2026 How to Become an Occupational Therapist in New Hampshire

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Share

New Hampshire offers a promising landscape for aspiring occupational therapists, with a projected job growth rate of 18% through 2030—well above the national average. The state's demand for qualified professionals springs from an aging population and expanding healthcare services, making it an ideal setting to launch a rewarding career.

Exploring occupational therapy in New Hampshire invites adventure into diverse clinical environments where skills transform lives and foster independence.

This article, crafted by seasoned career planning experts, guides readers step-by-step through the process of becoming an occupational therapist in New Hampshire. It unveils essential education routes, licensure requirements, and practical tips to confidently navigate this fulfilling career path.

Key Things to Know About Becoming an Occupational Therapist in New Hampshire

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

Formal education forms the cornerstone for occupational therapists, equipping them with a broad base of scientific knowledge, clinical skills, and interpersonal understanding necessary to support diverse patient needs.

This strong foundation enables therapists to craft evidence-based strategies that enhance their patients’ physical, emotional, and developmental well-being. To meet the occupational therapy degree requirements New Hampshire sets, aspiring therapists must navigate a structured educational journey.

Here are the essential steps:

• Earn a Bachelor’s or Master’s Degree: Candidates must graduate from an accredited program recognized by the ACOTE or AOTA, typically earning a bachelor’s or master’s degree in occupational therapy. Notably, the University of New Hampshire is the only school in the state offering an ACOTE-accredited occupational therapy program, presenting a focused path for local students.
• Complete an Accredited Graduate Program: Many students pursue advanced standing programs culminating in a Master of Science (MS) or Doctor of Occupational Therapy (OTD) degree. These programs build on undergraduate studies and usually require five to six years to complete, depending on the chosen track and inclusion of summer coursework.
• Fulfill Supervised Fieldwork Requirements: Hands-on experience is critical; licensing candidates must complete a minimum of 24 weeks of supervised clinical fieldwork. Working under a licensed occupational therapist, students develop real-world skills and ethical competencies crucial for professional practice.
• Pass the National Certification Examination: After meeting educational and clinical requirements, graduates must pass the NBCOT OTR examination to qualify for licensure and begin practicing.
• Maintain Continuing Education: Licensed therapists must complete 24 contact hours of continuing education every two years to renew their license. At least half of these hours focus on clinical occupational therapy, while the rest may cover broader theory or practice areas.

For those curious about related healthcare career pathways, exploring 'how long does it take to complete medical billing and coding' may provide additional insight into diverse medical training timelines.

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

Taking the leap into occupational therapy in New Hampshire involves more than passion—it requires securing a state license that guarantees your professional credibility and legal ability to practice.

This essential credential serves as a passport, affirming your expertise and commitment to patient safety. Navigating the New Hampshire occupational therapy licensing process is an exciting challenge that opens doors to a meaningful career. 

Here’s a clear path to guide you through the key steps.

• Complete an Accredited Occupational Therapy Program: Start by graduating from a program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or its successor. Whether earning a master’s, doctoral degree, or entry-level qualification for assistants, this foundation ensures you meet nationally recognized educational standards.
• Fulfill Supervised Fieldwork Requirements: Gain hands-on experience with at least six months of supervised fieldwork for occupational therapists, or two months for assistants. This practical training, under the watchful eye of a licensed professional, sharpens your skills and prepares you for real-world challenges.
• Pass the NBCOT Examination: Prove your competency by passing the National Board for Certification in Occupational Therapy exam. This nationally recognized test validates your readiness for practice and is a must-have credential sent directly to the New Hampshire licensing board.
• Submit a State Application for Licensure: Assemble your application packet, including transcripts and NBCOT certification proof, then submit it to the New Hampshire Occupational Therapy Governing Board. The process requires patience, so plan ahead for processing times.
• Undergo a Criminal Background Check: Safety and trust are paramount, so passing a background check is mandatory to ensure you uphold the highest ethical standards in your practice.
• Pay Applicable Fees: Accompany your application with the required fees, which may vary. Confirm the current amounts with the licensing board to avoid surprises.
• Optional Temporary License: While awaiting NBCOT exam results, you can apply for a temporary license to practice under supervision, gaining invaluable experience before full licensure.

Exploring these essential duties of medical billers and coders may also complement your understanding of healthcare careers if you’re curious about related fields.

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

Staying current with license renewal is more than an administrative task for occupational therapists in New Hampshire—it’s a vital process that upholds high professional standards, fosters accountability, and ensures practitioners remain aligned with the latest practices and state requirements. This continuous validation helps safeguard the quality of care patients receive while encouraging therapists to engage in lifelong learning and professional growth.

