Healthcare & care · Ergotherapeut:in

Occupational therapist

Regulated profession — recognition required

Occupational therapy is a regulated profession. Recognition of your training and permission to use the professional title are required. The state authority checks the qualification, language evidence and other conditions; any adaptation training or exams add time to the initial assessment.

Who recognises it
The state recognition office — occupational therapy is a regulated health profession.
German level
Usually B2 German for professional permission. Confirm the required language evidence with the competent state authority.
Typical salary
€3,695 gross/month. BA 2025 full-time median for Ergotherapeut/in; a reference for the occupational group, not an entry salary or job offer.
How long it takes
Usually 3–4 months for the assessment after all required documents are complete. Extensions, translations, courses, exams and licensing can add time; check the competent authority's procedure.

How recognition works

  1. 1Find your state's recognition office via the Recognition Finder.
  2. 2Submit your diploma + transcript for an equivalence assessment.
  3. 3Close any gaps with an adaptation course or knowledge test.
  4. 4Reach B2 German and receive the permission to practise.

Documents you'll need

  • Occupational therapy qualification (certified translation)
  • Transcript of hours and subjects
  • Proof of work experience
  • German language certificate (B2)
  • Passport + CV
Official recognition portal ↗

Costs & translations

Recognition fees are typically €100–600. Budget extra for certified German translations of your documents and, in some countries, an apostille/legalisation. Adaptation courses or exams can add further cost.

Come first, recognise here

For regulated jobs you can use a recognition partnership (Anerkennungspartnerschaft): enter Germany with a job offer and finish the recognition after you arrive, instead of waiting abroad.

Your visa routes

Last verified 2026-10-10. Recognition rules depend on the profession and the federal state, and they change. Confirm with the official authority linked above.

Once you're in Germany

Once you've arrived, these are the first steps. Our city guides list the documents for each, and the free TiG Pilot extension explains and fills the forms on supported websites.

Open the step-by-step guides →

Other occupations

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