How to transfer your Occupational therapist licence to Iowa (2026)

Occupational therapist work in Iowa is licensed at state level, by the Iowa occupational therapy board. This page says what a occupational therapist licensed or working in another state has to do to work in Iowa, in the order to do it, and what goes wrong when the order is reversed.

How the transfer works

Every state licenses occupational therapists and accepts NBCOT certification for licensure by endorsement. The OT Compact exists in law in many states and is beginning to issue privileges; until Iowa issues them, apply to the board with NBCOT verification, licence verification and the fee.

Exam: NBCOT.

How long: four to ten weeks. Fee: $75 to $300; the current figure is on the licensing body's own site.

What to have ready before you move

• NBCOT verification
• Licence verification
• Continuing education record

Start the paperwork before you give notice. Every week the licence is not done is a week you are not paid, and nothing in the process needs you to be in Iowa already.

What people get wrong

• Assuming the OT Compact is live in both states; check the compact commission's map

Who hires occupational therapists in Iowa

Occupational therapists in Iowa are hired by schools, hospitals, outpatient paediatrics, home health and skilled nursing. The metros with the most of that work are Des Moines, Cedar Rapids, Davenport and Iowa City. Employers who could not hire locally and have filed with the Department of Labor are on the Iowa openings page.

For the money side: the median occupational therapist in Iowa earned $88,780 a year ($43 an hour) in May 2024 across 1,170 jobs, according to the Bureau of Labor Statistics, and Iowa has a flat 3.8% state income tax. What that leaves you after tax is its own page.

Iowa also has a program that pay people to move in: Newton Housing Initiative (up to $10,000 toward a newly built home, for anyone building or buying a new home in Newton; a construction incentive rather than a hiring one). Each has a residence condition and a funding round.

Everything about Iowa, on one page

The Iowa page has the registries and boards, the income tax table, the programs that pay you to come and the openings filed this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of Iowa employers hiring from out of state.