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USA NBCOT Exam Guide: Occupational Therapy Board Exam and Practice

Last reviewed ยท By the USA Exam Preparation editorial team

The NBCOT exam from the National Board for Certification in Occupational Therapy certifies occupational therapists (OTR) and occupational therapy assistants (COTA). States use it for OT licensure. Physical therapists take the NPTE instead.

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Key takeaways

  • OTR exam: 180 questions in 4 hours.
  • A scaled score of 450 (300โ€“600) passes.
  • The OTR exam fee is about $540.
  • Separate exams for OTR and COTA.

USA NBCOT Exam: Quick Facts

Offered by
NBCOT
OTR questions
180
Time
4 hours
Passing
450 (300โ€“600)
Fee
About $540

NBCOT Exam Content

  • Evaluation and assessment
  • Analysis and interpretation
  • Intervention management
  • Competency and practice management
More on NBCOT Exam Content โ†’

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USA NBCOT Exam FAQs

How many questions are on the NBCOT OTR exam?

180 questions in 4 hours.

Full answer โ†’

What is the NBCOT passing score?

A scaled score of 450 on a 300โ€“600 scale.

Full answer โ†’

What is the difference between OTR and COTA?

OTR is for occupational therapists; COTA is for occupational therapy assistants. Each has its own NBCOT exam.

Full answer โ†’

Official sources

Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.

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