In New Hampshire, occupational therapists renew their licenses every two years, with each renewal deadline set firmly on December 31 of every odd-numbered year. This uniform cycle creates a shared rhythm for all licensed OTs in the state, independent of when they initially earned their license. During each renewal period, therapists must complete 24 hours of continuing professional education within the previous two years to stay eligible.

Missing the deadline can lead to penalties, including suspension of the license to practice, although specific grace periods and fees vary based on individual circumstances as regulated by the state’s Occupational Therapy Governing Board. This system not only enforces accountability but also keeps occupational therapists informed about evolving laws, ethical guidelines, and clinical best practices.

When I spoke with an occupational therapist from New Hampshire who graduated from a local university, he shared that license renewal sometimes feels like a “checkpoint” in his professional journey. He described the process as a demanding but rewarding opportunity to reflect on recent experiences and discover new educational topics to explore.

“Every renewal period nudges me to stay curious and engaged,” he explained, recalling that gathering and documenting continuing education credits occasionally required careful planning around a busy work schedule. Still, he appreciated how this routine reinforces his commitment to delivering the best care, saying, “Renewing my license isn’t just paperwork—it’s a chance to reset my focus on growth.”

What continuing education is required for OT license renewal in New Hampshire?

Continuing education fuels the journey of occupational therapists as they maintain sharp, up-to-date skills that meet state standards and embrace evolving therapeutic approaches in New Hampshire. This ongoing learning adventure not only broadens professional horizons but also ensures the highest quality of patient care and compliance with licensure regulations.

• Number of Hours Required: Occupational therapists and occupational therapy assistants in New Hampshire need to complete 24 hours of continuing education every two years. At least half of these hours—12 hours—must focus on the clinical application of occupational therapy, while the rest can cover broader subjects related to occupational therapy theory and practice, fulfilling crucial New Hampshire OT continuing education requirements.
• Acceptable Course Topics or Formats: Courses span a variety of topics like supervision, consultation skills, curriculum development, and trans-disciplinary issues, designed to enrich therapists' flexibility across settings and populations. Workshops, online courses, or conferences are all valid formats as long as they meet quality and relevance standards set by the state.
• Reporting or Documentation Procedures: Therapists must keep thorough records of completed continuing education, including certificates, and submit these during license renewal. Checking with the New Hampshire Office of Professional Licensure and Certification ensures you meet all reporting criteria and avoid hiccups in your renewal process.
• Additional Requirements for OTAs: While OTAs share the same continuing education hour requirements as OTs, choosing courses attuned to their specific roles is encouraged. This alignment strengthens their ability to assist OTs or operate independently within their scope, fulfilling the state’s guidance for New Hampshire occupational therapy CEU needs.
• Special Opportunity: For professionals exploring supplemental skill-building, consider exploring free online medical billing and coding courses that can complement your occupational therapy expertise and expand your career possibilities.

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

The journey to becoming an occupational therapist in New Hampshire comes with various costs that shift according to education choices, examination fees, and licensing requirements. Understanding these expenses can equip students to navigate their financial planning with confidence and curiosity.

• Tuition and Fees for Accredited OT Programs: Tuition varies significantly between residents and non-residents. For example, the University of New Hampshire’s Master of Science in Occupational Therapy program costs around $50,980 for residents and $87,642 for out-of-state students, inclusive of fees, books, and course materials.
• NBCOT Exam Fees: The national certification exam costs $555 in 2025. This fee is mandatory for obtaining professional credentials and does not include study materials or retake charges, which can add to your overall investment.
• State Licensure Application Fees: New Hampshire requires a licensing fee of about $110 after passing the NBCOT exam, plus renewal fees every two years, ensuring your professional status remains up to date.
• Background Checks and Fingerprinting: Expect to pay between $50 and $100 for these essential security checks that protect patients and maintain professional standards throughout education and licensing.
• Professional Memberships: Joining organizations such as the New Hampshire Occupational Therapy Association can cost about $65 annually. Membership offers networking and educational growth, valuable for career development.

What financial aid options are available for OT students in New Hampshire?

Financial aid opens doors for aspiring occupational therapists in New Hampshire by easing the financial pressure of rigorous and often costly education. With programs that can exceed $85,000, securing help can transform a dream into reality while maintaining focus on learning and professional growth.

