Becoming a licensed occupational therapist in Maryland isn’t easy. You put in the years of education, pushed through supervised fieldwork, and passed the NBCOT exam. You didn’t just earn a license from the Maryland Board of Occupational Therapy Practice—you built a career rooted in helping others heal and thrive.

So when you find out that your license is under review or you’re facing a disciplinary complaint, it can feel like the ground is shifting beneath your feet. Your livelihood, your professional reputation, and your ability to do the work you love are suddenly at risk. It’s a heavy burden to carry, especially when you’re unsure what the Board’s next steps might be—or how to respond.

This isn’t a situation to navigate alone. The LLF National Law Firm’s Professional License Defense Team understands what’s at stake and has the legal insight to help. We’re here to guide you through the process, defend your license, and protect the future you’ve worked so hard to build. Call us at 888-535-3686 or fill out our confidential online form to get started.

Occupational Therapist Licensing in Maryland

To practice as an occupational therapist in Maryland, you must be licensed by the Maryland Board of Occupational Therapy Practice. The licensing process begins with completing an accredited occupational therapy educational program, which includes supervised fieldwork. Applicants must also pass the National Board for Certification in Occupational Therapy (NBCOT) examination to be eligible.

Initial licensure is obtained by submitting an application to the Board along with the required fees and documentation. This includes verification of education, fieldwork, and NBCOT exam results. The Board provides detailed guidance on application procedures and timelines.

Maryland occupational therapy licenses must be renewed every two years. As part of the renewal process, licensees must complete continuing education (CE) requirements. The Maryland Board outlines the number of CE hours required and the types of activities that qualify. Failure to meet these requirements or provide proper documentation may delay renewal or result in disciplinary action.

Licensees must also report any disciplinary actions taken against any professional license they hold in any jurisdiction. This disclosure must be made during the renewal process and should include supporting documents such as consent orders or final decisions issued by other boards.

Staying up to date on the Maryland Board’s regulations is critical for maintaining your license in good standing. Even a simple administrative oversight—like missing a CE deadline or failing to report a license issue—can trigger consequences from the Board.

What Role Does the Board of Occupational Therapy Practice Play in Maryland?

The Maryland Board of Occupational Therapy Practice oversees the licensure and regulation of occupational therapists and occupational therapy assistants across the state. Its responsibilities go beyond issuing and renewing licenses—it also investigates complaints filed against licensees. These complaints can come from patients, colleagues, employers, or even the general public.

If the Board finds evidence of a violation, it has the authority to impose disciplinary actions, which may include:

  • Fines
  • Probation
  • Formal reprimands
  • Suspension of license
  • Revocation of license
  • Refusal to renew a license

In Maryland, disciplinary actions are public records. That means your name, license number, and the circumstances surrounding the Board’s decision may be accessible to employers, clients, and others who conduct a license lookup.

Because of the serious consequences, it’s essential to act quickly if you’re notified of a complaint or investigation. The LLF National Law Firm’s Professional License Defense Team is here to help you respond strategically, defend your license, and protect the career you’ve worked hard to build. Don’t wait for the situation to escalate—reach out today to get the guidance and support you need.

Violations That Can Lead to Disciplinary Action in Maryland

The Maryland Board of Occupational Therapy Practice has the authority to discipline licensees who violate the laws and professional standards governing occupational therapy. Occupational therapists in Maryland are expected to comply with all applicable state and federal laws, as well as the ethical and professional guidelines outlined by the Board.

Disciplinary action may be taken for violations such as:

  • Obtaining or attempting to obtain a license through fraud or deceit
  • Being convicted of a felony or a crime involving moral turpitude
  • Practicing with gross negligence or incompetence
  • Being declared mentally incompetent by a court
  • Substance abuse that affects professional performance
  • Engaging in unethical or unprofessional conduct that violates the standards of the profession

When a complaint is filed, the Board follows a formal process to review and investigate the allegations. If the complaint has merit, it can move forward with disciplinary proceedings that may lead to sanctions affecting your license and career.

Unfortunately, the Board’s procedures aren’t always straightforward, and multiple layers of Maryland administrative law can apply. If you’re under investigation or have been notified of a potential violation, contact the LLF National Law Firm’s Professional License Defense Team as early as possible. We’ll help you understand the specific allegations, explain your rights, and build a defense strategy to protect your license and reputation.

How the Maryland Board Learns About Alleged Misconduct

In Maryland, the Board of Occupational Therapy Practice identifies potential misconduct through two primary avenues: public complaints and mandatory self-reporting by licensees.​

Public Complaints

Individuals—including patients, family members, colleagues, or supervisors—can file complaints against licensed occupational therapists or occupational therapy assistants. The Board requires that complaints be submitted in writing; anonymous complaints are not accepted. Once a complaint is received, it is reviewed by the Disciplinary Review Committee (DRC), which may recommend dismissal, informal disciplinary action, or a formal investigation. If an investigation is initiated, the licensee will be notified and given an opportunity to respond to the allegations.

