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Serving the public interest by advancing client care and professional practice through evidence-based certification standards and the validation of knowledge essential for effective practice in occupational therapy.


Certified occupational therapy professionals providing effective evidence-based services across all areas of practice worldwide.

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Contact Us

The National Board for Certification in Occupational Therapy, Inc. (NBCOT®)

12 South Summit Avenue
Suite 100
Gaithersburg, MD 20877
(301) 990-7979

Email NBCOT at

Business Hours
Monday-Thursday: 9 am – 5 pm, Lunch: 12 pm – 12:45 pm

Friday: 9 am – 4 pm, Lunch: 12 pm – 1 pm


OTR® & COTA® Credential Verification

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Practice Standards

Standards of Practice in Occupational Therapy are the baseline for quality occupational therapy care, holding OTR and COTA certificants accountable for delivering consistent, high quality health care services.  The Standards provide guidelines that can be used to determine what the OTR or COTA should and should not do when providing services to clients.  These Standards represent the expectations of NBCOT and may be used to evaluate performance for on-going professional development and/or disciplinary action.

The NBCOT Standards of Practice consist of four sections:

  • Practice Domains
  • Code of Professional Conduct
  • Supervision
  • Documentation

Practice Standards for OTR (PDF)

Practice Standards for COTA (PDF)