2026 How to Become an Occupational Therapist in Iowa

Co-Founder and Chief Data Scientist

Occupational therapy is a growing field in Iowa, with a projected job growth rate of 18% over the next decade, outpacing the national average. The demand for skilled occupational therapists in healthcare facilities, schools, and private practices creates strong employment opportunities. Iowa’s aging population and increased awareness of occupational therapy benefits contribute to this upward trend. Pursuing this career offers competitive salaries and a meaningful impact on patients’ quality of life.

This article, prepared by experts in career planning, provides a clear roadmap on how to become an occupational therapist in Iowa. It offers practical advice on education, certification, and licensure requirements to guide prospective students and graduates efficiently through the process. Readers will find all essential information to start their career path confidently.

Key Things to Know About Becoming an Occupational Therapist in Iowa

Earn a master’s or doctoral degree in occupational therapy from an ACOTE-accredited program, as Iowa requires this education for licensure.
Pass the National Board for Certification in Occupational Therapy (NBCOT) exam to obtain certification, which is mandatory to practice in Iowa.
Apply for state licensure through the Iowa Board of Occupational Therapy, meeting their requirements including background checks and continuing education to maintain your license.

What are the education requirements to become an occupational therapist in Iowa?
How do you get a state license to practice occupational therapy in Iowa?
How often do you need to renew an OT license in Iowa?
What continuing education is required for OT license renewal in Iowa?
How much does it cost to become an occupational therapist in Iowa?
What financial aid options are available for OT students in Iowa?
Can out-of-state occupational therapists work in Iowa?
What skills do you need to be a successful occupational therapist in Iowa?
What specializations are available for occupational therapists in Iowa?
What is the average salary of an occupational therapist in Iowa?
How can occupational therapists collaborate with caregivers in Iowa?

What are the education requirements to become an occupational therapist in Iowa?

Formal education is critical in preparing occupational therapists to support patients with diverse physical, emotional, and developmental needs. High-quality training ensures therapists develop the clinical reasoning and hands-on skills necessary to deliver effective, evidence-based care.

Below are the key education requirements to become a licensed occupational therapist in Iowa, emphasizing pathways that align with ACOTE accredited occupational therapy programs Iowa.

Bachelor’s Degree Prerequisites: Most occupational therapy programs require applicants to have completed a bachelor’s degree with coursework in anatomy, physiology, psychology, and social sciences. Usually, a GPA between 3.3 and 4.0 enhances admission prospects. Related fields like biology or health sciences provide a strong foundation for graduate study.
Accredited Graduate Program: Iowa mandates graduation from an ACOTE-accredited master’s or doctoral program, with the master’s degree as the minimum for licensure. Many institutions now offer the doctoral degree (OTD), signaling a trend toward advanced clinical preparation. This education phase deepens clinical knowledge and research skills.
Supervised Fieldwork Experience: Completion of significant hands-on training through Level II fieldwork, typically around 24 weeks, is essential. This supervised experience under licensed professionals allows students to apply classroom learning in real-world settings and meet state licensure standards.
National Certification Examination: Passing the NBCOT exam is required to obtain licensure in Iowa. This certification validates competence and readiness to practice independently. Success rates from regional programs reflect preparation quality and help guide applicants.
Additional Licensure Requirements: Official transcripts documenting education and fieldwork must be submitted. Foreign-trained applicants face extra screening steps. Also, licensed therapists need 30 hours of continuing education every two years to maintain credentials and stay current in the profession.

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How do you get a state license to practice occupational therapy in Iowa?

Obtaining an Iowa occupational therapy license is essential for securing professional credibility and meeting the legal requirements to practice in the state. This license confirms that therapists have met strict education and competency standards, ensuring high-quality care. Below are the key steps to follow on how to get an OT license in Iowa.

