Certified Occupational Therapy Assistant (COTA) Examination — NBCOT
The NBCOT COTA examination is the certification exam for occupational therapy assistants. It has 190 multiple-choice and multi-select items in four hours, organised around three domains: collaborating and gathering information, selecting and implementing interventions, and upholding professional standards. SummitCert's portal provides explained practice questions, flashcards, a timed 190-question mock and progress tracking by domain.
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Everything included — in full detail
This is exactly what you unlock. No vague promises — real numbers, straight from the portal.
Your full practice pool — 350 questions total, written to mirror the real exam blueprint, with full answer explanations for every question.
Including Collaborate and Gather Information, Select and Implement Interventions, Uphold Professional Standards and Responsibilities.
A complete, realistic exam-day simulation with the same question count and time limit as the real thing.
Covering every key term, concept, and framework you're expected to know.
Hand-picked walkthroughs and explainers organized by topic.
Visual breakdowns of the frameworks and models the exam tests you on.
The exact formulas and calculations you need, ready to review before test day.
A searchable glossary so unfamiliar terminology never slows you down.
See your accuracy by domain, spot weak areas early, and follow a built-in study schedule.
Tailored to this exam: it knows your progress and weak areas, remembers your earlier chats, and picks up where you left off on your other devices.
Study anywhere — your progress syncs on the device you are using and picks up where you left off.
No subscriptions, no renewals — buy once and keep studying until you pass.
See the NBCOT COTA Exam portal
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Topics you'll drill
3 core topics pulled straight from the real question bank.
- Collaborate and Gather Information
- Select and Implement Interventions
- Uphold Professional Standards and Responsibilities
NBCOT COTA Exam exam requirements & cost
Straight from the certifying body — separate from what we charge for the study portal.
The NBCOT exam page states that the COTA exam consists of 190 multiple-choice and multi-select items and that candidates have four hours; the portal mock uses 190 questions and 240 minutes. The content outline in force since January 2024 weights the domains: Collaborate and Gather Information 27 percent, Select and Implement Interventions 55 percent, and Uphold Professional Standards and Responsibilities 18 percent. NBCOT reports a scaled score from 300 to 600 with 450 required to pass; the multi-select items ask you to choose three of six options, and the portal mock does not include them. NBCOT reports a scaled score from 300 to 600 and 450 is required to pass, without publishing how answers convert to that scale, so the portal mock shows a percent score only as a rough self-check. NBCOT sets the exam fee and can change it, so no amount is quoted here; confirm the current fee on nbcot.org before you apply. The content outline spreads questions across 3 areas; the largest are Select and Implement Interventions (55.0%); Collaborate and Gather Information (27.0%); Uphold Professional Standards and Responsibilities (18.0%). The full list of areas and weights is on the portal exam page. Graduates of an accredited occupational therapy assistant program apply through NBCOT; confirm the current eligibility rules and documents on nbcot.org.
NBCOT COTA Exam exam blueprint
Real domain weighting from the certifying body's own published exam syllabus.
- Collaborate and Gather Information27%
- Select and Implement Interventions55%
- Uphold Professional Standards and Responsibilities18%
Real pass rate, retake policy, scoring, and a study timeline for NBCOT COTA Exam — free, no purchase required.
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