Professions / Healthcare

Occupational licensing · Healthcare · 51 state boards

Occupational Therapist Licensing Requirements by State

Occupational Therapist licensing rules differ by state. According to the National Conference of State Legislatures (NCSL) compilation and responsible state boards (current as of May 15, 2026), this registry compares education hours, initial and renewal fees, exams, background checks and reciprocity notes across 51 boards. Use the table to compare differences, then verify the current rule with the responsible board before applying.

Occupational Therapist across 51 state boards. Nearest coverage peers (51-state band): Athletic Trainer, Certified Nurse-Midwife, Dental Assistant.

States regulated
51
Avg initial fee
$178
Require an exam
100%
Avg education hours
3,459
View saved licenses

Board Pathway Strip

Occupational Therapist: 51 boards · ~3,459 avg pre-licensure hrs · exam on 100% · background check on 100% · avg first fee $178. Same-lane boards: Athletic Trainer, Certified Nurse-Midwife, Dental Assistant.

Occupational Therapist3459 hrsLicensed Clinical Social Wor…3459 hrsPhysical Therapist3459 hrsSpeech-Language Pathologist3459 hrsPhysician Assistant3689 hrs
Pre-licensure hour neighbourhood for Occupational Therapist

Occupational Therapist vs. every tracked profession

Average confirmed pre-licensure education hours, board-sourced state requirements

3,459 11th of 47 higher than 36 of 47 professions

professions with confirmed education-hour requirements, bucketed by value

Each bar is a band; taller bars hold more professions. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source PlainCredential NCSL and state-board corpus · 2026

Helps patients develop daily living and work skills. Requires masters or doctoral degree.

Occupational Therapist initial fees swing $75 (NH) to $297 (CA), a $222 spread across 51 boards ; Athletic Trainer often lands on a different fee band.

Board thresholds for Occupational Therapist drift board-to-board; the same pattern shows up on Athletic Trainer and Certified Nurse-Midwife in healthcare. Methodology notes live on our methods page.

Occupational Therapist states

51

Below median

Occupational Therapist edu hrs

3,459 hrs

Top quartile, highest

Occupational Therapist first fee

$178

Above median

Occupational Therapist renewal

$155

Above median

Board gates for Occupational Therapist: exam on 51/51 (100%), background check on 51/51 (100%) , CE on 51/51 (avg 36 hrs/cycle) . Stack that against Athletic Trainer / Certified Nurse-Midwife before calling this license soft or hard.

Other licenses near Occupational Therapist's board count

Coverage band

Hour load

Cheapest vs priciest jurisdiction for Occupational Therapist

A $222 fee spread for the same credential

Initial licensing fees in New Hampshire ($ 75) and California ($ 297) bracket the field, a 4.0× spread for identical practice rights.

NH

New Hampshire

$75 initial licensing fee
Renewal cycle
2 years

CA

California

$297 initial licensing fee
Renewal cycle
2 years

Occupational Therapist boards vs Athletic Trainer / Certified Nurse-Midwife - state table