Graduate from an Accredited Program: Complete a bachelor’s or master’s degree in occupational therapy from an ACOTE-accredited school. Your official transcripts, sent directly to the Iowa Board of Physical and Occupational Therapy, must verify degree completion and supervised fieldwork experience.
Complete Required Fieldwork: Fulfill at least six months of supervised clinical experience under a licensed occupational therapist as part of your accredited program to develop essential practical skills.
Pass the NBCOT Examination: Successfully pass the National Board for Certification in Occupational Therapy exam to earn the “OTR” credential. Your passing score must be sent directly from NBCOT to the Iowa Board.
Undergo a Criminal Background Check: Complete fingerprinting and pay the required fee for an FBI background check. This step is mandatory to safeguard public safety and meet regulatory standards in Iowa.
Submit a State License Application: Apply online through the Iowa Professional Licensing Portal, upload all required documents, and pay the non-refundable $120 fee. The board’s review process may take several weeks as they verify your materials.
Provide Verification of Other Licenses (if applicable): If previously licensed in another state, request official licensure verification. This should include license dates and disciplinary history and be sent directly to the Iowa Board unless an approved web-based verification exists.
Meet Requirements for Out-of-State Applicants: Provide proof of 2,080 hours of practice, 30 hours of Iowa-approved continuing education, one year of OT faculty experience, or a recent passing NBCOT score within two years to demonstrate active, competent practice.

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How often do you need to renew an OT license in Iowa?

Maintaining an active occupational therapy license in Iowa is essential for ensuring professional accountability, upholding high standards of care, and staying aligned with the latest clinical and regulatory developments. Regular license renewal serves as a checkpoint, confirming that occupational therapists continue to meet eligibility criteria and complete required continuing education. This process ultimately protects public safety and fosters ongoing professional growth within the field.

In Iowa, occupational therapists must renew their licenses every two years on a biennial schedule. The renewal period begins on the sixteenth day of the therapist’s birth month and ends on the fifteenth day two years afterward. License holders are responsible for submitting their renewal application and fee before this expiration date, even if a renewal notice is not received.

A grace period follows expiration, during which renewal is still possible by paying a late fee; however, failing to renew by the end of this period results in license inactivation and a prohibition on practicing until reactivation. This structure encourages therapists to remain current with their professional requirements, including completing 30 hours of board-approved continuing education every cycle, ensuring that Iowa’s practitioners maintain compliance with evolving legal and clinical standards.

When discussing renewal schedules, an occupational therapist from Iowa, who graduated from a local university, shared insights into his experience. He acknowledged that keeping track of the renewal timeline initially felt challenging amid a busy practice, especially coordinating continuing education credits.

"I had to set reminders early on to avoid missing deadlines," he said. Although the late fee during the grace period added pressure, it was a manageable safeguard. This regular renewal cycle helped him stay engaged with new developments in occupational therapy and ensured his credentials always remained current, reinforcing his confidence in providing quality care to his clients.

What continuing education is required for OT license renewal in Iowa?

Continuing education is vital for occupational therapists in Iowa to uphold their professional competence, adhere to state standards, and remain updated on evolving therapeutic techniques and regulations. By engaging in ongoing learning, OTs ensure they provide high-quality care that meets the diverse needs of their clients while staying compliant with Iowa’s licensing requirements.

Biennial Hour Requirements: Occupational therapists must complete 30 hours of continuing education every two years, while occupational therapy assistants (OTAs) need 15 hours in the same period. The two-year cycle starts on the sixteenth day of the licensee’s birth month and ends two years later on the fifteenth day.
Acceptable Course Topics and Formats: Courses should focus on clinical occupational therapy practice relevant to everyday professional duties. These may include in-person workshops, seminars, and online courses approved by the licensing board.
Reporting and Documentation: Licensees must keep certificates and proof of attendance for at least four years in case of board audits. Each hour counts as 50 minutes of participation in approved educational activities.
Additional Requirements for OTAs: OTAs must complete at least 10 of their 15 required hours directly related to clinical practice to fulfill their continuing education obligations.
Carryover and Reactivation Policies: Continuing education hours do not carry over to the next renewal period. However, hours earned before reactivation within a current cycle can count toward the first renewal after reactivation.
New Licensees Exemption: First-time licensees are exempt from continuing education before their initial renewal. Any coursework completed after licensure but before the first renewal can be applied to the subsequent renewal cycle.
Renewal Process and Deadlines: Renewal begins up to 60 days before expiration, with reminders issued if deadlines approach. Failure to meet continuing education requirements can delay renewal or trigger disciplinary measures.

