authority
Five-member board: 3 OTs, 1 OTA, and 1 public consumer, appointed by the governor for 3-year terms (max two terms).
2. Licensure Requirements
OT / OTA: Requires an accredited degree, passing NBCOT exam, jurisprudence exam, and no disqualifying legal issues. Military spouses qualify with equivalent experience and competency
Limited Permit: Issued pending exam results. Requires ongoing direct/indirect supervision until licensure decision is made.
3. Renewal & Continuing Competency
Licenses renew every two years (even years). OT/OTA renewal deadlines: renewal sent by April 1; due by June 1; expire June 30. Late renewals allowed up to 3 years. Jurisprudence exam may be required again.
4. Scope & Delegation
OT practice includes evaluations, interventions (including telerehab), environmental adaptations, assistive tech, ADLs, etc.
OTAs may perform delegated tasks under supervision; OTAs & OTs may delegate non-evaluative and non-decision-making routine tasks to aides, excluding record entry or planning.
🛠️ Practical Takeaways
| Area | Summary |
|---|---|
| Becoming licensed | Degree + NBCOT exam + jurisprudence + clean record |
| Military spouses | May receive provisional licensing if experienced |
| Limited permits | Temporary supervised status pending exam results |
| Delegation | Aides may do routine tasks but not assessments or planning |
| Scope | Broad therapy across settings; includes telerehab |
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