USA: Occupational Therapist — NBCOT Certification Pathway

Take and pass the TOEFL iBT with the explicit score requirements mandatory for occupational therapy certification (minimum total score of 89 with a Speaking score of 26).

Upon receiving an approved OTIED determination, apply for the national certification exam to receive your official Authorization to Test (ATT) notice.

Complete the 4-hour computer-based testing containing simulation scenarios and multiple-choice items evaluating evaluation, intervention planning, and clinical safety frameworks.

Apply directly to the local state regulatory board using your active NBCOT credentials, completing background fingerprints and localized jurisprudence testing rules.