For those interested in expanding their qualifications alongside occupational therapy, pursuing a medical billing and coding certificate online offers a practical option to diversify healthcare skills and enhance career opportunities.

67% of occupational therapists work in the healthcare industry.

How much does it cost to become an occupational therapist in Iowa?

The cost of becoming an occupational therapist in Iowa depends on several factors such as the choice of educational institution, examination fees, and licensing costs. Being aware of these expenses allows you to plan your finances effectively and avoid surprises along the way.

Tuition and Fees: Attending an accredited Doctor of Occupational Therapy program is the largest expense. For example, Briar Cliff University charges about $85,000 for their three-year program. Public universities or scholarships may offer alternative options to reduce this cost.
NBCOT Examination Fee: After graduating, you must pass the National Board for Certification in Occupational Therapy exam, which requires a registration fee. Budget for this fee ahead of time, as passing this exam is mandatory to practice professionally in Iowa.
State Licensure Application: Applying for your Iowa occupational therapist license costs $120. This fee is non-refundable, and you may also face additional charges for sending official transcripts and completing required background screenings.
Additional Expenses: Plan for costs related to textbooks, clinical placement travel, uniforms, background checks, and health screenings. Professional memberships and continuing education fees occur later but represent a recurring investment in your career development.

What financial aid options are available for OT students in Iowa?

Financial aid is essential for occupational therapy students in Iowa to manage the high costs of education and clinical training required for licensure. With total program expenses often exceeding $40,000, accessing various aid options can make a significant difference in affording tuition and related costs. Below are key financial aid options available to support OT students in Iowa.

Federal Grants: Undergraduate OT students with financial need can apply for Pell Grants and FSEOG through the FAFSA. These grants provide funds that do not require repayment and help cover tuition and living expenses during pre-OT or bachelor’s degree studies.
Iowa State Grants: Iowa residents may qualify for state grants like the Kibbie Grant, which supports enrollment in high-demand programs such as occupational therapy assistant studies at community colleges. Applicants must complete the FAFSA and sometimes the Iowa Financial Aid Application for eligibility based on residency and financial need.
Federal Student Loans: Both undergraduate and graduate OT students can access Federal Direct Loans offering low interest rates and flexible repayment plans. Loan forgiveness options are also available for those working in qualifying public or nonprofit occupational therapy roles.
University-Based Scholarships: Iowa colleges offer merit- and need-based scholarships for OT students. For instance, Drake University provides a $5,000 one-time award for students moving into their OTD program, while other institutions offer scholarships recognizing academic and leadership achievements.
Professional Association Scholarships: The American Occupational Therapy Foundation and state organizations award competitive scholarships, often prioritizing leadership, service, or minority students. These scholarships range from several hundred to several thousand dollars annually.
Private and Nonprofit Scholarships: Students can apply for private awards like the F.A. Davis Health Science Scholarship, which target those with financial need or academic merit. Additional scholarships may focus on specific backgrounds or commitments within healthcare.
Federal Work-Study Programs: Eligible undergraduates may work part-time on campus or with nonprofit employers, earning money to offset educational costs while gaining relevant occupational therapy experience.
Future Ready Iowa Last-Dollar Scholarship: This program covers remaining tuition and fees for Iowa residents enrolled in high-demand fields such as occupational therapy assistant programs, after other aid has been applied, making education more affordable.

