That which constitutes competence in an occupational therapy entrepreneur is not well delineated, even though the role of entrepreneur requires that such a person possess a particular set of knowledge and skills in order to be competent. The question of competence in an occupational therapy entrepreneur is increasingly important because the number of practitioners assuming this role has grown in recent times. Indeed, a connection exists between the competence of occupational therapy entrepreneurs and the future stature of the profession. Still, the issue remains: How will occupational therapy entrepreneurs be judged competent? Peer evaluation is one possibility, but the ultimate measure will be marketplace success.