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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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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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Testing Accommodations

In compliance with the Americans with Disabilities Act as amended, NBCOT provides reasonable and appropriate Testing Accommodations (TA) for exam candidates with disabilities who are otherwise eligible to take the OTR® or COTA® certification examination.

An individual with a disability is defined by the ADA as a person who has a physical or mental impairment that substantially limits one or more major life activities (e.g., caring for one’s self, performing manual tasks, seeing, breathing, learning, and walking).

In order to request TA for the OTR and COTA examinations, exam candidates MUST have a documented disability as defined by the ADA. Having a disability does not automatically necessitate testing accommodations.

English as a second language, computer anxiety, and test anxiety are not covered disabilities under the ADA. Pregnancy is also not a disability covered under the ADA; however, if the applicant is experiencing a resulting medical complication, TA may be considered. Exam candidates with a transitory or temporary condition (i.e., sprains, fractures, or medical emergencies) who would like to request TA should contact NBCOT as soon as possible before the exam is scheduled to take place. 

TA requests are reviewed based on the candidate's specific request, the nature of the disability, and supporting documentation. Reasonable TA do not alter the fundamental purpose or nature of the examination, or impose an undue burden on NBCOT. TA requests that are submitted without an exam application or that are incomplete will not be reviewed.

To view a list of pre-approved personal items that do not require a request for testing accommodations, click on the following link:

Pre-approved Personal Items

To request testing accommodations, follow the steps outlined in this brief guide:

Download the TA Handbook (PDF)