Can out-of-state occupational therapists work in Iowa?

Out-of-state occupational therapists cannot practice in Iowa without obtaining an Iowa state license. The state does not participate in the Occupational Therapy Licensure Compact, so having a license from another state does not automatically grant practice rights here.

Applicants from out of state must submit proof of graduation from an ACOTE-accredited program, pass the NBCOT exam, and provide official verification of any current licenses. Iowa also offers licensure by endorsement, but applicants must meet specific requirements such as recent continuing education or a minimum number of work hours.

All supporting documents must be sent directly to the Iowa Board, and the application fee is $120. After licensure, therapists must renew every two years and complete continuing education.

One Iowa occupational therapist who graduated locally shared, “Helping out-of-state colleagues understand Iowa’s process was important because paperwork timing and verification often surprised them. Although it required patience, once all documentation was in place, most found that earning the license here was simply a matter of following clear steps. It’s a rewarding process that ensures high standards while welcoming dedicated professionals.”

What skills do you need to be a successful occupational therapist in Iowa?

Success as an occupational therapist in Iowa depends on mastering a diverse set of skills that enable practitioners to help clients regain independence, enhance quality of life, and work collaboratively within healthcare teams. These skills are essential for addressing the physical, cognitive, and emotional challenges clients face while ensuring therapy is personalized and effective.

Developing these core competencies supports positive client outcomes and professional growth in Iowa’s evolving healthcare environment. Key skills include:

Clinical Reasoning and Problem Solving: Assess complex client needs and design tailored treatment plans using evidence-based practices to promote daily living and community participation.
Communication and Interpersonal Skills: Clearly explain treatment goals, listen empathetically, and coordinate care with families and multidisciplinary teams for cohesive support.
Adaptability and Creativity: Modify interventions and environments flexibly to meet changing client needs, incorporating assistive technology when necessary.
Cultural Competence and Client-Centered Care: Respect diverse backgrounds and advocate for equitable access to resources to ensure therapy is meaningful and effective for all clients.
Professionalism and Lifelong Learning: Maintain Iowa licensure by completing 30 hours of continuing education biannually, fostering ethical practice and current knowledge.

What specializations are available for occupational therapists in Iowa?

Specialization in occupational therapy allows practitioners to develop focused expertise in particular populations, conditions, or practice areas, significantly enhancing both their career opportunities and their impact on patient outcomes in Iowa.

By concentrating on specific fields, therapists can better meet the diverse needs of communities across the state. Below are several common occupational therapy specializations available for professionals pursuing Iowa Occupational Therapy Career Specializations:

Pediatrics: Therapists in this area work with children facing developmental, physical, or cognitive challenges such as autism or sensory processing disorders. They are often employed in schools, early intervention programs, and pediatric clinics to help children improve daily functioning and reach developmental goals.
Geriatrics: Geriatric occupational therapists focus on older adults dealing with age-related issues like Alzheimer's, arthritis, or stroke recovery. These specialists commonly work in nursing homes, assisted living facilities, hospitals, and home health agencies to promote independence and quality of life for seniors.
Mental Health: This specialization supports individuals coping with mental illness or emotional difficulties, using therapeutic activities that enhance emotional well-being and social skills. Practitioners work in mental health clinics, hospitals, and community centers.
Hand Therapy: Hand therapists treat injuries and conditions impacting the hands and upper extremities, including fractures and repetitive strain disorders. They practice in orthopedic clinics, rehabilitation centers, and hospitals using specialized techniques to restore function and reduce pain.
Physical Rehabilitation: Occupational therapists in rehabilitation assist patients recovering from serious injuries, surgeries, or illnesses like spinal cord injury or traumatic brain injury. These professionals typically work in hospitals, rehab centers, and outpatient clinics to help patients regain independence and adapt to new ways of performing daily tasks.

