2026 How to Become an Occupational Therapist in South Dakota

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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South Dakota offers a promising landscape for occupational therapists, with employment projected to grow by 16% through 2030, surpassing the national average. The state's aging population and increasing healthcare needs create strong demand for professionals who assist patients in regaining and maintaining daily living skills. Pursuing a career in this field in South Dakota provides job stability, competitive wages, and opportunities to work in diverse environments such as hospitals, schools, and rehabilitation centers.

This article explains the step-by-step process to become an occupational therapist in South Dakota. Prepared by experts in career planning, it delivers clear, actionable guidance, covering education, licensure, and practical advice to help readers navigate this rewarding profession effectively.

Key Things to Know About Becoming an Occupational Therapist in South Dakota

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

Formal education equips occupational therapists with the essential knowledge and skills to support patients’ physical, emotional, and developmental needs. It builds a foundation for clinical reasoning, therapeutic techniques, and patient care. Proper educational pathways ensure readiness to meet diverse challenges in occupational therapy practice.

Below are the typical education requirements to become an occupational therapist in South Dakota.

• Bachelor’s Degree: Earning a bachelor’s degree is the initial step, providing foundational knowledge necessary for advanced study. While important, a bachelor’s degree alone does not qualify candidates for licensure as an occupational therapist.
• Accredited Graduate Program: Completion of a master’s or doctoral degree in occupational therapy from an accredited program is crucial. Such accredited occupational therapy programs South Dakota residents pursue ensure comprehensive training aligned with professional standards and prepare students for the National Board for Certification in Occupational Therapy (NBCOT) exam.
• Supervised Fieldwork: Graduate students must complete supervised fieldwork, typically around six months, under licensed occupational therapists. This hands-on experience enables practical application of theory in real clinical settings and develops essential professional skills.

For those exploring allied health professions, you might also be interested in learning what requirements are needed to become a a medical coder, as this can offer alternative career paths in healthcare administration and support. Taking a structured approach to education will position you well for successful licensure and practice in South Dakota.

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

Obtaining a state license is an essential step for occupational therapists in South Dakota to establish professional credibility and comply with legal practice requirements. This licensure confirms that therapists have met established standards for education, ethics, and competence. Below are the key steps to follow to get a South Dakota occupational therapy license.

• Complete an Accredited Occupational Therapy Program: You must graduate from a program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE®). This ensures your education meets national standards recognized by the South Dakota licensing board.
• Fulfill Supervised Fieldwork Requirements: Completing at least six months of supervised clinical fieldwork under a licensed occupational therapist provides critical practical experience to prepare you for independent practice.
• Pass the NBCOT Exam: Passing the National Board for Certification in Occupational Therapy exam is required to demonstrate your entry-level knowledge and skills. This exam is a prerequisite for state licensure.
• Submit a State License Application: You must submit a completed application to the South Dakota Board of Medical and Osteopathic Examiners with a $50 fee, official transcripts, and verification of NBCOT results.
• Provide Verification of Licensure from Other States (if applicable): If you have practiced occupational therapy elsewhere, request that your licensure status be verified and sent to South Dakota to confirm good standing.
• Complete Criminal Background Check and Fingerprinting: As of July 2024, all applicants must submit fingerprints and undergo a state and federal criminal background check as part of South Dakota’s licensure requirements.
• Await Board Review and License Issuance: After submitting all materials, the board typically reviews applications within 30 days before issuing your license to practice.

Following these steps diligently will help you meet South Dakota occupational therapy license requirements. For those wondering about the skills and duties of medical billers and coders, understanding licensing pathways in healthcare professions provides useful context to the broader medical field.

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

Maintaining a current license is fundamental for occupational therapists in South Dakota to uphold their professional standards and accountability. License renewal not only verifies that therapists meet established regulations but also ensures they stay abreast of evolving practices and state requirements. This ongoing process promotes public safety while supporting therapists in delivering evidence-based care.

In South Dakota, occupational therapists must renew their licenses every year. Licenses expire on January 1st annually, and to be eligible for renewal, therapists need to complete 12 continuing competency points related to their professional education within the past year. Renewal documentation and attestation must be submitted by March 1st of each year to maintain active status.

There is no guaranteed grace period beyond the expiration date; failure to renew on time results in automatic forfeiture or suspension of the license, requiring additional steps for reinstatement. This strict and consistent renewal schedule helps ensure therapists remain qualified and aligned with the latest professional standards and regulatory changes.

