HIPAA Notice of Privacy Practices for Occupational Therapists
Occupational therapists in private practice who bill insurance or submit electronic claims are HIPAA covered entities. You need a compliant Notice of Privacy Practices — updated to the HHS February 2026 model — provided to each client at first contact and posted on your website.
Quick facts for OT practices
- Independent OT practices that bill insurance are HIPAA covered entities
- OTs employed by a hospital or school system are covered by the employer's NPP — not your own
- Your NPP must be updated to the HHS February 2026 model — the 2013 version is out of compliance
- Multi-setting OTs (employed + private practice) need a separate NPP for the private practice
- The NPP must be posted on your public website and provided at first service
When does an OT need their own NPP?
Occupational therapists can work in multiple settings simultaneously — hospitals, schools, outpatient clinics, and private practice. The NPP obligation attaches to each covered entity, not each individual clinician. If you:
- Operate an independent OT practice (even part-time)
- Submit your own electronic claims or use a billing service
- Accept Medicare, Medicaid, or private insurance in your own name
— then your independent practice has its own NPP obligation separate from any employing organization.
What your OT NPP must include
- Permitted uses and disclosures for treatment, payment, and healthcare operations
- Patient rights: access, amendment, restriction requests, accounting of disclosures, confidential communications
- Complaint process with HHS OCR contact information
- Privacy Officer contact information (for a solo OT, this is typically you)
- Effective date and supersede date if replacing a prior version
Distribution requirements
- Provide to each new client at first service and request written acknowledgment
- Post the full NPP text on your public website
- Display at your office or clinical location
- Redistribute to existing clients and update website when material changes occur
Frequently Asked Questions
Do occupational therapists need a HIPAA NPP?▼
Yes, if you operate an independent practice and submit electronic claims. OTs working exclusively for a hospital or large employer are covered by that organization's NPP, not a separate one.
Does my school district contract cover my private OT practice?▼
No. A school district's NPP (or FERPA protections) applies only to services rendered in that role. If you run a separate OT practice, that practice is its own covered entity with its own NPP requirement.
Is my 2022 NPP still compliant?▼
No. The HHS February 2026 revision was a material change to NPP requirements. Any NPP based on the 2013 or pre-2026 model needs to be updated and redistributed. See how to update your NPP.
What's the penalty for not having a compliant NPP?▼
NPP violations fall under HIPAA's civil monetary penalty structure — $100 to $50,000+ per violation depending on culpability. See NPP compliance penalties for the full penalty tiers.
Generate your OT practice NPP in under 5 minutes.
HHS February 2026 model, plain language, PDF + editable Word. Post on your website and provide at intake. $49 one-time — no subscription.
Start your NPP — $49Free watermarked preview available. See sample →