Certified Respiratory Therapist (CRT) in Massachusetts
This guide outlines the steps to become a Certified Respiratory Therapist (CRT) in Massachusetts, detailing a pathway from prerequisites to employment. It includes a total of 1200 training hours split evenly between classroom and clinical settings. Key steps include completing specific training, passing a competency exam, and obtaining state certification.
Certified Respiratory Therapists (CRTs) in Massachusetts are part of a growing field that promises both stability and opportunity. With a median salary of $86,700 per year, CRTs in Massachusetts earn significantly more than the national average. The field is expected to expand by 12.1% by 2034, reflecting an increasing demand for respiratory care, especially in an aging population. These statistics indicate not only a healthy job market but also a rewarding career path in terms of financial and job security.
Massachusetts offers a unique environment for respiratory therapists due to its specific state regulations and a dense healthcare network. The state requires licensing for all respiratory therapists, ensuring that professionals meet stringent standards. Massachusetts' healthcare system is robust, with numerous renowned hospitals and medical institutions such as Massachusetts General Hospital and Brigham and Women's Hospital, providing ample employment opportunities. Additionally, the state's high population density and its focus on quality healthcare create a conducive environment for respiratory therapists seeking diverse work experiences and career growth.
This guide will provide readers with a clear pathway on how to become a Certified Respiratory Therapist in Massachusetts. It will outline the necessary steps for obtaining licensure, including education requirements, examinations, and application processes. Additionally, the guide will offer insights into salary expectations across various regions within the state and analyze the job market to help prospective CRTs understand where opportunities might be most abundant. By detailing these aspects, the guide aims to equip readers with all the information needed to pursue a career as a Certified Respiratory Therapist in Massachusetts.
Licensing Authority
Board of Registration in Respiratory Care
In Massachusetts, Certified Respiratory Therapists must obtain licensure through the Board of Registration in Respiratory Care. This process includes educational requirements, a national examination, and continuing education for license renewal.
Official Resources
Massachusetts Requirements
Training Requirements
- Education
- Associate's degree in Respiratory Care from an accredited program
- Total Training Hours
- 1200 hours
- Classroom Hours
- 600 hours
- Clinical Hours
- 600 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Submission of official transcripts
- Proof of legal U.S. residency
Certification Exam
- Exam
- National Board for Respiratory Care (NBRC) CRT Examination
- Components
- Written, Skills demonstration
- Fee
- USD 190
How to Become a Certified Respiratory Therapist in Massachusetts
tuition $3,000-$8,000, exam fee $200, background check $75, application fee $150, textbooks/supplies $500, scrubs $75
Fastest Path
12 months
Typical Timeline
18 months
Estimated Cost
$5,000–$10,000
Verify You Meet Massachusetts's Prerequisites
Begin by confirming you meet the basic requirements to become a CRT in Massachusetts. You must be at least 18 years old, have a high school diploma or GED, and pass a health screening and background check. Start by obtaining your high school transcript or GED certificate and scheduling a health screening which includes a TB test and proof of immunizations. Visit the Massachusetts Department of Public Health website to understand specific health requirements and download necessary forms.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
Schedule and complete a background check through the Massachusetts Department of Public Health. This will include an FBI fingerprint check. Visit an approved LiveScan vendor to have your fingerprints digitally taken. The results typically take 2-4 weeks to process. Disqualifying offenses typically include convictions related to violent crimes or drug distribution. If you have a criminal record, you may apply for a waiver directly through the state board's website, providing detailed explanations and supporting documentation for your case.
Tip
Schedule your fingerprint appointment early in the process to avoid delays in application processing.
Research and Choose an Approved Training Program
Identify a state-approved training program for respiratory therapists in Massachusetts. Approved programs meet specific curriculum requirements set by the state. Attending a non-approved program means you cannot sit for the certification exam, resulting in a loss of time and money. Use the Massachusetts Board of Respiratory Care's website to find a list of approved programs. Consider factors such as program length, cost, and proximity to your location when choosing a program.
