The National Board for Certification in Occupational Therapy, Inc. (NBCOT®) is a national not-for-profit organization that provides certification to over 180,000 occupational therapy professionals. NBCOT develops, administers, and continually reviews its certification process based on current and valid standards that provide reliable indicators of competence of occupational therapy practice. Above all else, our mission is to serve the public interest. Initial certification from NBCOT is a requirement for licensure in all 50 states, the District of Columbia, Guam, and Puerto Rico. We also work with state regulators and employers to provide information on credentials, professional conduct, and regulatory issues. NBCOT's certification programs have received and maintained accreditation from the American National Standards Institute (ANSI) and the National Commission for Certifying Agencies (NCCA). Mission: Serving the public interest by advancing client care and professional practice through evidence-based certification standards and the validation of knowledge essential for effective practice in occupational therapy. Vision: Certified occupational therapy professionals providing effective evidence-based services across all areas of practice worldwide.