What does NBCOT do?

• A. Certifies entry-level competence.
• B. Accreds occupational therapy education programs.
• C. Defines state licensing requirements.
• D. Advocates for healthcare policy.

Answer: (A)

NBCOT is the national certification body for occupational therapists and occupational therapy assistants. Its main role is to certify that individuals have demonstrated the entry-level competence needed to practice safely and effectively. This occurs after completing an OT/OTA program and passing the NBCOT certification exam, which earns the credential often required for licensure in many states. Certification is separate from licensure; state licensing requirements are set by state regulatory boards and may require NBCOT certification, but NBCOT does not define those rules. It’s also distinct from education program accreditation, which is handled by ACOTE. While policy advocacy may happen in the broader field, NBCOT’s core function is certification and ensuring ongoing competency through renewal. So certifying entry-level competence best captures what NBCOT does.