Tip
Check for programs that offer additional support services like tutoring or job placement assistance to enhance your learning experience.
Enroll in and Complete Training
Once you have selected an approved program, enroll and complete the required 1200 hours of training, split equally between 600 hours in the classroom and 600 hours in clinical settings. This training is crucial to gain the necessary skills and knowledge. During this period, maintain consistent attendance and complete all assigned coursework and clinical rotations. Check regularly with your program coordinator to ensure you are on track to meet all graduation requirements.
Tip
Keep a detailed log of your clinical hours; this will be necessary for your certification application.
Prepare for the Competency Exam
Prepare for the National Board for Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) exam. This exam tests your knowledge and skills in respiratory care. It consists of 160 multiple-choice questions, covering topics such as patient assessment, equipment management, and infection control. You have three hours to complete the exam. Utilize study guides and practice exams available on the NBRC website. Understanding the format and types of questions asked will help you better prepare for the exam.
Tip
Take multiple practice exams under timed conditions to simulate the actual test environment.
Register for and Schedule the Exam
Once you are prepared, register for the CRT exam through the NBRC's website. Choose a testing date and location that best fits your schedule. The exam fee is $200, payable at the time of registration. Exams are held at various Prometric testing centers throughout Massachusetts. Ensure you have two forms of ID and your NBRC confirmation number on the day of the exam.
Tip
Choose a testing center and date that gives you ample time to prepare and travel.
Take and Pass the Exam
On the day of the exam, arrive at the testing center early with your IDs and confirmation number. The CRT exam is three hours long and consists of 160 multiple-choice questions. After completing the exam, you will receive a pass or fail status immediately. If you fail, you can reschedule after 60 days. Review the areas where you need improvement before retaking the exam.
Tip
Ensure a good night's sleep before the exam and arrive early to avoid any last-minute stress.
Apply for State Certification/Registry
After passing the exam, apply for your state certification through the Massachusetts Board of Respiratory Care. Complete the Application for Respiratory Care Licensure, attach your exam results, and submit the required fee of $150. Processing typically takes 4-6 weeks. Once approved, your certification will appear in the Massachusetts Health Professions License Verification site.
Tip
Double-check your application for any errors to avoid delays in processing.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your CRT certification from the Massachusetts Board of Respiratory Care. Verify your certification status on the Massachusetts Health Professions License Verification site. This official listing is necessary for employment as it validates your credentials to potential employers.
Tip
Regularly check the verification site for updates to your certification status.
Find Your First Job
With your certification in hand, begin your job search. Utilize online job boards like Indeed or LinkedIn to find openings for respiratory therapists in Massachusetts. Additionally, attend job fairs and network with professionals in the healthcare industry. Prepare a resume that highlights your training, certification, and any relevant experience. Consider roles in hospitals, clinics, and long-term care facilities.
Tip
Tailor your resume for each application to highlight the most relevant skills and experiences for the position.
Alternative Training Paths
Employer-Sponsored Training Programs
Some healthcare facilities in Massachusetts offer employer-sponsored training programs for aspiring respiratory therapists. These programs often cover tuition costs in exchange for a commitment to work at the facility for a specified period after certification. This path can significantly reduce education expenses.
Best for: Individuals looking to minimize upfront educational costs
Common Mistakes to Avoid
- •Attending a training program not on the Massachusetts Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
Certified Respiratory Therapist (CRT) Examination administered by National Board for Respiratory Care (NBRC)
Written Test
Questions: 160
Time Limit: 3 hours
Format: Multiple choice
Passing Score: Scaled score of at least 70
- • Patient Data Evaluation and Recommendations: 20%
- • Troubleshooting and Quality Control of Equipment and Infection Control: 20%
- • Initiation and Modification of Interventions: 60%
Skills Test
Skills Tested: Not applicable
Time Per Skill: Not applicable
Not applicable
What to Bring
- ✓ Government-issued photo ID (e.g., driver's license, passport)
- ✓ NBRC confirmation letter
- ✓ Simple calculator (if preferred, as one is available on the computer)
Do Not Bring
- ✗ Personal items such as bags, watches, phones
- ✗ Food or drink
- ✗ Study materials or notes
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test lasts 3 hours.
