The OT Practice Act, which is set by and may only be changed by the Texas Legislature, prohibits an OT or OTA from using the abbreviation “Dr.” and/or the word “Doctor” as a title.

As per §454.007, Use of Title of Doctor, of the OT Practice Act, “An occupational therapist or occupational therapy assistant may not use the abbreviation “Dr.,” the word “Doctor,” or any suffix or affix indicating or implying that the person is a physician.”