PROFESSIONAL CERTIFICATION

Certification & Exams

Demonstrate Your Expertise in Orthopedic Manual Physical Therapy

NAIOMT certifications validate your advanced skills in manual therapy. Complete our comprehensive courses and assessment exams to earn credentials that distinguish you as a leader in patient care.

COMT Certification Overview

Certified Orthopedic Musculoskeletal Therapist — Your Path to Clinical Excellence

What is COMT Certification?

COMT (Certified Orthopedic Musculoskeletal Therapist) Certification consists of 5 courses (105 hours) and an asynchronous assessment exam. Each course is 21 hours with 14 hours in-person + 7 hours of asynchronous online course work.

There are no prerequisites for the COMT 1-5 courses, so they can be taken in any order that fits your schedule. All 5 courses need to be complete including the required online coursework to be eligible to take the assessment exam.

5 Courses
105 Total Hours
1 Assessment Exam

The Five COMT Courses

Complete all five courses in any order to become eligible for the assessment exam

COMT-1

Lumbar Spine

Lumbopelvic spine assessment, treatment techniques, and clinical reasoning for lower quadrant movement impairments.

21 Hours 14 In-Person + 7 Online
COMT-2

Cervical Spine

Cervicothoracic spine management, upper quadrant movement analysis, and manual therapy techniques.

21 Hours 14 In-Person + 7 Online
COMT-3

Thoracic Spine

Thoracic spine and rib cage assessment, treatment approaches for upper and lower quadrant integration.

21 Hours 14 In-Person + 7 Online
COMT-4

Upper Extremity

Upper extremity evaluation and treatment, relationship to cervicothoracic spine, clinical reasoning.

21 Hours 14 In-Person + 7 Online
COMT-5

Lower Extremity

Lower extremity assessment and management, relationship to lumbopelvic region, return to function.

21 Hours 14 In-Person + 7 Online
EXAM

Assessment Exam

Complete your certification by passing the asynchronous assessment exam after finishing all five COMT courses.

Video Submissions 30 Days to Complete

COMT Assessment Exam

Complete Your Certification Journey

Exam Overview

The NAIOMT COMT Certification requires the completion of all COMT 1-5 courses including the online coursework associated with each course and the Assessment Exam.

This exam is asynchronous and involves completing a series of modules. You will also be required to upload short videos demonstrating scanning exams, assessments and techniques.

  • Self-paced completion within 30 days
  • Video demonstrations required
  • Module-based assessment
  • Complete from anywhere

Questions? Contact [email protected]

2026 Exam Dates

Click to register for your preferred exam window. Note the registration deadlines.

March 1-31, 2026 Registration deadline: February 6, 2026
Register
June 1-30, 2026 Registration deadline: May 8, 2026
Register
September 1-30, 2026 Registration deadline: August 7, 2026
Register

C-730 Oral Practical Exam

Fellowship Program Examination Requirement

Fellowship Exam

For candidates completing the NAIOMT Fellowship Program

Exam Date
July 25-26, 2026
Time Zone
Pacific Time Zone
Format
"Virtual" via Zoom
Deadline
June 5, 2026

Note: There will be one C-730 exam scheduled each year.

Your Complete Pathway to Mastery

NAIOMT provides a complete, seamless post-professional education pathway for physical therapists

Individual Courses

Take courses at your own pace to build skills in specific areas. Perfect for targeted learning.

View Course Schedule

Residency Programs

Intensive training programs in Orthopedic or Sports physical therapy for advanced practice.

Explore Residencies

Fellowship Program

The highest level of post-professional education leading to FAAOMPT credential.

Fellowship Details

Virtual COMT Series

Complete all COMT courses 100% virtually via Zoom within one year.

Virtual Options

OT & PTA Certification

Specialized certification pathways for Occupational Therapists and PT Assistants.

OT/PTA Options

Questions about which pathway is right for you?

Contact Us

Your Complete Pathway to Mastery in Physical Therapy

NAIOMT provides a complete, seamless post-professional education pathway for physical therapists wanting to become experts in clinical reasoning. From individual courses to certification programs, residency, and fellowship—we help manual physical therapists achieve the highest standards of clinical practice.

Questions about your pathway? Contact us here

What Our Students Say

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COURSE LOCATIONS & CLINICAL PARTNERS

NAIOMT COMT course partner Messiah University NAIOMT COMT course partner Therapeutic Associates Physical Therapy NAIOMT COMT course partner New Heights Physical Therapy NAIOMT COMT course partner Touro College NAIOMT COMT course partner Centura Health NAIOMT COMT course partner BaylorScott & White Institute for Rehabilitation NAIOMT COMT course partner PRN NAIOMT COMT course partner Marathon Physical Therapy NAIOMT COMT course partner Phoenix Physical Therapy NAIOMT COMT course partner Advanced Kinetics Physical Therapy NAIOMT COMT course partner California NAIOMT COMT course partner Rehab Authority NAIOMT COMT course partner Vista Physical Therapy NAIOMT COMT course partner Armada Physical Therapy NAIOMT COMT course partner Kelly Hawkins Physical Therapy NAIOMT COMT course partner Highline Physical Therapy NAIOMT COMT course partner Summit Rehabilitation NAIOMT COMT course partner 360 Physical Therapy NAIOMT COMT course partner Action Potential Physical Therapy NAIOMT COMT course partner In Reach Physical Therapy NAIOMT COMT course partner Pro Active Physical Therapy NAIOMT COMT course partner Therapy Alliance NAIOMT COMT course partner Pacific Rehabilitation and Sports Therapy NAIOMT COMT course partner Harter Physical Therapy NAIOMT COMT course partner Granite State Physical Therapy NAIOMT COMT course partner The Physical Therapy Effect NAIOMT COMT course partner Core Physical Therapy NAIOMT COMT course partner Corvallis & Albany Sports & Spine Physical Therapy