When I spoke with an occupational therapist from South Dakota who graduated locally, he shared that the renewal process, while rigorous, has become a manageable routine over time. “At first, it felt overwhelming to track my continuing education hours every year,” he explained, “but now I plan ahead, integrating relevant courses well before the deadline.”

He appreciated the clear deadlines and the commitment they represent. “It keeps me accountable not just to the state, but also to my patients, ensuring I’m always providing informed and high-quality care.” This experience underscores how annual renewal fosters both professional growth and personal responsibility.

What continuing education is required for OT license renewal in South Dakota?

Continuing education is a vital component for occupational therapists in South Dakota to maintain their professional competence and comply with state licensure requirements. It enables practitioners to stay current with evolving therapeutic techniques and regulations, ensuring quality care for clients and adherence to professional standards in a dynamic healthcare environment.

• Annual Continuing Education Requirement: Occupational therapists (OTs) and occupational therapy assistants (OTAs) must complete 12 continuing competency points annually, equivalent to 12 hours of professional education. These hours must be earned within the licensure year, which expires every January 1.
• Acceptable Activities and Course Topics: Continuing education can include workshops, seminars, conferences, and in-service programs related directly to occupational therapy practice. Professionals can also earn points by presenting educational programs to other health or education personnel, with a limit of six points per year for presentations.
• Formats and Online Learning: Both in-person and online courses are accepted when relevant to occupational therapy. While there is no explicit cap on online hours, it is advisable to ensure at least half of the hours come from approved or reputable providers to be prepared for possible audits.
• Reporting and Documentation: Licensees must attest to completing the required continuing education during license renewal. Though submission of certificates or documentation is not routinely required, retaining proof is crucial if the South Dakota Board requests evidence during an audit.
• Requirements for Occupational Therapy Assistants (OTAs): OTAs follow the same continuing education requirements as OTs, completing 12 hours annually with identical content and format standards. This ensures both groups maintain up-to-date best practices in the field.
• Additional Learning Opportunities: Professionals seeking to expand their qualifications might consider specialized courses such as a kaiser permanente coding course, which can complement occupational therapy skills with medical coding knowledge.

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

The cost of becoming an occupational therapist in South Dakota depends on several factors, including the chosen educational institution, exam fees, and licensing charges. Knowing these expenses upfront allows students to budget wisely and seek financial aid where possible.

• Tuition and Fees for Accredited OT Programs: Tuition varies by school, with three-year programs like the University of North Dakota charging around $74,800 total for residents, including fees and supplies. Private options, such as Augustana University, may exceed $100,000 when including tuition, fees, materials, and indirect costs.
• NBCOT Examination Fee: Passing the National Board for Certification in Occupational Therapy test requires a $555 exam fee. Additional study materials can cost between $200 and $800, so budgeting for prep resources is important.
• State Licensure Application Fees: Initial licensing in South Dakota costs $50, with an optional $25 fee for a temporary permit. Renewal fees are also $50 annually, so plan for ongoing licensing expenses.
• Background Checks and Related Requirements: South Dakota mandates criminal background checks, typically costing $117.50 to $238.50. CPR/BLS certification may add another $50 to $200 depending on the provider.
• Professional Memberships and Insurance: Membership in organizations like AOTA or SDOTA is optional but beneficial; annual dues range from $35 to $100. Health insurance, often required by programs, costs around $2,189 per year and should be factored in.

What financial aid options are available for OT students in South Dakota?

Financial aid is essential for occupational therapy students in South Dakota to manage the costs of tuition, fees, and living expenses required for their education and clinical training. With program costs varying widely, accessing financial aid helps students reduce debt and focus on completing their degrees. Below are key financial aid options available to support OT students in the state:

