National Occupational Therapy Assistant Certification Exam Review & Study Guide

TherapyEd's revised and updated National Occupational Therapy Assistant Certification Exam Review & Study Guide by Rita P. Fleming-Castaldy, helps you prepare for the COTA® exam with comprehensive, easily understood content review, and three complete online practice exams to help you focus on your personal strengths and weaknesses. Now in full color and fully updated for the new, six option multiple-choice question format, the text also includes studying and test-taking strategies, exam hints & cautions, up-to-date information about the certification process, and extensive rationales to help you understand how to get the right answer.


TherapyEd's NEW! 4th edition Review and Study Guide for the NBCOT®'s COTA® exam

Thoroughly revised and updated for the exam, with both four and six choice multiple-choice questions

With 3 complete ONLINE exams included, extensive rationales, and personalized study feedback!


US $85.00

Shipping and handling not included


Content chapters reflect the latest test information and the practice exams have been revised and updated to include the new, six option multiple-choice question format. Tables and figures have been included to aid in studying for the exam. In addition, our exclusive online practice exams and the option to take subject area mini-tests give you the practice you need before you take the exam.

The Review & Study Guide contains:

  • Information on becoming a certified Occupational Therapy Assistant
  • Current content outline of the National Occupational Therapy Assistant Certification Exam
  • Examination procedures and grading
  • Simulated exam and answer rationales
  • Test-taking hints
  • Revised and updated for the new, 6 item multiple-choice question type

Author Rita P. Fleming-Castaldy, PhD, OTL, FAOTA

Dr. Fleming-Castaldy is an Instructor and Director of Occupational Therapy Education at TherapyEd, and Professor Emeritus at the University of Scranton. She is the Chairperson for the History Preservation Project of the Occupational Therapy Leaders and Legacies Society. Dr. Fleming-Castaldy previously served as Program Director at Dominican College and on the faculty at New York University. She received her Doctor of Philosophy, post-professional M.A., and undergraduate degrees in Occupational Therapy from New York University. In addition to the best-selling "National Occupational Therapy Certification Exam Review & Study Guide", Dr. Fleming-Castaldy is the editor of several texts and the author of numerous journal articles. She has presented nationally and internationally on a diversity of professional issues. Dr. Fleming-Castaldy serves on the editorial boards of the American Journal of Occupational Therapy and Occupational Therapy in Mental Health. Her areas of expertise include occupational therapy history, professional development and career mobility, mental health practice, community participation, and disability rights and advocacy. In 2002, she was honored by being named a Fellow of the American Occupational Therapy Association, and in 2017 she was given the Award for Excellence in the Advancement of Occupational Therapy by the AOTA in appreciation for her extraordinary contributions to the advancement of occupational therapy.

OTA Book Ordering Information


To order by phone, call us at 1-888-369-0743

Or, Order by mail by sending a check or money order, along with a shipping address, to:

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It is organized in comprehensive, easy to read chapters covering:

  • The Process of Occupational Therapy
  • Human Development and Aging
  • Professional Responsibilities and Service Management
  • Musculoskeletal System Disorders
  • Neurological System Disorders
  • Psychiatric Disorders
  • Cardiovascular and Pulmonary System Disorders
  • Gastrointestinal, Renal-Genitourinary, Endocrine, Immunological and Integumentary System Disorders
  • Neurological and Cognitive-Perceptual Approaches: Evaluation and Intervention
  • Biomechanical Approaches: Evaluation and Intervention
  • Psychosocial Approaches: Evaluation and Intervention
  • Evaluation and Interventions for Occupational Performance Deficits
  • Mastery of the Environment: Evaluation and Intervention

Also included is a chapter on Preparing for the COTA® Exam and an appendix with the AOTA Practice Framework.

Hello My name is Heather Smith and I wanted to email you to share my success story with Therapy ed. 

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 Therapy Ed book but knew for certain that I would have to study it to achieve my goal. I re-took the therapy ed course with Toni Thompson and then spent 2-3 sessions with her tutoring me one on one. She told me this: “It is best 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 therapy ed 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 therapy ed 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 rationals in the back of the therapy ed book. Toni is a jewel and a great asset to Therapy ed 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