How many questions are on the Occupational Therapy exam?

The NBCOT® Occupational Therapist (OTR®) exam has 170 multiple-choice questions plus 3 clinical simulation problems. The COTA® exam has 200 multiple-choice questions. It’s a lot of brain marathons, but you’ve trained for this.

How long do I get to take the Occupational Therapy exam?

You’ll get up to 4 hours for the OTR® exam and the same for the COTA® exam. Yes, that’s 4 hours of high-stakes sitting, but with good pacing, it’s totally doable.

What topics are covered on the Occupational Therapy exam?

Expect questions on evaluation, intervention, professional practice, and ethics. Basically, everything from helping a client regain motor skills to making sure you don’t break the OT code of conduct.

What score do I need to pass the Occupational Therapy exam?

A passing score is 450 on a scale of 300-600. In other words, you don’t need perfection, just solid competency. Think “competent professional,” not “superhuman.”

Where do I take the Occupational Therapy exam?

The exam is offered at Prometric testing centers across the U.S. and internationally. Yes, it’s the same place people take everything from real estate tests to CIA recruitment exams.

How much does the Occupational Therapy exam cost?

The OTR® and COTA® exams both cost $555. Pricey, yes, but think of it as the cover charge to your professional career.

How do I register for the Occupational Therapy exam?

You register through the NBCOT website, submit your application, pay the fee, and then schedule your test with Prometric. Easy, but don’t procrastinate, as deadlines aren’t forgiving.

When are Occupational Therapy exam dates offered?

The exam is offered year-round, with rolling availability through Prometric centers. So you don’t have to wait for “test season,” you just need to pick a date that doesn’t clash with your sanity.

Do I need any prerequisites before taking the Occupational Therapy exam?

Yes. You must graduate from an ACOTE-accredited occupational therapy program and complete fieldwork requirements. No shortcuts, no “life experience credit.”

Can I retake the Occupational Therapy exam if I don’t pass?

Yes. You can retake it up to 4 times in a 12-month period. But hopefully, you only need round one.

Are there other exams related to the Occupational Therapy exam, and how are they different?

Yes. The OTR® exam is for occupational therapists with a master’s or doctoral degree, while the COTA® exam is for occupational therapy assistants with an associate’s degree. Same profession, different scope of practice, and different exam content.

How do I cancel my subscription?

We’re sorry to see you go, and if you’ve already passed your exam, congratulations! 🎉 Canceling is simple and can be done right from your phone: On iPhone (Apple ID): Go to your device Settings > [your name] > Subscriptions or use this link: Manage Subscriptions on iPhone. On Android (Google Play): Open the Google Play Store > Account > Subscriptions, select EZ Prep, and tap Cancel subscription. You can also go directly here: Manage Subscriptions on Android. If you need help at any point, reach out and we’ll walk you through it.

Occupational Therapy Exam
Prep

Study Smarter. Pass Faster. Stay Sane.

What's on the exam?

Evaluation & Assessment – Learn how to assess like a pro without needing a crystal ball
Analysis & Interpretation – Decode clinical scenarios that sound like riddles from a wise old owl
Intervention Management – Plan interventions with the precision of a caffeinated ninja
Competency & Practice – Show the world (and your test) you know your stuff

2,400+ real exam questions

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Timed practice exams

Simulate the real test experience under pressure.

Sync across all devices

Study anytime, anywhere seamlessly.

Progress tracking

Spot your strengths and areas that need work.

Study by topic or difficulty

Focus on exactly what you need to improve.

What other test takes have to say

Katielpc+, 08/28/2025

“As an OT student, this app has been a lifesaver. NBCOT doesn't offer a lot of great prep material, so this was clutch.”
Leah Feliz, 06/18/2025

“Really enjoyed studying with the app. Found it really helpful to be able to work on questions for a few minutes a day.”
Prof.42, 01/25/2025

"Really enjoyed studying with the app."

Frequently
Asked
Questions

Study Tips

The NBCOT® Occupational Therapist (OTR®) exam has 170 multiple-choice questions plus 3 clinical simulation problems. The COTA® exam has 200 multiple-choice questions. It’s a lot of brain marathons, but you’ve trained for this.
You’ll get up to 4 hours for the OTR® exam and the same for the COTA® exam. Yes, that’s 4 hours of high-stakes sitting, but with good pacing, it’s totally doable.
Expect questions on evaluation, intervention, professional practice, and ethics. Basically, everything from helping a client regain motor skills to making sure you don’t break the OT code of conduct.
A passing score is 450 on a scale of 300-600. In other words, you don’t need perfection, just solid competency. Think “competent professional,” not “superhuman.”
The exam is offered at Prometric testing centers across the U.S. and internationally. Yes, it’s the same place people take everything from real estate tests to CIA recruitment exams.
The OTR® and COTA® exams both cost $555. Pricey, yes, but think of it as the cover charge to your professional career.
You register through the NBCOT website, submit your application, pay the fee, and then schedule your test with Prometric. Easy, but don’t procrastinate, as deadlines aren’t forgiving.
The exam is offered year-round, with rolling availability through Prometric centers. So you don’t have to wait for “test season,” you just need to pick a date that doesn’t clash with your sanity.
Yes. You must graduate from an ACOTE-accredited occupational therapy program and complete fieldwork requirements. No shortcuts, no “life experience credit.”
Yes. You can retake it up to 4 times in a 12-month period. But hopefully, you only need round one.
Yes. The OTR® exam is for occupational therapists with a master’s or doctoral degree, while the COTA® exam is for occupational therapy assistants with an associate’s degree. Same profession, different scope of practice, and different exam content.
We’re sorry to see you go, and if you’ve already passed your exam, congratulations! 🎉

Canceling is simple and can be done right from your phone:
- On iPhone (Apple ID):
  Go to your device Settings > [your name] > Subscriptions or use this link: Manage Subscriptions on iPhone.
- On Android (Google Play):
  Open the Google Play Store > Account > Subscriptions, select EZ Prep, and tap Cancel subscription. You can also go directly here: Manage Subscriptions on Android.
If you need help at any point, reach out and we’ll walk you through it.