How the plan sets your priorities
Your Examination Performance Feedback Report shows how you did in each domain. Use it to rate each one below; the planner doesn't need exact scores. So the planner asks you instead: the domains you mark as hard start your plan, mixed ones are strengthened, and confident ones get lighter review. Your answers are a self-assessment, not an official result.
Each domain starts from its share of the exam in the official outline, multiplied by its priority: 3× to start, 2× to strengthen, 1.5× if you leave it blank, and 1× to maintain. A quarter of your time is mixed practice across all domains. This is Passy’s planning method; it doesn’t estimate a score or a chance of passing.
Retake rules for the OTR
Wait 30 days before attempts 2–4, 60 days before attempts 5–7, and 90 days before the 8th and later attempts, counted from the last exam; submit a new application (reapplication $430) each time; no attempt limit stated.
- Waiting period varies by attempt number: 30 days (attempts 2, 3, 4), 60 days (5, 6, 7), 90 days (8+), from the date of the last exam administration.
- Candidates can apply 30 days before their next eligible exam date; the date is shown on the MyNBCOT dashboard.
- A new exam application and all applicable fees are required for each retake; reapplication fee $430 as checked on 2026-10-24.
- Candidates holding a limited or temporary state permit should contact that state's regulatory agency after an unsuccessful result.
Checked against official sources on October 24, 2026.
Next steps
Check your weakest domain with the free OTR practice set, or use the OTR study planner for a first attempt.
Passy is not affiliated with, endorsed by, or approved by the National Board for Certification in Occupational Therapy, Inc. (NBCOT). NBCOT®, OTR®, and COTA® are registered marks of the National Board for Certification in Occupational Therapy, Inc., used here only to identify the exam. Passy practice questions are original study material and contain no NBCOT exam items or NBCOT study-tool content.