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Certified Occupational Therapy Assistant information

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How much do certified occupational therapy assistant jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for certified occupational therapy assistant in the United States is $32.47, according to ZipRecruiter salary data. Most workers in this role earn between $27.40 and $36.54 per hour, depending on experience, location, and employer.

What can you do as an OTA?

A Certified Occupational Therapy Assistant (COTA) works under the supervision of an occupational therapist to help patients develop, recover, and improve the skills needed for daily living and working. They implement treatment plans, assist with therapeutic activities, and monitor patient progress in settings such as hospitals, clinics, or rehabilitation centers. COTAs also need to have good communication skills and typically use tools like therapeutic exercises and adaptive equipment.

How much do OTA make?

Certified Occupational Therapy Assistants (COTAs) typically earn an average annual salary of around $60,000, though this can vary based on experience, location, and work setting. In some regions, salaries may range from $50,000 to $70,000, and additional certifications or specialties can influence pay rates.

What is the difference between Certified Occupational Therapy Assistant vs Occupational Therapist?

AspectCertified Occupational Therapy AssistantOccupational Therapist
CredentialsAssociate's degree, NBCOT certificationBachelor's, master's or doctoral degree, NBCOT certification
Work EnvironmentAssist in therapy sessions under supervision, clinics, hospitals, schoolsLead therapy plans, evaluate patients, supervise assistants, clinics, hospitals, schools
Job RoleImplement treatment plans, assist patients with activitiesDevelop treatment plans, evaluate patient progress, oversee assistants

The main difference between a Certified Occupational Therapy Assistant and an Occupational Therapist lies in their education, responsibilities, and level of independence. Certified Occupational Therapy Assistants support therapists by implementing treatment plans and assisting patients, while Occupational Therapists develop plans and oversee patient care. Both roles work in similar environments, but the Occupational Therapist holds a higher level of responsibility and requires advanced education.

Where do OTAs get paid the most?

Occupational Therapy Assistants (OTAs) tend to earn higher salaries in regions with a higher cost of living and greater demand for healthcare services. Typically, metropolitan areas and states with robust healthcare industries offer the highest pay for OTAs, especially those with specialized skills or certifications. Salary can also vary based on experience, work setting, and employer type.

What are the key skills and qualifications needed to thrive as a Certified Occupational Therapy Assistant, and why are they important?

To thrive as a Certified Occupational Therapy Assistant (COTA), you need an associate degree from an accredited program and national certification, along with strong knowledge of rehabilitation techniques and patient care. Familiarity with therapy documentation software, adaptive equipment, and electronic health record (EHR) systems is typically required. Excellent communication, empathy, and teamwork skills help COTAs effectively support patients and collaborate with occupational therapists. These skills and qualities ensure effective therapy delivery, accurate reporting, and positive outcomes for clients' daily living and independence.

How do Certified Occupational Therapy Assistants typically collaborate with occupational therapists and other healthcare professionals in a clinical setting?

Certified Occupational Therapy Assistants (COTAs) work closely under the supervision of licensed occupational therapists to implement treatment plans tailored for each patient. They frequently collaborate with occupational therapists by providing feedback on patient progress and suggesting adjustments to interventions. Additionally, COTAs may interact with physical therapists, speech therapists, nurses, and family members to ensure holistic and coordinated care. This teamwork-focused environment helps ensure patients receive comprehensive support as they work toward their rehabilitation goals.

What Does a Certified Occupational Therapy Assistant Do?

A certified occupational therapy assistant helps patients during physical therapy treatments and rehabilitation exercises. They work with the patient's occupational therapist and physician to develop a treatment plan that fits the patient's needs. This can mean assisting with stretching exercises or helping a patient learn and adjust to assistance equipment. The duties and responsibilities of a certified occupational therapy assistant also include keeping detailed records of patient progress and health, and performing other administrative and organizational tasks.

What is a Certified Occupational Therapy Assistant (COTA)?

A Certified Occupational Therapy Assistant (COTA) is a healthcare professional who works under the supervision of an occupational therapist to help patients develop, recover, and improve the skills needed for daily living and working. COTAs assist with implementing treatment plans, educating patients and their families, and documenting patient progress. They work with individuals of all ages who have physical, developmental, or emotional challenges, supporting them to achieve greater independence in their daily activities.

Can OT help with hypermobility?

A Certified Occupational Therapy Assistant (COTA) can support individuals with hypermobility by developing strategies to improve joint stability, reduce pain, and enhance daily function. They may use therapeutic exercises, activity modifications, and assistive devices as part of treatment planning under the supervision of an occupational therapist. Proper assessment and tailored interventions are essential for managing hypermobility effectively.
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Certified Occupational Therapy Assistant jobs near you
Infographic showing various Certified Occupational Therapy Assistant job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Certified Occupational Therapy Assistant

A-List Therapy Group

San Bernardino, CA

$30 - $32.50/wk

Other

Re-posted 18 hours ago

Job description

***$250 Sign-On Bonus***$250 Referral Bonus***

Join A List Therapy Group – Empowering Certified Occupational Therapy Assistants (COTAs)!

Home Health Certified Occupational Therapy Assistant (COTA)
Earn $123,000–$153,000 annually | Flexible Schedule | Therapist-Owned Company

About Us

At A List Therapy Group, we’re proud to be a therapist-owned and operated company focused on delivering exceptional home health care. As a team built by clinicians for clinicians, we understand the unique challenges and rewards of being a Certified Occupational Therapy Assistant (COTA). We’re dedicated to creating a supportive, flexible, and rewarding environment where COTAs can thrive and make a real difference in patients’ lives.

Why Join A List Therapy Group?

✨ Competitive Compensation:

  • Pay range of $60–$65 per visit with annual earning potential of $123,000–$153,000.
  • $250 Sign-On Bonus and $250 Referral Bonus available for joining and referring other talented COTAs!

✨ Flexible Work-Life Balance:

  • Design your own schedule and choose your preferred coverage areas.
  • Enjoy autonomy and the freedom to prioritize work that aligns with your life.

✨ Streamlined Workflow:

  • Digital documentation software tailored for efficiency—finish most notes during visits.
  • Fully paperless systems make documentation and patient management easy.

✨ Dedicated Support:

  • Comprehensive training available for new COTAs transitioning to home health care.
  • Our experienced team provides continuous assistance to help you excel.

Where We’re Hiring:

We’re seeking Certified Occupational Therapy Assistants (COTAs) across Los Angeles, Riverside, San Bernardino, and Orange Counties, including areas like Hollywood, Beverly Hills, Pasadena, Long Beach, Huntington Beach, and more!

What You’ll Do as a Certified Occupational Therapy Assistant (COTA):

  • Work closely with occupational therapists to implement customized treatment plans in patients’ homes.
  • Help patients regain independence in daily living activities.
  • Educate patients and families on exercises and techniques to support progress.
  • Document patient progress accurately and efficiently.

What We’re Looking For:

  • Current California Certified Occupational Therapy Assistant (COTA) License
  • Reliable transportation and valid driver’s license
  • Passion for providing exceptional patient care

Job Types:

Full-Time | Part-Time | Per Diem | Contract

Ready to Advance Your Career as a COTA?

Contact us today at (323) 943-7300 or email hr@alist-therapy.com to learn more.

Visit our website at www.alist-therapy.com

Your Career as a Certified Occupational Therapy Assistant Starts Here!

At A List Therapy Group, we value the dedication and expertise of Certified Occupational Therapy Assistants (COTAs). Join our team and enjoy the support, flexibility, and recognition you deserve.