Self-Reporting Requirements

Licensees are obligated to self-report certain incidents that may affect their professional standing. This includes, but is not limited to, criminal convictions, substance abuse issues, or other conduct that may violate the Maryland Occupational Therapy Practice Act. Self-reporting is a proactive measure to maintain transparency and uphold the integrity of the profession. Failure to self-report such incidents can result in disciplinary action by the Board. ​

Given the complexities surrounding self-reporting and the potential implications for your license, it’s advisable to consult with experienced legal counsel. The LLF National Law Firm’s Professional License Defense Team can assist you in understanding your obligations, preparing necessary disclosures, and responding to any inquiries from the Board, thereby helping to protect your professional standing.

Maryland OT Board Investigation and Disciplinary Process

The Maryland Board of Occupational Therapy Practice has the authority to take disciplinary action against licensees who violate professional standards or jeopardize public trust. If you’re an occupational therapist facing a complaint, understanding the Board’s investigative and disciplinary procedures can help you make informed decisions and protect your license.

Filing of a Complaint

The process begins when a written complaint is submitted to the Board. Complaints can be filed by patients, employers, coworkers, or anyone who believes a violation may have occurred. These complaints may involve allegations such as unethical behavior, professional misconduct, or impaired practice. Anonymous complaints are not accepted, and the Board requires that all submissions be signed.

Initial Review and Investigation

Once a complaint is received, the Board’s Disciplinary Review Committee conducts an initial review to determine whether the allegations fall within the Board’s jurisdiction. If they do, an investigation is launched. This may involve interviews with the complainant, the licensee, and witnesses, as well as a review of relevant documentation. In certain cases, subpoenas may be issued to obtain necessary records.

Informal Resolution Options

If the investigation reveals potential violations but does not warrant formal disciplinary proceedings, the Board may offer an informal resolution. This might include a consent order or settlement agreement outlining specific terms such as additional training, monitoring, or a warning letter. Licensees have the right to be represented by counsel throughout the process, including during negotiations.

Formal Disciplinary Hearing

If informal resolution is not possible or the allegations are serious, the Board may refer the matter for a formal hearing. These hearings follow an administrative law format, including the presentation of evidence, witness testimony, and legal argument. An Administrative Law Judge (ALJ) presides over the hearing and issues proposed findings and recommendations.

Final Decision and Sanctions

The Board reviews the ALJ’s recommendations and issues a final decision. Sanctions can include license suspension or revocation, fines, probation, or mandatory continuing education. Disciplinary actions are a matter of public record and are published on the Board’s website.

Facing a Complaint? Here’s Why You Can’t Wait

If you’re a licensed occupational therapist in Maryland—whether you practice in Baltimore, the DC metro area, or a smaller community—any complaint filed with the Board of Occupational Therapy Practice deserves your full attention. Even if the claims seem exaggerated or completely baseless, failing to respond can still put your license at risk.

The Board has the authority to move forward with disciplinary action even if you don’t engage with the process. Silence can be misinterpreted as noncompliance or professional negligence, which may lead to avoidable penalties or even license suspension.

Addressing the complaint early shows that you take your responsibilities seriously and are willing to cooperate with the Board’s process. Working with an experienced license defense attorney from the start gives you the best chance at protecting your reputation, livelihood, and ability to continue practicing in Maryland’s most competitive healthcare markets. The LLF National Law Firm’s Professional License Defense Team is ready to help you respond effectively and safeguard your career.

Protecting Your Reputation Starts with the Right Support

When you’re facing a professional complaint, bringing in legal counsel isn’t a sign that you’ve done something wrong—it’s a sign that you understand what’s at stake. Licensed occupational therapists in Maryland work hard to build careers in competitive markets like Baltimore, Bethesda, and beyond. So when that career is on the line, taking proactive steps to protect it is simply smart practice.

The Maryland Board of Occupational Therapy Practice doesn’t assume guilt based on whether you hire an attorney. In fact, having legal representation often streamlines communication and helps move the process forward efficiently. It shows you’re prepared, professional, and serious about resolving the matter correctly. With experienced counsel by your side, you’re not just reacting, you’re staying in control of your future.

When Your License Is on the Line, Experience Matters

As an occupational therapist in Maryland, your license represents more than just credentials—it reflects years of study, clinical training, and dedication to helping others. Whether you’re practicing in Baltimore, Silver Spring, Rockville, or Annapolis, your ability to work, earn a living, and continue serving your community depends on keeping that license in good standing.

If you’re facing an investigation or disciplinary action from the Maryland Board of Occupational Therapy Practice, it’s not a matter to navigate on your own. These cases are complex, and the stakes are high. A single misstep could jeopardize your professional future.

Working with an experienced license defense attorney gives you a clear advantage. At the LLF National Law Firm, our Professional License Defense Team understands the Board’s processes, timelines, and expectations. We advocate for occupational therapists across Maryland, helping them protect what they’ve worked so hard to build.

Wherever you practice, our team is here to provide strong, strategic representation. Let us help you safeguard your license, your reputation, and your career.

Let the LLF National Law Firm Help Protect Your Maryland OT License

If you’re an occupational therapist in Maryland facing a Board investigation or disciplinary action, you don’t have to handle it alone. The LLF National Law Firm’s Professional License Defense Team is here to support you every step of the way—helping you navigate the process, protect your rights, and build a solid defense. Call us at 888-535-3686 or fill out our online contact form to schedule a confidential consultation and find out how we can help safeguard your career.