• Federal Grants: Available to undergraduates and prerequisite students who complete the FAFSA, federal grants like the Pell Grant provide need-based aid that does not require repayment, helping to lower tuition expenses.
• State Grants and Scholarships: South Dakota offers scholarships such as the Harlan and Rita Temple Endowed Scholarship, prioritizing residents enrolled in accredited OT or OTA programs and members of the state Occupational Therapy Association.
• Federal Student Loans: Federal Direct Loans, including subsidized and unsubsidized options, are accessible to most OT students via FAFSA. Graduate students may also apply for Graduate PLUS Loans to cover additional costs with competitive rates and repayment plans.
• University-Based Scholarships and Aid: Institutions like the University of South Dakota provide scholarships, grants, and work-study opportunities based on academic merit, financial need, and leadership, which reduce overall education costs.
• Professional and Association-Sponsored Awards: National and state OT organizations, including the American Occupational Therapy Foundation and AOTA, offer scholarships ranging from modest sums to several thousand dollars, often recognizing leadership, diversity, or community commitment.
• Private Scholarships and Loan Forgiveness Programs: Foundations and healthcare groups offer private scholarships, while loan forgiveness programs reward graduates who serve in underserved or rural South Dakota areas, easing long-term financial burdens.

Can out-of-state occupational therapists work in South Dakota?

Out-of-state occupational therapists can practice in South Dakota, but they must obtain a state license since South Dakota does not participate in the Occupational Therapy Licensure Compact.

This means therapists must apply for licensure through the South Dakota Board of Medical and Osteopathic Examiners, submitting official transcripts and verifying certification with the National Board for Certification in Occupational Therapy (NBCOT) if not already certified. Additional requirements may include passing a criminal background check and meeting other state-specific conditions.

Applicants must meet South Dakota’s educational and clinical experience standards, including graduation from an ACOTE-accredited program and completion of required supervised clinical hours. Temporary licenses allow out-of-state therapists to work under supervision while completing the licensure process.

A South Dakota occupational therapist shared that transitioning was challenging but manageable, saying, “Though the paperwork felt overwhelming initially, my local education background helped me understand the state’s expectations. Obtaining supervision during the temporary license eased the transition, making it a positive experience overall.”

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

Success as an occupational therapist in South Dakota requires a diverse set of skills essential for helping clients regain independence, improve their quality of life, and effectively support healthcare teams across varied settings. These skills enable therapists to navigate the unique challenges of rural and urban communities, ensuring personalized and high-quality care.

Below are five key skills that drive effective occupational therapy practice in South Dakota.

1. Clinical Competence and Evidence-Based Practice: Mastering current interventions and maintaining up-to-date clinical skills are crucial, especially in a state that mandates 12 continuing competency points annually to ensure ongoing professional growth and adherence to best practices.
2. Communication and Interpersonal Skills: Building trust with clients and collaborating with interdisciplinary teams demand clear, compassionate communication tailored to diverse populations, including schools, hospitals, and home health settings.
3. Problem-Solving and Creativity: Adapting therapies to individual client needs and resource limitations, particularly in rural areas, requires innovative thinking and flexibility to create effective rehabilitation plans.
4. Cultural Competence and Sensitivity: Understanding and respecting South Dakota’s Native American and other cultural communities enhances rapport, client engagement, and therapy adherence.
5. Professionalism and Ethical Practice: Upholding state licensure standards, confidentiality, and ethical conduct solidifies trust and ensures compliance with legal and professional requirements.

What specializations are available for occupational therapists in South Dakota?

Specializing allows occupational therapists in South Dakota to concentrate their expertise on specific populations or conditions, improving the quality of care and expanding career options. By focusing on targeted areas, OTs can address unique client needs and increase their professional value in competitive healthcare settings. Below is a list of common occupational therapy specializations relevant to South Dakota’s workforce and communities.

• Pediatrics: This specialization focuses on helping children develop essential skills for daily living, learning, and play. Pediatric OTs often work in schools, outpatient clinics, and early intervention programs, addressing developmental delays and sensory processing challenges.
• Geriatrics: Specializing in geriatric care involves supporting older adults to maintain independence and manage chronic conditions. Practitioners typically find roles in nursing facilities, rehabilitation centers, and assisted living communities, working with clients facing arthritis, stroke recovery, or dementia.
• Behavioral Health/Mental Health: Occupational therapists in this area help clients with mental health issues such as anxiety, depression, and substance use disorders. Opportunities arise in psychiatric hospitals, community mental health centers, and integrated behavioral health settings.
• Neuroscience & Rehabilitation: This field equips OTs to aid patients recovering from neurological injuries like stroke or brain trauma. These specialists commonly work in hospitals, outpatient rehab clinics, and neuro-rehabilitation centers.
• Hand Therapy: Though not always part of formal academic tracks in South Dakota, hand therapy is an advanced practice area focusing on upper extremity injury rehabilitation. Certified Hand Therapists usually practice in outpatient clinics, hospitals, or orthopedic offices.
• Rural Practice & Populations: Addressing the healthcare needs of South Dakota's rural communities, this specialization emphasizes telehealth and community-based care. OTs provide vital services via remote platforms and local health centers to underserved populations.

