North Dakota — Theodore Roosevelt Badlands at sunset

North Dakota Occupational Therapist License

North Dakota Board of Occupational Therapy Practice

Total Fee
$100
Processing Time
4 to 6 Weeks
Fingerprints
Required
IdentoGO (IDEMIA)
Temp License
Available
See board

What You'll Need

  • Official Transcripts — Must be sent directly from the educational institution to the Board.
  • NBCOT Score Report — Official verification of passing scores sent directly from NBCOT.
  • Verification of Licensure — Required from all jurisdictions where the applicant has ever held a license.
  • Fingerprint Cards — Completed fingerprint cards for the criminal background check.

How to Apply

  1. Complete Education
    Graduate from an occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE).
    Find Accredited Programs
  2. Pass the NBCOT Exam
    Register for and pass the Occupational Therapist Registered (OTR) examination administered by the National Board for Certification in Occupational Therapy (NBCOT).
    NBCOT Registration
  3. Submit Online Application
    Complete the online application through the North Dakota Board of Occupational Therapy Practice website. This includes the integrated Jurisprudence Exam.
    Start Application
  4. Pay Fees
    Pay the $50 application fee and the initial license fee (typically $150 for OTs) via credit or debit card during the online application process.
    Fee Schedule
  5. Complete Background Check
    Undergo a criminal background check, which includes submitting fingerprints to the North Dakota Bureau of Criminal Investigation (BCI).
  6. Submit Supporting Documents
    Arrange for official transcripts and NBCOT score reports to be sent directly to the Board.
Total Fee
$100
Processing Time
4 to 6 Weeks
Fingerprints
Required
Temp License
Available

Transfer License

Requirements
Occupational therapists licensed in another state can often apply via endorsement by providing license verification and current NBCOT certification.
Apply to transfer

Steps

  1. Verify Eligibility
    Ensure you hold a current, unencumbered license in another state with requirements substantially equivalent to North Dakota.
  2. Submit Endorsement Application
    Complete the online application for licensure by endorsement on the Board's website.
    Apply by Endorsement
  3. License Verification
    Request official verification of licensure from every state where you have been licensed to be sent directly to the North Dakota Board.
  4. Jurisprudence Exam
    Complete the open-book Jurisprudence Exam covering North Dakota laws and rules, typically integrated into the online application.
Total Fee
$0
Renewal Cycle
Every 2 years
Compact
No
Board
North Dakota Board of Occupational Therapy Practice

Keeping Your License Active

North Dakota Occupational Therapist licenses renew Every 2 years. Contact the North Dakota Board of Occupational Therapy Practice for continuing education requirements and renewal deadlines.

Visit board site

Fees

ItemAmount
Application$100
Endorsement application$100
Fingerprint check$35-$50 (varies by state)
Temporary permitSee board

Slow Downs

Background Check Processing
Criminal background checks can take several weeks to process. Start this step early to avoid delays.
Missing Verifications
Delays often occur when the Board is waiting for official transcripts or license verifications from other states.
Incomplete Applications
Failing to answer all questions or provide required documentation will stall the review process.

Questions

How many continuing education hours are required for renewal?
Licensed Occupational Therapists in North Dakota must complete 20 contact hours of continued competency every two years.
When do North Dakota OT licenses expire?
Licenses expire biennially on June 30 of even-numbered years.
Is North Dakota a member of the Occupational Therapy Compact?
Yes, North Dakota has enacted the Occupational Therapy Compact, allowing for easier practice across member states.
What are the application fees for an OT license?
There is a $50 application fee plus an initial license fee that ranges from $75 to $150 depending on the time of year the application is received.

Board Info

North Dakota Board of Occupational Therapy Practice
Sources
North Dakota Board of Occupational Therapy Practice
Last verified 2026-02-25