Here are key financial aid options available for OT students in New Hampshire:

• Federal Grants – These include the Pell Grant and FSEOG, offered to undergraduate students who demonstrate financial need through the FAFSA. Since they don't need to be repaid, federal grants provide foundational support for many students starting their OT journeys.
• State Grants and Scholarships – The state’s targeted programs, such as those from the New Hampshire Charitable Foundation’s Medallion Fund, prioritize residents committed to healthcare careers. These awards help cover tuition and related expenses, especially benefiting students with financial need.
• Federal Student Loans – Graduate and undergraduate OT students can access Direct Subsidized, Unsubsidized, and PLUS Loans. While repayment is required, these loans typically have lower interest rates and flexible options, making them a practical funding route.
• University-Based Scholarships – Institutions like the University of New Hampshire offer scholarships based on merit and need for OT majors. These internal awards reward academic excellence and alleviate overall educational costs.
• Mary Eileen Dixey Endowed Scholarship – Awarded annually to full-time OT and assistant students in the state, this scholarship prioritizes those who have completed at least one year of OT studies and show strong academic and professional commitment.
• American Occupational Therapy Foundation Scholarships – Offering over 50 scholarships nationally, some are specifically reserved for New Hampshire residents or students attending local programs, rewarding leadership, merit, and service.
• Professional and Association-Sponsored Awards – Various OT associations provide scholarships that encourage active membership and engagement in the profession, fostering both financial support and community connection.
• Private and External Scholarships – Numerous outside organizations and foundations offer awards based on need, achievement, or dedication to serving underserved populations within OT.

Can out-of-state occupational therapists work in New Hampshire?

Out-of-state occupational therapists have several pathways to practice in New Hampshire, thanks to the state’s progressive approach. If your home state is a member of the Occupational Therapy Licensure Compact, you can work in New Hampshire under compact privileges without needing a separate license.

This means your out-of-state license, if in good standing, grants you direct access to the state’s workforce. For therapists from non-compact states, New Hampshire offers a streamlined endorsement process based on verifying your qualifications and national certification, allowing you to receive a license more quickly than in many other states.

What’s particularly exciting is New Hampshire’s universal license recognition, enabling applicants with active licenses from elsewhere to apply directly to the Office of Professional Licensure and Certification and often start working almost immediately.

One New Hampshire occupational therapist, who graduated locally, recalled facing initial uncertainty about the endorsement timeline but found the temporary permit option eased her transition and allowed her to focus on her patients without delay. She reflected, “Navigating the process felt straightforward once I realized the state’s commitment to welcoming qualified therapists. It’s comforting to know that out-of-state peers can join the community with clear support and minimal hassle.”

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

Embarking on a career as an occupational therapist in New Hampshire means developing a versatile skill set essential for empowering clients to regain independence and enhance their quality of life. These skills also enable therapists to collaborate effectively within multidisciplinary healthcare teams, addressing complex challenges across diverse patient populations.

Mastering these competencies is key to delivering personalized, adaptive care that leads to meaningful outcomes. Here are the core skills integral to success in this rewarding field:

• Interpersonal and Communication Skills: Building trust through empathy and clear communication ensures patients and families understand treatment goals and progress, fostering a supportive therapeutic relationship.
• Problem-Solving and Critical Thinking: Crafting tailored interventions and adapting plans creatively allows therapists to address each patient’s unique challenges and promote steady improvements.
• Organizational and Time Management Skills: Balancing caseloads while maintaining accurate documentation supports consistent care quality and compliance with healthcare regulations.
• Emotional Resilience and Patience: Sustained patience and self-care enable therapists to navigate the emotional demands of their work and build lasting rapport with clients.
• Attention to Detail: Meticulous observation and record-keeping help monitor progress precisely, guiding effective treatment adjustments over time.

What specializations are available for occupational therapists in New Hampshire?

Specialization gives occupational therapists in New Hampshire an exciting chance to dive deep into distinct areas where their skills can truly shine. By focusing on specific populations, health conditions, or practice settings, therapists sharpen their expertise and open doors to unique career paths. This journey not only benefits clients but also enriches therapists’ professional growth and impact within the community.

Here are some of the captivating occupational therapy specializations available in New Hampshire:

• Pediatrics: Pediatric occupational therapy specializations in New Hampshire involve helping children and adolescents overcome developmental, physical, or sensory challenges. These therapists work in places like schools, early intervention programs, and pediatric hospitals, assisting young clients in gaining essential daily living and learning skills.
• Geriatrics: Geriatric occupational therapists focus on older adults, addressing aging-related obstacles such as mobility loss, dementia, and chronic illnesses. They typically serve in long-term care, rehabilitation centers, and home health settings to enhance seniors’ independence and life quality.
• Mental Health: This specialization supports clients facing emotional or psychological struggles like anxiety, depression, or serious mental illness. Practitioners engage with mental health facilities, hospitals, and community programs to promote coping strategies and meaningful social participation.
• Hand Therapy: Hand therapy certification for occupational therapists in New Hampshire prepares professionals to rehabilitate injuries or conditions affecting hands, wrists, and upper limbs. They work in outpatient clinics, orthopedic practices, and hospitals, helping clients regain strength and function after trauma or surgery.
• Physical Rehabilitation: Rehabilitation OT professionals assist individuals recovering from trauma, neurological disorders, or surgeries to reclaim independence. These therapists are active in hospitals, rehab centers, and outpatient clinics, providing vital support to both adults and children.