Specializing in any of these areas can improve employability in Iowa’s growing occupational therapy market. For those interested in expanding their healthcare expertise, exploring online college programs for medical billing and coding may also provide valuable complementary skills.

What is the average salary of an occupational therapist in Iowa?

Several factors influence the average occupational therapist salary in Iowa, including experience level, work setting, and geographic location. These variables create a wide range of potential earnings for professionals working in this field throughout the state. Below are the key factors that impact occupational therapist hourly wage Iowa and overall pay.

Years of Experience: Entry-level occupational therapists typically earn salaries at the lower end of Iowa’s pay scale. As professionals gain more experience and acquire specialized skills, they can command significantly higher wages, with top earners making well above the state average.
Type of Employer and Work Setting: Earnings vary by employer, with hospitals, skilled nursing facilities, and home health agencies generally offering higher salaries. Positions in schools and outpatient clinics may pay less but can provide other benefits such as flexible schedules or loan forgiveness programs.
Geographic Location Within Iowa: Urban centers like Des Moines and Cedar Rapids often offer higher wages due to demand and living costs, while rural areas may have lower salaries but sometimes compensate with bonuses or housing assistance to attract therapists.
Education and Specialization: Holding advanced degrees or certifications in areas like pediatrics or hand therapy can open doors to better-paying roles. Ongoing professional development is valued and can boost salary potential over time.
Market Demand and Job Activity: Iowa’s relatively slow hiring activity for OTs generally suppresses salary growth. However, targeted demand in certain regions or specialties may present opportunities for higher pay.

For those exploring career options related to healthcare and seeking to understand more about qualifications, it’s helpful to learn what requirements are needed to become a certified medical coder and biller from home as a potential supplementary skill.

Nursing care facilities offer the highest salary for occupational therapists at $103,210.

What Do Occupational Therapists in Iowa Say About Their Career?

Nolan: "Completing my occupational therapy program at Des Moines University truly grounded me in the skills and compassion needed to serve Iowa’s diverse student population. Starting my career in a local school gave me the chance to see firsthand the incredible impact therapeutic support has on children's academic and social growth. The community here values holistic approaches to education, and that has fueled my passion every day. I appreciate the balance between professional stability and the chance to make a real difference in young lives. "

Camille: "After finishing my studies at the University of Iowa’s occupational therapy program, I began my career working in an academic institution close to home. The role challenged me to adapt to unique regional needs, especially supporting children in rural areas where resources can be limited. This experience has fostered my professional growth tremendously, enhancing my skills in patient-centered care. Reflecting on my journey, I feel proud to contribute to the well-being of families in a state that truly values education and community support. "

Olivia: "Graduating from St. Ambrose University’s occupational therapy program opened doors I never imagined, particularly within Iowa's supportive educational environment. Working as an occupational therapist here has deepened my understanding of community interconnectedness and allowed me to engage with various cultural groups across the state. The chance to develop personally and professionally in a place where collaboration is prioritized has been incredibly rewarding. I find joy in knowing that my work positively influences children’s lives and strengthens our local communities every day."

How can occupational therapists collaborate with caregivers in Iowa?

Occupational therapists in Iowa can enhance patient outcomes by establishing strong interdisciplinary partnerships with caregivers. Integrating caregiver support into treatment plans allows for consistent home-based reinforcement of therapeutic techniques and promotes overall continuity of care. This collaboration encourages joint training sessions, effective communication channels, and shared goal setting that align with patients’ long-term rehabilitation objectives. For instance, therapists may refer interested family members or professional aides to resources on how to become a caregiver in Iowa to broaden the support network. Such strategic alliances not only optimize client recovery but also foster a community-focused approach that benefits both clinical practice and personal outcomes.

