Welcome to NCBRTL

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(336) 212-1133

News: Periodic Review of Existing Rules

Dear all Licensees and Interested Persons,

NCBRTL is subject to Article 2A of G.S. 150B, the Administrative Procedure Act. This Act requires that all rules adopted under G.S. 150B be reviewed every ten years to determine whether any rules are “unnecessary” or “necessary.”

To review these rules, please visit OAH - NCAC > Title 21 - Occupational Licensing Boards and Commissions > Chapter 65 - Recreational Therapy Licensure - Browsing (state.nc.us) OR download a copy from our website (www.ncbrtl.org) under documents, Rules & Laws. Rules 21 NCAC 65 3-1-2016.pdf (ncbrtl.org)

NCBRTL accepts public comment on any of the 21 NCAC 65—Recreational Therapy Licensure rules for 60 days (the comment period will close on June 19th, 2024).

“Public comment” is defined by G.S. 150B-21.3A(a)(5) as a written objection to all or part of a rule. Additionally, pursuant to G.S. 150B-21.3A(c)(2), in order for the Rules Review Commission to determine whether the public comment has merit, the public comment must address the specific substance of the rule and address any of the standards of Commission review, as set forth in G.S. 150B-21.9(a). To send comments, please email or mail written comments to:


NCBRTL Board Members

NC Board of Recreational Therapy Licensure

PO Box 2655

Durham, NC 27715

336 212-1133




For questions, please get in touch with Joan L. Sutton, MS, LRT, CTRS, CDP, FDRT

Executive Director NC Board of Recreational Therapy Licensure

336 212-1133






Prior to the current amendment, in 1987, the Therapeutic Recreation Certification Board was created for consumer protection. The original act offered title protection so individuals using "TRS" or "Therapeutic Recreation Specialist" were required to be certified by the Board. Many agencies did not use the title which allowed non-qualified people to practice recreational therapy. In Oct, 2005 an amendment was enacted to the Recreational Therapy Licensure Act, requiring individuals practicing recreational therapy in accordance with the professional standards of practice be licensed regardless of their job title. Recreational Therapists and Recreational Therapy Assistants in North Carolina must be licensed by the North Carolina Board of Recreational Therapy (NCBRTL).



To aid in the insurance of public protection, Chapter 90C requires individuals  meet minimal established requirements set forth by Administrative Rules and their application be reviewed by the North Carolina Board of Recreational Therapy Licensure (NCBRTL).  NCBRTL welcomes all out of state as well as NC residents to seek a license.  All applicants must submit an application, meet established educational requirements and be reviewed and approved by the Board prior to practicing in NC. All  CTRSs must complete the entire application process. NCBRTL reviews applications during the last week of each month.



NCBRTLs commitment to best practices requires practitioners stay current with healthcare practices through continuing education.  All licensees are required to maintain current contact with NCBRTL through Maintenance Applications,  Renewal and Continuing Education submissions. Renewal  and Continuing education documents are reviewed every two years .  Content must be linked to the NCTRC Job Analysis.   Licensees are expected to comply with professional code of ethics and report any disciplinary infractions or possible unsafe recreational therapy practice to NCBRTL.