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The National Board for Certification in Occupational Therapy [NBCOT] 2024


One of the most important organizations in the field of occupational therapy in the United States is the National Board for Certification in Occupational Therapy, or NBCOT. NBCOT, a non-profit, is essential to maintaining the highest levels of professionalism and competency in the industry. Its main goal is to certify occupational therapists and make sure they have the necessary training and experience to offer their patients high-quality service. This introduction offers an overview of NBCOT’s primary responsibilities, emphasizing the organization’s critical role in upholding the standards of excellence and integrity for occupational therapy practitioners.

Here is what you need to about [NBCOT] 2024:


Certification Examination

The certification exams for Certified Occupational Therapy Assistants (COTA) and Occupational Therapist Registered (OTR) are given by NBCOT. The purpose of these tests is to evaluate the knowledge and abilities of candidates aiming to obtain an occupational therapy license and certification.

Eligibility Criteria

People normally need to complete an authorized occupational therapy (OTR) or occupational therapy assistant (OTA) program in order to be eligible for the NBCOT certification exam. In addition, they must satisfy any other conditions imposed by the state regulatory boards in question.

Examination Development

The certification exams are developed and updated in large part by NBCOT. It constantly analyzes jobs and solicits feedback from subject-matter specialists to make sure the tests are up-to-date and applicable to occupational therapy practice.

Scoring and Reporting

Following the test, candidates receive score reports from NBCOT, which assesses their performance and forwards them to the appropriate regulatory bodies. The OTR or COTA accreditation, which is widely recognized and acknowledged across the United States, is awarded to successful candidates.


Occupational therapy specialists need to frequently recertify and participate in ongoing professional development to keep their certification. NBCOT helps to guarantee that certified professionals maintain the required standards and stay current with the changing occupational therapy industry.

Regulatory Support

In order to make sure that occupational therapy practitioners uphold the highest standards of competence and moral behavior, NBCOT works with state regulating boards. They assist state regulatory agencies in supervising licensed professionals by offering them tools and support.

Research and Advocacy

NBCOT conducts studies, gathers data, and analyzes it all in relation to occupational therapy practice. At the state and federal levels, this research supports the profession and informs policy decisions.

Exam Date

Exam scores are released according to the scoring calendar. If you want your exam result on a specific scoring date, you MUST take your exam a minimum of three days before that score release date.

EXCEPTION: Due to the transition to Pearson VUE administering exams in 2024, exams MUST be taken by January 22, 2024, in order to receive your exam result on January 26, 2024.

Registration and Fee

  • Online Initial Exam Application – $515 USD
  • Paper Initial Exam Application – $555 USD
  • Online Retake Exam Application – $385 USD
  • Paper Retake Exam Application – $415 USD
  • Reissue ATT Letter – $85 USD (*currently being waived due to the pandemic)
  • Score Transfer – $35 USD (one free if added with exam application)
  • Eligibility Confirmation Notice – $35 USD (one free if added with exam application)
  • Early Determination Review – $225 USD

Latest News

The National Board for Certification in Occupational Therapy has presented Stephanie M. Foster, a Santa Maria-based licensed occupational therapist, with the 2023 NBCOT Impact Award. Occupational therapy (OT) practitioners who, by their devotion, diligence, and OT abilities, increase their clients’ overall life satisfaction and engagement in meaningful activities, are honored with this medal. Foster worked with almost 3,000 families to assist their children in reaching their full potential, and for that work, she was honored with the NBCOT Impact Award. Foster received a nomination from Margaret “Peg” Bledsoe for the honor.

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Visit the [NBCOT] website for more info

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