For those exploring career options or further education, understanding the distinctions in practice and credentials can help clarify professional goals—similar to how one might wonder is there a difference between medical billing and coding certificate and bachelors degree.

Considering specialization is a strategic step for occupational therapists intent on meeting South Dakota’s diverse healthcare needs while strengthening their career paths.

What is the average salary of an occupational therapist in South Dakota?

Several factors shape the average occupational therapist salary in South Dakota, including experience, work setting, and geographic location. These elements create a range of earning possibilities across the state, influencing how much do occupational therapists make in South Dakota. Key factors affecting OT pay include:

• Years of Professional Experience: Entry-level occupational therapists typically earn around $45.37 per hour, translating to about $94,370 annually for full-time work. As experience and specializations increase, salaries can rise to between $60,680 and $99,040 per year, reflecting higher skills and leadership roles.
• Employment Setting and Employer Type: Different workplaces such as hospitals, clinics, or schools offer varying compensation. Travel occupational therapists in South Dakota earn roughly $1,913 per week, often benefiting from additional perks like housing stipends. Employer type also influences benefits and work schedules.
• Geographic Location Within South Dakota: Urban areas with larger healthcare systems may offer different pay compared to rural communities. Although South Dakota’s average OT salary is lower than the national average, cost of living adjustments can make earnings competitive. Rural regions may also provide incentives to attract professionals.
• Specialization and Additional Certifications: Pursuing advanced certifications in fields like pediatrics or hand therapy can raise earning potential. These credentials demonstrate expertise and often lead to higher pay and more advanced roles.

For those exploring related career support, financial considerations can be explored through resources like medical billing and coding schools with financial aid, which may complement healthcare career paths.

Can supplemental certifications enhance occupational therapy practice in South Dakota?

Expanding professional credentials through supplemental certifications can open new avenues for occupational therapists aiming to diversify their expertise and improve patient care. These certifications often emphasize advanced patient engagement techniques, interdisciplinary collaboration, and emerging therapeutic methods that are increasingly valued in South Dakota’s healthcare landscape. For example, professionals seeking to broaden their scope might explore pathways such as how to become a caregiver in South Dakota, which can complement traditional occupational therapy training while enhancing service delivery in diverse clinical settings.

What Do Occupational Therapists in South Dakota Say About Their Career?

References:

• 12 Essential Skills for Occupational Therapy Assistants | Brookline College https://www.brooklinecollege.edu/blog/essential-skills-for-occupational-therapy-assistants/
• Lead Occupational and Physical Therapist - Job Description | Human Resources https://www.sf.k12.sd.us/o/careers/page/lead-occupational-and-physical-therapist-job-description
• Learn the steps to occupational therapy state licensure. | AOTA https://www.aota.org/career/state-licensure/learn-the-steps-to-licensure
• Pre-Occupational Therapy | South Dakota State University https://www.sdstate.edu/programs/undergraduate/pre-occupational-therapy
• Loading... | South Dakota Legislature https://sdlegislature.gov/Rules/Administrative/20:64
• Continuing Education | South Dakota Department of Health https://doh.sd.gov/licensing-and-records/boards/physical-therapy/continuing-education/
• Tuition & Fees | Augustana University https://www.augie.edu/academics/graduate-programs/occupational-therapy-doctorate/tuition-fees
• South Dakota - The Harlan and Rita Temple Endowed Scholarship - BigFuture Scholarship Search https://bigfuture.collegeboard.org/scholarships/south-dakota---the-harlan-and-rita-temple-endowed-scholarship
• South Dakota - The Harlan and Rita Temple Endowed Scholarship - Sallie https://www.sallie.com/scholarships/scholly/south-dakota---the-harlan-and-rita-temple-endowed-scholarship
• AOTF > Scholarships > Available Scholarships https://www.aotf.org/Scholarships/Available-Scholarships

Other Things You Should Know About Becoming an Occupational Therapist in South Dakota