Working as a Occupational Therapist (Ergotherapeut / Ergotherapeutin) in Germany
Occupational therapists work with children, adults and elderly patients to improve independence in daily activities. The profession is regulated, so foreign qualifications must be recognised before working under the German professional title.
What the job involves
- Assess daily-life abilities
- Train motor and cognitive skills
- Support rehabilitation plans
- Advise on assistive devices
Requirements
- Occupational therapy qualification
- Anerkennung + permission to use title
- German B2 for therapy communication
- Practical therapy experience
Recognition of your qualification
Requires Anerkennung (recognition) and permission to use the protected title Ergotherapeut/in from the competent authority.
German you'll need
This role typically expects around B2. German is essential for daily work and for the professional licence.
What you can earn
| During training | €1,200 / month (gross) |
| Entry level | €2,600–€3,200 / month (gross) |
| Experienced | €3,200–€4,100 / month (gross) |
Indicative gross monthly pay — varies by region, employer and collective agreements.
Possible routes to Germany
Depending on your situation, these routes may apply:
- Recognition Partnership (§16d AufenthG)
- Skilled Worker with vocational training (§18a) after recognition
- Vocational training visa (§16a)
- Opportunity Card / Chancenkarte (§20a, points)
Typical employers
- Occupational therapy practices
- Rehabilitation clinics
- Hospitals
- Schools and paediatric therapy centres
Outlook
Demand is supported by rehabilitation, paediatric therapy and care for older people. The role requires individual therapy planning and direct patient interaction.
Your next steps
- Use the Anerkennungs-Finder for Ergotherapeut/in
- Prepare qualification and clinical-hours documents
- Improve German for therapy communication
- Apply to therapy practices or clinics
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Make-it-in-Germany · Anerkennung in Deutschland · Federal Employment Agency Fachkräfteengpassanalyse
General information, as of 2025. DeutschBound provides orientation and German-language training — not legal advice, visa application services or job guarantees. Always confirm current requirements with the official sources above.