Getting Your Results
Results are provided immediately after the exam on the testing center's computer. Official results and certification are mailed within two weeks.
If You Don't Pass
You can retake the exam after 60 days. The cost of a retake is the same as the initial test fee. There is no limit on the number of attempts in Massachusetts.
Exam Strategies
- 1. Read each question thoroughly, paying close attention to keywords that might affect the answer, such as 'except', 'not', or 'best'.
- 2. Manage your time by noting the clock on the screen, aiming to complete each question in less than a minute to allow time for review.
- 3. Use the process of elimination on multiple-choice questions, removing clearly incorrect answers to improve your chances of selecting the correct one.
- 4. Mark questions you are unsure about for review if time allows, focusing first on questions you can answer confidently.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previous educational institution · Varies (usually free to $10 for a copy) · 1-4 weeks
Required to enroll in a respiratory therapy program
Immunization Records
Personal physician or health department · Varies · 1-2 weeks
Must include proof of MMR, Varicella, Hepatitis B, and TB test
Criminal Background Check
Local police department or online service · Approximately $25-$50 · 1-3 weeks
Some programs require this before admission
Basic Life Support (BLS) Certification
American Heart Association or Red Cross · Approximately $85
Must be healthcare provider level; check if the program offers this training during coursework
2During Training
Official Transcripts
From the respiratory therapy program · Usually $5-$15 per copy · 1-2 weeks
Required for exam application and sometimes for internships
Clinical Rotation Verification
From the respiratory therapy program · At the end of each rotation
Keep copies; required for certification application
3For the Exam
NBRC Examination Application
National Board for Respiratory Care (NBRC) website · Examination fee approximately $190
Apply after completing the accredited program
ATT (Authorization to Test)
Received via email from NBRC after application approval · Included in exam fee
Required to schedule the exam; valid for 90 days
4For Certification
NBRC Exam Results
From NBRC, available online after taking the exam · Included in exam fee
Official results needed for state certification application
Massachusetts Respiratory Therapist License Application
Massachusetts Office of Health and Human Services website · License fee approximately $150
Must include proof of passing the NBRC exam
Proof of Legal Work Status in the U.S.
Personal records
Such as a passport or birth certificate; required for state license
After You're Certified: What's Next
Immediately after passing your CRT exam, verify your name appears on the National Board for Respiratory Care (NBRC) registry. Contact the Massachusetts Board of Respiratory Care to ensure your certification is processed, then request your official certificate and license to practice in Massachusetts.
Finding Your First Job
Where to Look
- • Massachusetts Hospital Association job board
- • Indeed.com with filters set to 'Respiratory Therapist' in Massachusetts
- • LinkedIn, using location filters and joining relevant groups for networking
- • Direct hospital websites such as Massachusetts General Hospital and Boston Children's Hospital
Best Employers for New Grads
- • Hospitals (e.g., Massachusetts General Hospital): Expect structured roles with clear protocols.
- • Rehabilitation centers (e.g., Spaulding Rehabilitation Network): More focused on patient recovery processes.
- • Home health agencies: More independent working conditions with travel between patient homes.
Resume Tip: Highlight any clinical rotations or internships, include certifications such as BLS or ACLS, and focus on skills such as patient assessment and ventilator management.
Interview Tip: Expect questions about handling stressful situations, technical skills related to respiratory care, and scenarios on patient interaction and teamwork.
Expected First-Year Salary
In Massachusetts, a new CRT can expect a salary ranging from $55,000 to $65,000 annually, depending on the employer and location within the state.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Pass the RRT examination after meeting clinical experience requirements.
Challenges to Prepare For
- • Adjusting to the emotional demands of working with severely ill patients.
- • Managing time efficiently between multiple patients in busy settings.
- • Keeping up with rapid technological advancements in respiratory care equipment.
