TherapyEd’s OTA Review &
Study Guide

TherapyEd’s Prep Course for the COTA® Exam

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OTA Exam Review Mobile App

TherapyEd’s OTA Certification Exam Review & Study Guide

TherapyEd’s Review & Study Guide has been the #1 best-selling guide for over 15 years. Distinguished educator Dr. Rita P. Fleming-Castaldy works with a team of contributors to make sure the book is completely up-to-date for the exam. Combining comprehensive content review, engaging full-color graphics, and 3 complete online practice exams, the guide gives students the ability to review everything they need to know to succeed. The practice exams–with both multiple choice and 6-item multi-select questions–are rigorous and challenging to make sure students are ready for anything that may appear on the exam. The text also includes:

  • Study and test-taking strategies;
  • Exam hints & cautions;
  • Up-to-date information about the certification process;
  • Extensive answer rationales for each question;
  • Subject area mini-tests drawn from all three online exams.

Prepare with TherapyEd to make sure you are fully ready to succeed on the real, high-stakes COTA® exam.

Ordering 10+ Study Guides? See our Group Discounts

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TherapyEd’s Prep Course for the COTA® Exam

TherapyEd’s OTA Exam Prep course creates a social learning atmosphere that is individual, responsive, immediate, and dynamic. The course stresses developing critical reasoning skills within the context of the exam and active learning is emphasized. Practice in reading, interpreting, and answering questions like those on the COTA® exam help assess individual strengths and weaknesses and the guided learning format helps develop students’ critical reasoning skills.

Our exam prep courses are taught by leading educators with years of experience helping students. They use their collective knowledge and diverse practice backgrounds to help students prepare and do their best on exam day. They motivate and teach students to breakdown and analyze questions to understand the best answer choice. Appropriate tools and resources to implement a successful study plan are provided and actual exam behaviors are replicated to better develop the reasoning abilities needed to be successful.

Sign up for Personal Tutoring

TherapyEd’s Personal Tutoring provides the opportunity for one-on-one learning for students who want a more personal experience. Instructors help assess individual strengths and weaknesses and work to design customized study plans to address areas of need. From content review to test-taking strategies and stress management, tutoring helps students succeed on the exam by providing expertise, encouragement, and experience.

Introducing TherapyEd’s NEW Mobile App for OTA

TherapyEd’s mobile test prep app is a powerful and essential tool to help you pass the OTA Exam. Included are 600 comprehensive practice questions with detailed explanations and page references to the best-selling 4th edition National OTA Certification Exam Review & Study Guide for 2022 to help you master core concepts for your exam. Generate custom study sessions based on your mastery and filter by core domains, categories, and reasoning strategies. Track your progress and know where to improve next in real-time as you answer questions.

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Why TherapyEd?

At TherapyEd, we help you prepare for the NBCOT®‘s COTA® exam, so you can become a certified occupational therapy assistant.

As the leader in preparing Occupational Therapy Assistants for certification, we help thousands of students pass the COTA® exam every year. Register for a TherapyEd Exam Preparation Course, purchase the TherapyEd Review & Study Guide, take our online practice exams, or sign-up for personalized tutoring to help you pass the first time.

In choosing to be an occupational therapy assistant you have elected to join a community of hard-working professionals who improve the quality of life for thousands of patients every day. At TherapyEd, our goal is to improve your quality of life by helping you prepare for and succeed on the COTA® exam.

Register for a TherapyEd Exam Preparation Course, purchase our best-selling Review & Study Guide by Rita P. Fleming-Castaldy, and take our rigorous practice exams to make sure you pass the first time.


We have been preparing students for their exams for over 30 years.  We rely on our instructors – their enthusiasm, talent and commitment – to make every course our students attend a success. Our instructors are leaders in their profession with experience as professors, authors, speakers, clinicians, and item writers with a wide diversity of expertise.

What do students think?

“I had to take the time to write you and let you know that I am so grateful for the course!…”

“Great Information, the book is very helpful.”

“It helped me realize that I need to get serious about my study schedule.”

Very beneficial and I feel it prepared me very well to start my study plan.”

Read More

  • “Dear TherapyEd Instructor Colleen Maher:

    Thank you so much for taking time out of your day to educate us about the NBCOTT tips and tricks and giving us practice on potential test questions. We feel more confident now.
    Kind Regards,”
    – OTA Class of 2021, South Arkansas Community College
  • “We did it! We passed. Dr. Toni Thompson and I were an excellent team. I was just about to give up when a friend told me to go to TherapyEd. There were several people involved in me passing but it was Dr. Thompson who finally was a perfect fit. Her focus was on me the student and she wasn’t ironing or cooking while she was tutoring me. She taught me how to clinically reason. What helped the most was we took the most challenging questions I got wrong and while I understood the rationale, we went through the question to really analyze it further. Through those discussions other weaknesses were brought up and we discussed those weaknesses. Its very difficult for a person to go back to a center after failing an exam even if it is due to a few points. Since I associated the center with a very negative experience, Dr. Thompson suggested I go past the testing center again, bring a friend and get some lattes and sweets, and after talking to a few people at the center it became a less negative experience. During my 1 1/2 process I envisioned a hero. For me the hero was Rocky. The day of the test I wore my Rocky tee shirt and a Rocky sweatshirt. I sat in my car for 30 minutes and listened to his fight songs and other motivational tapes. I took several Rocky quotes with me such as “Going in one more round when you don’t think you can. That’s what makes all the difference in your life.” Also, “You, me, or nobody is going to hit as hard as life. But it ain’t about how hard you hit. It’s about how hard you can get hit and keep moving forward, how much you can take and keep moving forward. That’s how winning is done.”