References:

Apply for an Occupational Therapy License | Department of Inspections, Appeals, & Licensing https://dial.iowa.gov/licenses/medical/pt-ot/how-do-i-ot-license
Occupational Therapy Degree | Iowa BS/BA + OTD Program | Loras College https://loras.edu/academics/occupational-therapy/
Iowa Admin. Code r. 481-805.2 - Continuing education requirements | State Regulations | US Law | LII / Legal Information Institute https://www.law.cornell.edu/regulations/iowa/Iowa-Admin-Code-r-481-805-2
Cost of Attendance | Drake University https://www.drake.edu/ot/costofattendance/
OTA: Occupational Therapy Assisting | Hawkeye Community College Waterloo, IA https://www.hawkeyecollege.edu/academics/credit-courses/descriptions/ota
Iowa CEU Requirements for PT, OT, SLP & RN – Medbridge Help Center https://support.medbridge.com/hc/en-us/articles/17651151805203-Iowa-CEU-Requirements-for-PT-OT-SLP-RN
18 Occupational Therapist Skills Required for Success https://www.alliant.edu/blog/occupational-therapist-skills
Frequently Asked Questions about State Licensure | AOTA https://www.aota.org/career/state-licensure/frequently-asked-questions
Health Care Professional Incentive Program | Department of Education https://educate.iowa.gov/higher-ed/financial-aid/loan-repayment/health-care-professional-incentive-program
Iowa Occupational Therapy https://www.occupationaltherapylicense.org/iowa-occupational-therapy/

Other Things You Need to Know About Becoming an Occupational Therapist in Iowa

What is the difference between an OTA and an OT in Iowa?

In Iowa, the key difference between an Occupational Therapist (OT) and an Occupational Therapy Assistant (OTA) lies in their scope of practice and level of responsibility. OTs are licensed professionals who evaluate, plan, and oversee the entire therapy process, while OTAs work under the supervision of OTs to implement treatment plans and assist clients with therapeutic activities.

Additionally, OTs must have a master’s degree or higher and pass a national certification, whereas OTAs typically hold an associate degree and also require certification. This distinction affects their roles in patient care, with OTs focusing on assessment and intervention design and OTAs supporting treatment delivery.

How long does it take to become a licensed OT in Iowa?

Becoming a licensed occupational therapist (OT) in Iowa typically requires several years of education and preparation. First, candidates must complete a relevant bachelor's degree followed by a master's or doctoral degree in occupational therapy, which usually takes 6 to 7 years in total.

After graduation, applicants must pass the National Board for Certification in Occupational Therapy (NBCOT) exam to become certified. Finally, obtaining licensure from the Iowa Board of Occupational Therapy completes the process, which involves submitting an application and meeting state-specific requirements. Overall, the entire journey from starting college to becoming a licensed OT in Iowa generally spans around 7 to 8 years.

What subjects or prerequisites are required for Iowa OT school admission?

To gain admission to an occupational therapy (OT) program in Iowa, applicants typically need to complete specific prerequisite coursework that demonstrates a strong foundation in both the sciences and liberal arts. Commonly required subjects include anatomy, physiology, biology, psychology, and sometimes statistics, which prepare students for the rigorous clinical and theoretical components of OT training.

Additionally, some programs may require volunteer or work experience related to occupational therapy or healthcare to provide practical insight into the field. Meeting these prerequisites ensures that candidates are well-equipped to succeed in the demanding academic environment and clinical practice essential for becoming a licensed occupational therapist in Iowa.

Is becoming an occupational therapist worth the investment in Iowa?

Becoming an occupational therapist in Iowa can be a rewarding investment due to the profession’s growing demand and competitive salary prospects. The state offers a steady job market with favorable employment opportunities in healthcare facilities, schools, and rehabilitation centers. While the path requires a significant commitment to education and licensing, occupational therapists in Iowa enjoy job stability and the satisfaction of improving patients’ quality of life.

Overall, the financial and personal benefits typically outweigh the upfront costs, making it a worthwhile career choice for those passionate about healthcare and helping others.