How to Get a Occupational Therapist License in Nebraska
Last updated: March 2, 2026
Nebraska is a stable Midwest market with steady demand in Omaha and Lincoln, making it an excellent place to start a career as a occupational therapist. Licensing in Nebraska is overseen by the Nebraska Department of Health and Human Services — Occupational Therapy. The process requires 3500 hours of pre-license education and costs between $69,500 and $70,500 in total. You'll need to pass the NBCOT OTR Exam (administered by Nebraska Department of Health and Human Services — Occupational Therapy) with a score of at least 70%.
At 3500 hours, Nebraska has one of the higher pre-license education requirements in the country. This is close to the national average of 3500 hours. Budget between $69,500 and $70,500 for the total licensing process, including education, application, and exam fees. Most aspiring occupational therapists complete the entire process in 4-7 months, depending on how quickly they move through the coursework and exam preparation.
Nebraska Occupational Therapist License Requirements
| Requirement | Details |
|---|---|
| Minimum Age | 18 years old |
| Pre-License Education | 3500 hours |
| Degree Required | No |
| Exam Required | Yes — NBCOT OTR Exam |
| Passing Score | 70% |
| Background Check | Yes |
| Broker Sponsorship | Not required |
| Application Fee | $125 |
| Exam Fee | $555 |
| Governing Body | Nebraska Department of Health and Human Services — Occupational Therapy |
| License Reciprocity | Partial |
Reciprocity:
Steps to Get Your Occupational Therapist License in Nebraska
- 1
Earn a Master's or Doctoral Degree in OT
Graduate from an ACOTE-accredited occupational therapy program. Entry-level OT requires a master's degree (MOT) or higher.
Time: 6-7 years (4-year bachelor's + 2-3-year master's) Cost: $350 - 2
Pass the NBCOT OTR Exam
Register and pass the National Board for Certification in Occupational Therapy (NBCOT) exam. The exam covers evaluation, intervention, and management of OT services. The exam fee is $555.
Time: 2-4 weeks to schedule Cost: $555 - 3
Apply for State Licensure
Submit your application to the Nebraska Department of Health and Human Services — Occupational Therapy. Include NBCOT certification, transcripts, and the application fee of $125.
Time: 2-6 weeks for processing Cost: $125 - 4
Complete Background Check
Submit fingerprints and pass any required background check through the Nebraska Department of Health and Human Services — Occupational Therapy.
Time: 2-4 weeks Cost: $50 - 5
Begin Your OT Career
Once licensed, you can practice occupational therapy in Nebraska. OTs work in hospitals, rehab centers, schools, home health, and private practice.
Time: Immediate once licensed
Key Things to Know
- Education requirement: . Many providers offer online options, giving you flexibility to study on your own schedule.
- The licensing exam: The NBCOT OTR Exam is administered by Nebraska Department of Health and Human Services — Occupational Therapy. You'll need to score at least 70% to pass. Study materials and practice exams are available from most education providers.
- Background check required: Nebraska requires a criminal background check as part of the application process. Plan for additional processing time and fees.
- Online application available: Nebraska accepts online applications, which can speed up processing time.
- Ongoing requirements: Once licensed, you'll need 24 hours of continuing education every 2 years. .
How Nebraska Compares
Nebraska requires 3500 hours of pre-license education for occupational therapists. This is close to the national average of 3500 hours. The average total cost in Nebraska is around $70,000, compared to the national average of $73,960.
How Much Does a Occupational Therapist License Cost in Nebraska?
| Cost Item | Estimated Range |
|---|---|
| Pre-License Education | $300 - $700 |
| Application Fee | $125 |
| Exam Fee | $555 |
| Total Estimated Cost | $69,500 - $70,500 |
License Renewal
- Renewal Period: Every 2 years
- Continuing Education: 24 hours
- CE Details:
- Renewal Fee: $125
Tips for Success
- Choose your education provider carefully: Compare prices, format (online vs. in-person), and reviews. Some providers offer exam prep materials bundled with the course, which can save you money. Check the Nebraska Department of Health and Human Services — Occupational Therapy website for a list of approved providers.
- Don't rush the exam: With 3500 hours of required coursework, consider a structured schedule — completing one course at a time helps avoid burnout. Use practice exams to identify weak areas before scheduling your test date.
- Diversify your Level II fieldwork placements: Your two Level II fieldwork rotations (each 12 weeks minimum) shape your career trajectory. Choose different settings — pediatrics, acute care, hand therapy, mental health — to broaden your skill set.
- Prepare thoroughly for the NBCOT exam: The NBCOT pass rate for first-time takers is around 80%. Use the official NBCOT practice exams and commercial study tools like TherapyEd or AOTA exam prep. Study for 2-3 months after fieldwork.
- Budget approximately $70,500 for your Nebraska license: This includes $125 in application fees, $555 for the exam, and education costs. Once licensed, plan for $125 in renewal fees every 2 years.
Frequently Asked Questions
How long does it take to get a occupational therapist license in Nebraska?
Most people complete the process in 3-6 months total. The pre-license education (3500 hours) takes the longest. After completing education, the exam and application process typically adds 2-6 weeks.
How much does it cost to get a occupational therapist license in Nebraska?
The total cost ranges from $69,500 to $70,500, including pre-license education, the application fee ($125), and the exam fee ($555).
Can I get a Nebraska occupational therapist license with a criminal record?
The Nebraska Department of Health and Human Services — Occupational Therapy evaluates criminal history on a case-by-case basis. Having a criminal record does not automatically disqualify you, but certain offenses may affect your eligibility. Contact the Nebraska Department of Health and Human Services — Occupational Therapy for guidance before applying.
Do I need a college degree to become a occupational therapist in Nebraska?
No. Nebraska does not require a college degree. You only need to complete the 3500 hours of approved pre-license courses.
Can I take the pre-license courses online in Nebraska?
Many approved education providers offer pre-license courses online, allowing you to study at your own pace. Check the Nebraska Department of Health and Human Services — Occupational Therapy website for a list of approved providers.
Sources
- Official website: Nebraska Department of Health and Human Services — Occupational Therapy