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Transition from Candidate to AT


What happens after passing the BOC exam?
Within 2-4 weeks from the last day of the exam window, candidates will receive an email from This email address is being protected from spambots. You need JavaScript enabled to view it. notifying them exam results have been posted online. Candidates are instructed to log in to their BOC Central™ profile to see their updated status. Candidates who were unsuccessful on the BOC exam will see a status of "Eligible for Exam" in BOC Central™. Candidates who were successful on the BOC exam will see a status of "Certified" or "Eligible for Certification" in BOC Central™.

Certified means all BOC certification requirements have been met and a certification number has been assigned. Each newly certified Athletic Trainer (AT) will receive an email that includes his/her certification number and instructions on how to access his/her certification card.

Eligible for Certification means the candidate has passed the exam; however, he/she must provide additional paperwork to complete his/her file prior to certification.
  • If a candidate's status is "Eligible for Certification," use of the ATC® credential is strictly prohibited until a candidate's file is complete and the BOC has granted certification.
  • Candidates have 1 year from the date of passing the exam to complete their file. The BOC must receive the items below to complete a candidate's file for certification.

    Official transcript
    An official transcript, in a university sealed envelope, with degree and date of degree posted must be mailed to:

    Board of Certification
    Attn: Credentialing Services
    1415 Harney St Ste 200
    Omaha NE  68102-2250

    Electronic Transcripts: (BOC will begin accepting electronic transcripts March 1, 2017)
    Electronic transcripts will be accepted only if they are electronically transferred via email using a secure and verifiable transcript service or clearing house (e.g. eScript, eCredential Solutions, National Student Clearinghouse, Parchment Send Service, Transcript Network). The secure electronic transcript must be sent to This email address is being protected from spambots. You need JavaScript enabled to view it. .

    The official final transcript MUST include ALL of the following:
    • Candidate’s full name
    • Candidate’s social security number OR student identification number
    • Name of the institution awarding the athletic training degree
    • Listing of all courses completed and required for the CAATE-accredited degree
    • Title of the entry level degree awarded in athletic training
    • The date on which the degree was awarded/conferred. The degree must have been awarded. Transcripts with a graduation date that is after the transcript issue date will not be accepted
    • The registrar’s official seal, stamp or signature

    ECC card
    ECC cards or certificates (signed by the participant if no QR code is present) may be mailed, emailed or faxed to:

    Board of Certification
    Attn: Credentialing Services
    1415 Harney St Ste 200
    Omaha NE  68102-2250
    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
    Fax: (402) 561-0598, Attn: Credentialing Services

    The BOC processes transcripts and ECC cards/certificates within 2-3 business days of receipt. Candidates are sent an automated email once the documentation has been processed. Once they have been officially certified, they are also sent an automated email which will include their certification number.

Legal Practice

Currently, there are 48 states that have some form of athletic training regulation. The BOC exam is a requirement to obtain regulation in 47 of the 48 states; however, it is important to recognize that passing the BOC exam is only a precursor to athletic training practice. Compliance with state regulatory requirements is mandatory and the only avenue to legal athletic training practice. For specific details regarding state regulation, please contact your state regulatory agency.

Maintain Certification

Continuing Education
Newly certified ATs can begin accumulating continuing education units (CEUs) the day they are certified. The following applies to new ATs:

Year Certified

Total CEUs Due

Date CEUs Due
















Once you have completed your first CE reporting period, your next reporting period will be 2 years (starting the day after the end of your last reporting period) and you will need to complete 50 CEUs.

New ATs will have the recertification fee waived for the year in which they are certified (i.e., the 2012 recertification fee will be waived for ATs certified in 2012).

Additional Information

Obtain NPI #

The National Athletic Trainers' Association (NATA) and the Board of Certification, Inc. (BOC) urge all Athletic Trainers (ATs) to register for a National Provider Identifier (NPI) number. An NPI number is now required for all Health Insurance Portability and Accountability Act (HIPAA) transactions and claims, coordination of patient benefits, patient medical record system and prescriptions.

What is the NPI number?
Your NPI number allows other healthcare professionals (physicians, physical therapists, chiropractors, physician assistants, hospital systems, etc.) know who provided the patient’s care or referral. An NPI is essential for electronic medical records compliance. The 10 digit NPI number is your unique identifier in the electronic medical record arena.

Why get an NPI number?
With healthcare reform solidly underway, it is more important than ever that each AT obtains his/her NPI number upon licensure. Having an NPI is more than a reimbursement issue. It’s another way to stand up and be counted in the health profession community.

An NPI is required of all healthcare professionals for HIPAA transactions, claims and coordination of patient benefits.

Who needs an NPI number?
All healthcare professionals need NPI numbers, including athletic training faculty members, preceptors and program directors.

When did this begin?
The NPI number was described and passed into law in 1996, as part of HIPAA. However, the section pertaining to the NPI only became effective in May 2007.

How do I obtain an NPI number?
Visit the National Plan and Provider Enumeration System (NPPES) website to complete an application with the following codes:
  • Provider Code 22 (Respiratory, Rehabilitative & Restorative Service Providers)
  • Taxonomy Code 2255A2300X (Athletic Trainer)
Where can I find more information?

Professional Association

The National Athletic Trainers' Association (NATA) is the national membership organization for the profession of athletic training. The mission of the NATA is to enhance the quality of health care provided by Certified Athletic Trainers and to advance the athletic training profession. Visit www.nata.org for more information on becoming a member of the NATA.

Stay Informed

The BOC exam is just the beginning of your relationship with the BOC. Once you are certified and begin your career, the BOC is here to help you throughout your professional journey.
  • The BOC communicates regularly and proactively with each and every candidate and AT so it is critical to keep your contact information current with the BOC; you may update your contact information with the BOC at any time in BOC Central™
  • Regular eblasts are sent informing you of changes, new trends and important information following district meetings and the national NATA conference
  • Reminders are sent letting you know when CE is due and other important deadlines
  • The BOC's bi-annual publication, Cert Update, is mailed in the summer and winter and packed full of information about the BOC credential, CE opportunities, state regulatory news and much more
  • BOC Social Media: like our Facebook page, sign up to receive BOC Blog updates, connect with us on LinkedIn and follow us on Twitter