PROFESSIONAL CERTIFICATION

PT Certification

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 Course pathway Assessment Exam Fellowship Exam

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

Lumbar Spine

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

21 Hours 14 In-Person + 7 Online

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Cervical Spine

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

21 Hours 14 In-Person + 7 Online

View Available Dates

Thoracic Spine

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

21 Hours 14 In-Person + 7 Online

View Available Dates

Upper Extremity

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

21 Hours 14 In-Person + 7 Online

View Available Dates

Lower Extremity

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

21 Hours 14 In-Person + 7 Online

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Assessment Exam

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

Video Submissions 30 Days to Complete

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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

Exam Date

July 25-26, 2026

Time Zone

Pacific Time Zone

Format

"Virtual" via Zoom

Deadline

June 12, 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

COMT Certification

Complete all 5 COMT courses and the assessment exam to earn your COMT credential.

Learn About COMT

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.

View All Courses

Questions about your pathway? Contact us here

What Our Students Say

Real Results from Real Therapists

I recently attended the COMT-5 Lower Extremity Manual Therapy course and it exceeded my expectations. The instructors were knowledgeable and supportive, and the course content was thorough and practical. The course has improved my manipulation and exercise skills, and I'm seeing immediate changes in my practice.

The COMT-1 Lumbar Spine Manual Therapy course was an excellent opportunity for me to refine my skills in differential diagnosis, manipulation, and exercise techniques. The course content was well-organized, and the instructors were engaging and supportive. I saw immediate changes in my practice.

The Trigger Point Dry Needling course exceeded my expectations. The instructors were passionate and experienced, and the course content was both informative and practical. The course has improved my clinical reasoning skills and I'm confident in my ability to use dry needling as an effective treatment modality.

I recently completed the COMT-4 Upper Extremity Manual Therapy course, and it was an incredible experience. The instructors were knowledgeable and supportive, and the course content was well-organized and detailed. The practical exercises were challenging but rewarding.

As a physical therapist, attending the COMT-2 Cervical Spine Manual Therapy course was a game-changer. The course content was comprehensive and well-structured. I've gained new insights into the cervical spine's anatomy, and the techniques I learned have helped me provide better care to my patients.

Attending the COMT-3 Thoracic Spine Manual Therapy course was a fantastic learning experience for me. The instructors were supportive and caring, and the course content was well-organized and comprehensive. I gained new skills in differential diagnosis and exercise techniques.

COURSE LOCATIONS & CLINICAL PARTNERS

NAIOMT COMT course partner Messiah University

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