51 states
State Edu. Hours Exam Init. Fee Renewal Cycle CE Hrs Same-board peer
Alabama 3,311 Yes $145 $129 2 yrs 36 Also Surgical Technologist · Water Well Driller
Alaska 3,149 Yes $108 $101 2 yrs 36 Also Substitute Teacher · Veterinary Technician
Arizona 3,832 Yes $262 $221 2 yrs 36 Also Auctioneer · Chauffeur / Limousine Driver
Arkansas 3,243 Yes $130 $118 2 yrs 36 Also Veterinary Technician · Athletic Trainer
California 3,986 Yes $297 $248 2 yrs 36 Also Commercial Truck Driver (CDL) · Electrician
Colorado 3,851 Yes $267 $224 2 yrs 36 Also Fire Sprinkler Installer · Home Health Aide
Connecticut 3,676 Yes $227 $193 2 yrs 36 Also Hair Braider · Land Surveyor
Delaware 3,554 Yes $200 $172 2 yrs 36 Also Home Health Aide · Licensed Clinical Social Worker (LCSW)
District of Columbia 3,573 Yes $204 $175 2 yrs 36 Also Hair Braider · Land Surveyor
Florida 3,622 Yes $215 $184 2 yrs 36 Also Respiratory Therapist · Septic System Installer
Georgia 3,459 Yes $178 $155 2 yrs 36 Also Security Alarm Installer · Tax Preparer
Hawaii 3,789 Yes $253 $213 2 yrs 36 Also Certified Public Accountant (CPA) · Dental Assistant
Idaho 3,135 Yes $105 $99 2 yrs 36 Also Elementary School Teacher · Funeral Director / Embalmer
Illinois 3,919 Yes $282 $236 2 yrs 36 Also General Contractor · Insurance Agent
Indiana 3,432 Yes $172 $151 2 yrs 36 Also Hair Braider · Land Surveyor
Iowa 3,189 Yes $118 $108 2 yrs 36 Also Dietetic Technician · Farrier / Horseshoer
Kansas 3,176 Yes $115 $106 2 yrs 36 Also Real Estate Agent / Salesperson · School Counselor
Kentucky 3,270 Yes $136 $122 2 yrs 36 Also School Bus Driver · Speech-Language Pathologist
Louisiana 3,730 Yes $239 $203 2 yrs 36 Also Radiologic Technologist · School Bus Driver
Maine 3,027 Yes $81 $80 2 yrs 36 Also Veterinarian · Athletic Agent
Maryland 3,662 Yes $224 $191 2 yrs 36 Also Tow Truck Operator · Armed Security Guard
Massachusetts 3,635 Yes $218 $186 2 yrs 36 Also Tattoo Artist · Amusement Ride Operator
Michigan 3,473 Yes $181 $158 2 yrs 36 Also Animal Breeder · Bartender / Alcohol Server
Minnesota 3,351 Yes $154 $136 2 yrs 36 Also Auctioneer · Chauffeur / Limousine Driver
Mississippi 3,297 Yes $142 $127 2 yrs 36 Also Certified Nurse-Midwife · Debt Collector
Missouri 3,338 Yes $151 $134 2 yrs 36 Also Barber · Childcare Center Director
Montana 3,757 Yes $245 $207 2 yrs 36 Also Certified Public Accountant (CPA) · Dental Assistant
Nebraska 3,162 Yes $111 $103 2 yrs 36 Also Childcare Center Director · Dietetic Technician
Nevada 3,889 Yes $275 $231 2 yrs 36 Also Funeral Director / Embalmer · HVAC Technician
New Hampshire 3,000 Yes $75 $75 2 yrs 36 Also Court Reporter / Stenographer · Elementary School Teacher
New Jersey 3,649 Yes $221 $189 2 yrs 36 Also Dental Assistant · Emergency Medical Technician (EMT)
New Mexico 3,770 Yes $248 $210 2 yrs 36 Also Electrician · Fire Sprinkler Installer
New York 3,589 Yes $208 $178 2 yrs 36 Also Hair Braider · Land Surveyor
North Carolina 3,446 Yes $175 $153 2 yrs 36 Also Certified Public Accountant (CPA) · Dental Assistant
North Dakota 3,108 Yes $99 $94 2 yrs 36 Also Chauffeur / Limousine Driver · Dental Hygienist
Ohio 3,514 Yes $191 $165 2 yrs 36 Also Hair Braider · Land Surveyor
Oklahoma 3,203 Yes $121 $110 2 yrs 36 Also Home Inspector · Licensed Practical Nurse (LPN)
Oregon 3,941 Yes $287 $240 2 yrs 36 Also Licensed Practical Nurse (LPN) · Mobile Home Installer
Pennsylvania 3,568 Yes $203 $174 2 yrs 36 Also Licensed Practical Nurse (LPN) · Mobile Home Installer
Rhode Island 3,743 Yes $242 $205 2 yrs 36 Also Speech-Language Pathologist · Veterinarian
South Carolina 3,216 Yes $124 $113 2 yrs 36 Also Animal Breeder · Bartender / Alcohol Server
South Dakota 3,081 Yes $93 $89 2 yrs 36 Also Arborist / Tree Surgeon · Body Piercer
Tennessee 3,378 Yes $160 $141 2 yrs 36 Also Fire Sprinkler Installer · Home Health Aide
Texas 3,527 Yes $194 $167 2 yrs 36 Also Insurance Agent · Locksmith
Utah 3,284 Yes $139 $125 2 yrs 36 Also Mortgage Loan Originator · Pest Control Applicator
Vermont 3,041 Yes $84 $82 2 yrs 36 Also Professional Engineer (PE) · Registered Nurse
Virginia 3,405 Yes $166 $146 2 yrs 36 Also Medical Lab Technician · Painter (Contractor)
Washington 3,811 Yes $257 $217 2 yrs 36 Also Private Investigator · Real Estate Broker
West Virginia 3,284 Yes $139 $125 2 yrs 36 Also Surgical Technologist · Water Well Driller
Wisconsin 3,324 Yes $148 $132 2 yrs 36 Also Registered Dietitian / Nutritionist · Secondary School Teacher
Wyoming 3,054 Yes $87 $84 2 yrs 36 Also Taxi/Ride-Share Driver · Arborist / Tree Surgeon

What to do with this

Occupational Therapist is regulated in 51 states -- here's how to use that before you act.

  • Occupational Therapist ranks #11 of 47 professions by average pre-licensure education hours -- see how it compares to similar roles. Browse all professions
  • #56 of 97 professions by number of states requiring a license -- see which states are strictest overall. State burden rankings
  • Initial fees for Occupational Therapist range from $75 (NH) to $297 (CA) -- check whether your license transfers before assuming you'd need to pay again. Reciprocity guide

Requirements are compiled from NCSL and Institute for Justice research and verified against state board sites where possible; always confirm current rules with the licensing board before relying on any single row.

Data sourced from NCSL, Institute for Justice, and state licensing board websites. See our methodology for details.

Disclaimer: For informational purposes only; not professional licensing advice. Verify current requirements with your state board before making career decisions.

Every figure on PlainCredential is rendered directly from NCSL and state occupational- licensing board data, no number is typed in by an editor. Occupational Therapist requirements from NCSL and state board schedules: 51 rows, no hand-typed figures. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.