Occupational therapists looking to enhance their credentials may also explore opportunities related to medical billing and coding online courses cost, which can complement clinical knowledge with valuable administrative skills.

What is the average salary of an occupational therapist in New Hampshire?

The average occupational therapist salary in New Hampshire varies widely, influenced by factors such as experience level, work setting, and geographic location. These elements shape not only base pay but also the potential for growth and job satisfaction. Here are key factors that affect how much do occupational therapists make in New Hampshire:

• Years of Experience: Therapists with more years under their belt naturally command higher wages. While entry-level occupational therapists may earn around $44.12 per hour, seasoned professionals can see annual salaries ranging from approximately $79,100 to $108,846, reflecting their advanced skills and responsibilities.
• Type of Employer: The kind of organization hiring a therapist has a significant impact on pay. For instance, home health agencies often offer salaries between $85,000 and $120,000 annually, whereas hospitals and outpatient clinics might have a different scale based on size and funding.
• Geographic Location within New Hampshire: Pay rates fluctuate between urban and rural areas. Cities like Nashua and Concord typically provide higher wages compared to more remote locations, with hourly rates in some cities ranging from $33 to $43, while home health roles may pay over $64 per visit in towns such as Keene and Plymouth.
• Educational Credentials and Specializations: Advanced degrees and certifications in specialty fields enhance earning potential by allowing therapists to offer niche services that employers value.
• Demand and Market Saturation: The ratio of occupational therapists to patient needs affects wages. Regions with fewer therapists relative to demand or higher reimbursement rates tend to offer more competitive salaries.
• Cost of Living: It’s important to weigh salary figures against local expenses, as New Hampshire’s cost of living can influence the real value of income earned.

For those exploring health care career options, considering how salary correlates with education can be vital. You might also find it interesting to explore medical billing and coding classes online financial aid opportunities, as they offer alternative paths within the medical field that complement understanding occupational therapy roles.

What are the career advancement opportunities for occupational therapists in New Hampshire?

Occupational therapists in New Hampshire can pursue advanced clinical and leadership roles through targeted certifications, mentorship programs, and specialized training. These opportunities include transitioning to management positions, engaging in interdisciplinary research, and participating in professional associations that advocate for best practices and policy development. Expanding one’s expertise by integrating complementary care roles, such as learning how to become a caregiver in New Hampshire, can further diversify practice and enhance career progression.

What Do Occupational Therapists in New Hampshire Say About Their Career?

References:

• Becoming an Occupational Therapist: Education and Job Prospects | NEIT https://www.neit.edu/blog/how-to-become-an-occupational-therapist
• New Hampshire OT CEU Requirements & Discounts! • OT Potential https://otpotential.com/ot-continuing-education-requirements/new-hampshire
• Occupational Therapy Governing Board License Fees | NH Office of Professional Licensure and Certification https://www.oplc.nh.gov/occupational-therapy-governing-board-license-fees
• It just became easier for out-of-state professionals to work in New Hampshire • Rhode Island Current https://rhodeislandcurrent.com/2023/06/28/it-just-became-easier-for-out-of-state-professionals-to-work-in-new-hampshire/
• Financial Assistance https://lnahealthcareers.com/financialassistance/
• Learn the steps to occupational therapy state licensure. | AOTA https://www.aota.org/career/state-licensure/learn-the-steps-to-licensure
• Best Value Colleges for Occupational Therapy (Income $0-$30k) in New Hampshire - College Factual https://www.collegefactual.com/majors/health-care-professions/rehab-and-therapeutic-professions/occupational-therapy-therapist/rankings/best-value-avg-aid-income1/new-england/new-hampshire/
• 1 Acute Care Occupational Therapy Travel Job in New Hampshire | AMN Healthcare https://www.amnhealthcare.com/careers/allied/apply/travel-acute-care-occupational-therapy-allied-jobs-in-new-hampshire/
• New Hampshire CEU Requirements for PT, OT, SLP & RN – Medbridge Help Center https://support.medbridge.com/hc/en-us/articles/18273930589843-New-Hampshire-CEU-Requirements-for-PT-OT-SLP-RN
• New Hampshire Occupational Therapy https://www.occupationaltherapylicense.org/new-hampshire-occupational-therapy/

Other Things You Should Know About Becoming an Occupational Therapist in New Hampshire