Certified Respiratory Therapist Salary in Massachusetts
In Massachusetts, Certified Respiratory Therapists earn a median annual salary of $86,700, which is significantly higher than the national median. This reflects the state's strong demand for healthcare professionals and its higher cost of living.
Entry Level
$59,180
0-1 years experience
Median Salary
$86,700
$41.68/hr · Bureau of Labor Statistics
Experienced
$104,480
5+ years experience
Compared to National Median
$77,960 national · ++11.2% in Massachusetts
Salary by Metro Area
Highest concentration of CRTs in state
Slightly below state median but competitive
Lower due to regional economic factors
Salary by Employer Type
The higher salaries in Massachusetts are partly offset by the state's higher cost of living, particularly in housing and transportation.
Benefits & Compensation
Common benefits include health insurance, retirement plans, paid time off, and continuing education opportunities.
Salary Growth Outlook
Salary growth for CRTs in Massachusetts is expected to remain stable with potential increases linked to experience and specialization.
Salary Negotiation Tips
- •Research average salaries for similar roles in your area
- •Consider total compensation including benefits and work-life balance
Job Market in Massachusetts
In Massachusetts, the market for Certified Respiratory Therapists (CRTs) is influenced by an aging population and the presence of numerous high-profile medical institutions. With national CRT employment projected to grow by 12.1% from 2024 to 2034, Massachusetts mirrors this trend but may experience slightly higher demand due to its dense population centers and healthcare-focused economy.
Top Hiring Areas
Home to major hospitals and research centers
Growing healthcare sector with several large hospitals
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with hiring cycles of major healthcare institutions
Opportunities
- Expansion of roles in telehealth
- Specialization in areas like pediatric or geriatric respiratory care
Challenges
- Competition from neighboring states with similar healthcare hubs
- Rapid changes in healthcare technology requiring continual education
Training Programs in Massachusetts
Massachusetts offers diverse options for Certified Respiratory Therapist training, including community colleges, vocational schools, and employer-sponsored programs.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $5,000 to $15,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18 to 24 months | $10,000 to $20,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Boston, Massachusetts
High exam pass rates and strong local hospital partnerships
Danvers, Massachusetts
Offers both full-time and part-time program options
Online & Hybrid Options
Some programs offer hybrid formats with online theory courses and in-person clinical practice.
How to Choose a Program
- •Verify the program's accreditation status to ensure eligibility for certification exams.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for Massachusetts
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
USD 120
CE Hours
20 hours
Work requirement: None specified
CE Topics: Respiratory Care Techniques, Patient Care Ethics
Out-of-State Reciprocity
Massachusetts offers reciprocity for respiratory therapists licensed in other states, provided they meet Massachusetts's standards and pass any required state-specific examinations.
Requirements for Reciprocity
- Current valid license in another state
- Proof of equivalent education and examination credentials
State Agreements
Details on specific states not provided; general reciprocity under review of credentials.
Additional Exams
Possible state-specific law exam
Application Process
Submit application with proof of current licensure, educational credentials, and pass background check.
Fees
USD 150
Processing Time: 4 to 6 weeks
Licensing Tips
Ensure all educational and professional credentials are documented and verified before application.
Stay updated on continuing education requirements to ensure timely license renewal.
Recommended Resources
Kettering National Seminars CRT Exam Review
Provides a comprehensive set of practice questions and simulations tailored to the CRT exam.
LindseyJones CRT RRT Test Prep
Offers extensive practice exams and study materials, including tutorials and detailed test analysis.
Respiratory Care Exam Review by Gary Persing
Covers key topics and questions for the CRT exam, including detailed explanations and test-taking strategies.
Comprehensive Respiratory Therapy Exam Preparation Guide by Craig L. Scanlan
Features a thorough review of all major content areas of respiratory care, with practice questions and answers.
Littmann Classic III Stethoscope
Used for auscultation, critical in assessing lung sounds and heart rate during practical exams.
Pulse Oximeter
Essential for measuring oxygen saturation and pulse rate, important for respiratory assessments.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Massachusetts Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13