Working as a Canadian occupational therapist in the US
Working as a Canadian occupational therapist (OT) in the US is an increasingly attractive option for professionals seeking career development, competitive salaries and the opportunity to live and work abroad. The United States continues to experience strong demand for occupational therapists, and Canadian trained OTs are particularly well regarded due to the close alignment between the two healthcare systems.
This article provides an overview of everything you need to know about working in the US as a Canadian occupational therapist, including how Espirita can support you throughout the journey.
Table of contents
Why US employers value Canadian occupational therapists
1. Similarities between Canadian and US healthcare systems
One of the main reasons Canadian occupational therapists are highly sought after by US healthcare employers is the shared approach to care and professional practice. While healthcare systems may differ in structure, there is a common focus on patient-centred care, teamwork across disciplines, high standards of practice and clear documentation. Because of this, occupational therapists are often able to adapt quickly to new healthcare environments with little retraining or adjustment.
2. Transferability of education and clinical experience
Canadian OT programmes are internationally respected and closely in line with US accreditation requirements. Graduates complete extensive supervised placements across a range of settings and develop strong skills in assessment, intervention planning, clinical reasoning and professional practice. This makes it easier for a Canadian occupational therapist working in the US to integrate into new teams and deliver high quality care from the outset.
3. Ongoing demand for occupational therapists across the US
Demand for occupational therapists remains strong across the United States, with job opportunities expected to grow faster than average over the coming years. Opportunities are available in hospitals, rehabilitation centres, outpatient clinics, paediatric and education settings, mental health services, home health, and long-term care facilities.
4. Career progression and earning potential
Many Canadian occupational therapists are also attracted by competitive salaries, opportunities for overtime or incentives, and clearer pathways for career progression into senior clinical, specialist, leadership or education roles.
5. Lifestyle and work options
Working in the US can offer geographic flexibility across a wide range of states and cities, allowing professionals to choose locations that suit their personal preferences, whether that means urban centres, coastal regions, warmer climates or quieter rural communities.
In addition, working in the US can provide exposure to diverse patient populations and healthcare delivery models, as well as varied employment structures. For many Canadian OTs, the combination of professional variety, employment flexibility and lifestyle choice contribute to long-term career satisfaction and a broader life experience alongside clinical practice.
Can Canadian occupational therapists work in the US?
Yes, Canadian occupational therapists can legally work in the US. You must demonstrate that your education meets US standards and pass a certification exam before you can secure a job offer, obtain a visa and state licence.
Espirita supports Canadian occupational therapists throughout this process, providing guidance at each stage so candidates do not have to navigate the journey alone.
Step-by-step: How to work in the US as a Canadian OT
Here’s an overview of the pathway Canadian occupational therapists follow when moving to the US.
- Register with a recruitment agency: Many Canadian OTs choose to work with an international healthcare recruitment agency. A specialist recruiter can help you understand eligibility requirements, identify suitable US employers and provide guidance throughout the hiring and relocation process.
- Complete a credentials evaluation: Your Canadian OT education must be formally assessed to confirm that it meets US entry level standards. This evaluation is required before you can progress to certification and licensure.
- Pass the NBCOT certification examination: You must pass the National Board for Certification in Occupational Therapy examination before you can practise in the US. This certification is recognised nationwide and is a requirement for state licensure.
- Secure a job offer for an OT role: You must receive a formal job offer from a US employer for an OT position that matches your qualifications and experience.
- Apply for TN visa status: Canadian citizens can apply using their job offer and supporting documentation, allowing them to work legally in the US.
- Secure your state licence: OT licensure is issued at state level, so you’ll need to apply for a licence in the state where you plan to work. Requirements may vary slightly between states.
- Move to the US: Once your work authorisation and licence are approved, you can relocate to the US and begin working as an occupational therapist.
For a more detailed explanation of each stage, read our guide on how to work as an international occupational therapist in the USA.
Things to consider before moving to the US from Canada
Language requirements and documentation
If you completed your OT education in Canada but were taught in French, you may need to provide certified translations of academic documents and complete English language proficiency assessments as part of the credential evaluation and certification process.
Passport validity
Employment conditions and healthcare benefits
Taxation and cost of living
Explore OT opportunities in the USA with Espirita
Espirita specialises in supporting international healthcare professionals, including occupational therapists, who want to build successful careers in the United States. Our experienced team provides end-to-end support, from credential evaluations and certification guidance to securing job offers, navigating work authorisation and assisting with relocation.
By registering with Espirita, you gain access to exclusive occupational therapy opportunities across the US and personalised support from a team that understands both Canadian and US healthcare systems.
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