COTA NBCOT COTA exam guide
COTA Exam for International Candidates
For COTA exam eligibility, NBCOT requires an OTA degree from an accredited U.S. program. An overseas OTA qualification alone has no OTED-style route listed by NBCOT.
Exam facts checked against nbcot.org on November 2, 2026.
Who Meets the COTA Exam Education Requirement?
You need an entry-level degree from an ACOTE-accredited occupational therapy assistant program in the United States. Current U.S. OTA entry routes are an associate or bachelor's degree.
Can an Overseas OTA Qualification Use OTED?
NBCOT's Occupational Therapist Eligibility Determination (OTED) process leads to OTR exam eligibility. NBCOT lists no equivalent process for an overseas OTA qualification alone.
An overseas occupational therapy bachelor's degree alone also does not confer COTA exam eligibility. If you are an internationally educated occupational therapist, see our OTR exam page for international candidates.
How Do Eligible Candidates Apply for the COTA Exam?
If you meet the U.S. OTA education requirement, follow NBCOT's COTA exam application process. Read the Certification Exam Handbook, then create a MyNBCOT account.
Submit the COTA exam application and pay the fee. Ask your school to send the required education documents. After approval, follow your Authorization to Test (ATT) instructions to schedule with Pearson VUE.
Frequently Asked Questions
Is an overseas OTA qualification alone enough for COTA exam eligibility?
NBCOT requires an OTA degree from an accredited U.S. program. It lists no OTED-style route for an overseas OTA qualification alone.
Can an internationally educated occupational therapist use OTED?
Yes, subject to NBCOT's education and fieldwork requirements. The OTED process leads to OTR exam eligibility.
Can I practice after passing the COTA exam?
You must also apply to your state licensing board and meet its requirements before you practice.