Occupational Therapy Licensing Requirements For States In Federal Region VII

Becoming a licensed professional occupational therapist can be tedious. There are many requirements to comply with and to top it all off, those requirements are not the same in each state! Because the United States of America has a federal government, each state has its own mini-government. As such, each state also has its own regulating body for different professions with their own unique regulations and provisions with regard to licensure. And they even have statutes that tell you if they accept licenses from the other states or if they accept your scores in other state board exams!

States Included in The Standard Federal Region VII:

  • Iowa
  • Kansas
  • Missouri
  • Nebraska


It is unfortunate that in Iowa, reciprocity provisions are absent. You will have to take the state boards again despite being licensed in another state. But if you are licensed already in another state, endorsement is possible subject to the decision of the Iowa Board of Physical and Occupational Therapy. Temporary permits are given to those waiting for the exam and are valid for 6 months. Also, education must be accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) and applicants must have passed the National Board Certification for Occupational Therapy (NBCOT).


Occupational Therapy Licensing Requirements If you plan to be an occupational therapist in Kansas, requirements are relatively simple. You must pass the NBCOT and temporary licenses are issued for applicants waiting to take the exam with an expiry of one year. If licensed elsewhere, endorsement is possible with the Kansas State Board of Healing Arts. Education must also be accredited by the ACOTE.


To be an occupational therapist in Missouri, of course, you must have passed the NBCOT. If you are licensed elsewhere, the Missouri State Board of Occupational Therapy has provisions for reciprocity and endorsement. Temporary permits are also issued for those awaiting the NBCOT, effective only up to 60 days after passing the exam.


Occupational therapists have to pass the NBCOT for them to be able to practice their profession in the state of Nebraska. The Nebraska Board of Occupational Therapy Practice does honor licensure via reciprocity or endorsement if you are licensed in another state. Temporary permits are issued for those waiting to take the exam and are valid up until the release of the results. The American Occupational Therapy Association (AOTA) and the Commission on Accreditation of Allied Health Education Programs (CAAHEP) must accredit these educational programs.

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