    I was with one company before and I lost thousands with promises and passing guarantees. The tutor used Quizlet questions and old NBCOT questions. TherapyEd was the one company that did not insist on selling me on spending money on packages. They did not threaten to take me out of the classes if I did not buy packages and if I did not take their tutoring classes. Only TherapyEd and one other company I used did not pressure me to buy packages. Nor did they take advantage of a person who was just simply trying to join a field they loved and was interested in since age 18. They also let me take the class twice. Which by the way is excellent. If I had only gone to TherapyEd from the beginning I could have saved myself a ton of money and heartache.

    Thank you TherapyEd for being an ethical and professional company. I highly recommend Toni Thompson as a tutor and I will be a return customer when I go for my OTR boards.”
    – Debra Alessio, COTA®
  • “Our students value the TherapyEd Review course because they learn test taking techniques and tips, in addition to reviewing content. We provide the course after level II fieldwork is completed and the feedback students give us is very positive. They state that the review course pulls together everything they learned in their courses and on fieldwork, which they believe contributed to passing the board exam. We know it is a good sign when the class is asking us if the TherapyEd Review course has been scheduled yet! Our current students do not graduate until May 2022 and they having been asking me already (November 2021)!

    – Nicole Scheiman, DrOT, MHS, OTR/L, CLT-LANA, CES, CKTP, CEES-Advanced, CSST, CDCS, CORE Department Chair/Program Director/ Associate Professor
  • “I had to take the time to write you and let you know that I am so grateful for the course! I took my COTA® exam 2 times and failed by 9 pts. Then I took the TherapyEd course with Toni Thompson (truly an amazing instructor) 3 days before my exam and raised my score by 31 points!! On the day I took my test I didn’t feel as much anxiety and left unsure as usual, however I knew that I used the methods I had been taught in the course during testing and THAT is what guided me to passing. I have celebrated every day since I passed doing what I absolutely love; as a pediatric COTA®! Ms. Thompson was right when she said “All the studying and all the hard work, this is what it takes to be a COTA®”. Those words ran through my mind over and over and encouraged me to do this for myself! On scoring day when I passed she was one of the first people I notified! I can’t thank her enough!”
    – Shelby Hall, COTA®
  • “Just wanted to let you know how pleased we were with the results of the OTA exam prep course last year. NBCOT® scores for our students were higher than in previous years. The average score for our previous year’s graduates was 478. The average score for last year’s graduates, who had the TherapyEd OTA exam prep course, was 495! Thanks for helping us maintain our 100% pass rate!”
    – Elizabeth Olivier OTR/L, MHS Department Chair, Occupational Therapy Assistant Program, Tyler Junior College
  • “I took the course yesterday with Paula Carey and I have to let you know she was phenomenal!! She really cared about OTAs and student success. I figured beforehand I would be bored to tears. I wasn’t at all. I was interested and captivated all day long!! Thank you for providing a wonderful resource for study guidance with your courses!!”
    – Jillian Orsi – Quinsigamond Community College
  • “Hello, my name is Heather Smith and I wanted to email you to share my success story with TherapyEd. The first three times of taking my exam and failing all three with the score of 437, I used the purple book, Pass the OT, and AOTA PDFs and none of those materials helped me to pass. I was very intimidated by the TherapyEd book but knew for certain that I would have to study it to achieve my goal. I re-took the TherapyEd course with Toni Thompson and then spent 2-3 sessions with her tutoring me one-on-one. She told me this: “It is better to prepare for a 10K and show up to find out it is a 5K than to prepare for a 5K and show up to find out it is a 10K.” That was the example she gave about TherapyEd and it stuck with me. She told me to study questions and use a highlighter to highlight important key words and use the strike out method. She told me I knew what I was doing and I knew the material and to just practice questions. So that is what I did. I went through every exam in the back of the TherapyEd book and every Rationale. I took my exam on May 3, 2019 and found out that I was Heather Lynn Smith, COTA/L on May 8, 2019. My score increased 40 points following Toni Thompson’s advice and studying questions and rationales in the back of the TherapyEd book. Toni is a jewel and a great asset to TherapyEd and I know that you all are very proud to have her as I feel very blessed to have had her as a tutor. I hope this testimonial will help someone else who is struggling to pass this exam.”
    – Heather Smith, COTA/L, Kershaw Health
  • “This course is very helpful, I learned a lot. – Ashley U; Very helpful. I am not a good test taker and I feel this course helped me to process the test questions. – Kristin R; Relieved my stress for preparing for the exam. – Allyson H”
    – Students of Allegany College of Maryland
  • “Great Information, the book is very helpful. – Sasha C; It helped me realize that I need to get serious about my study schedule. – Madison H; Very beneficial and I feel it prepared me very well to start my study plan. – Elisa A”
    – Students of Caddo Kiowa Technology Center
  • “I feel the course was very educational and helpful in preparing me for the NBCOT®. – Ashley Love; Loved the questions throughout the course and the discussion that followed. – Lauren Rothrock; Great information on strategies. – Jacque Lee”
    – Students of Green River Community College