Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What OTs miss in New Hampshire
- An out-of-state OT who has not been active in the profession may receive a 26-week conditional license that requires direct and indirect supervision.
- OTAs must hand their supervising OT a copy of the supervision rules before starting work.
- Every renewal is due by December 1 of an odd-numbered year, whatever month the license was issued.
Can I practice in New Hampshire on an OT Compact privilege?
New Hampshire has enacted the OT Compact but is not issuing privileges yet. Until it does, practicing here takes a New Hampshire license, and a New Hampshire license does not yet give you a privilege anywhere else.
- Enacted, not issuing yet
Can an OT licensed in another state get a New Hampshire license by endorsement?
Since May 2024, New Hampshire licenses OTs and OTAs by reciprocity from every state, under its universal reciprocity law. Applicants still send verification from every state where they have held a license. An OT licensed elsewhere who has not been active in the profession may get only a conditional, supervised license.
- Endorsement route available
Citation: RSA 310:17 (HB 594, 2023); Plc 313.43; N.H. Admin. Code Occ 302.03, 303.01, 304.01
Which exams does New Hampshire require for a license?
Applicants must be or have been NBCOT-certified, or have passed the NBCOT entry-level exam after an ACOTE-accredited program and fieldwork. The board rules do not list a state jurisprudence exam.
- NBCOT exam
- No state jurisprudence exam
Does New Hampshire offer a temporary or limited OT license?
The licensing office issues a one-time temporary license to OTs with an active out-of-state license in good standing. It lasts 120 days or until the board acts on the full application, whichever comes first, and cannot be renewed or reissued.
- Temporary or limited license available
Citation: RSA 310:6; RSA 310:16; Plc 305
What OTAs need to know in New Hampshire
An OTA must file a supervision form before starting work, and again within 30 days of a supervisor change or a second employer. Direct and indirect supervision are set as a percentage of work time by experience, and one OT may supervise at most two full-time equivalents of OTAs.
Physical agent modality education in New Hampshire
Using ultrasound or electrical physical agent modality devices requires completing the board's required professional education first. OTAs may use them only under a qualified OT's supervision.
Citation: N.H. Admin. Code Occ 305.02, 305.03
How often does a New Hampshire OT license renew?
Licenses renew in odd-numbered years, with the packet due December 1. Renewal requires 24 contact hours of continuing competence, at least half clinical. A first license issued January through August of an odd year needs only 6 hours. Current NBCOT certification counts toward the requirement.
- Renews every 2 years
- 24 CE hours per cycle
Licensing in New Hampshire?
For a license, we send your NBCOT score and verifications, file the application and carry the board correspondence. License by endorsement is $599 for an OT and $499 for an OTA.