Occupational Therapist Exam

The Occupational Therapist Registered exam is designed for individuals who wish to operate as autonomous occupational therapists.

The Occupational Therapist exam material covers four general tasks:

  • obtaining information about factors that influence occupational performance (13% of the exam)
  • developing a prioritized, client-centered intervention plan (28%)
  • choosing and implementing evidence-based interventions (39%)
  • maintaining high professional standards (20%)

Exams are scored on a scale from 300 to 600. One’s score is based on the number of questions answered correctly and the relative difficulty of the exam version. There is no distinction between unanswered questions and questions answered incorrectly.

To pass the examination, candidates must achieve a score of at least 450. The official score report contains information about performance in each domain of the examination.

The pass/fail determination, however, is based solely on the total score.

To sit for the OTR examination, United States graduates must have an entry-level, post-baccalaureate degree in occupational therapy.

The NBCOT recommends this exam for individuals with between zero and three years of professional experience.

by Enoch Morrison | Last Updated: January 9, 2019