Exam Domains

1 Acquire and Interpret Information to Guide OT Practice 23%

2 Formulate, Implement, Evaluate, and Modify an Intervention Plan 38%

3 Uphold Professional Standards and Responsibilities 16%

4 Gather and Reason Through Information to Direct OT Practice 23%

Exam Details

Question TypesMultiple Choice, Multiple Response, Computer-Adaptive

FormatComputer-adaptive at Pearson VUE testing centers

Online ProctoringAvailable

ID RequirementsGovernment-issued photo ID required. Name must match NBCOT registration exactly. Secondary form of ID may be required.

RenewalRequired -- NBCOT certification renews on a 3-year cycle. 36 Professional Development Units (PDUs) required per renewal period. PDUs must align with NBCOT-approved categories (professional development, scholarship, service). Renewal fee applies; failure to renew results in certification lapse. Lapsed certification requires meeting current reinstatement requirements.

PrerequisitesGraduate of an ACOTE-accredited occupational therapy program (master's or doctoral level); completion of Level II fieldwork (recommended)

Retake Policy45-day waiting period between attempts. Maximum of 4 attempts; after the 4th failed attempt, candidate must demonstrate remediation (e.g., additional coursework) before NBCOT will approve further attempts. Each attempt requires full exam fee payment and new eligibility application.

OTR Certification Examination (Occupational Therapist Registered) (OTR) Exam Blueprint

Exam Domains

Exam Details

Official Study Resources