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How much do cota teletherapy jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for cota teletherapy 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 are the key skills and qualifications needed to thrive in the Cota Teletherapy position, and why are they important?

To thrive as a COTA Teletherapy professional, you need an associate degree from an accredited Occupational Therapy Assistant program and current Certified Occupational Therapy Assistant (COTA) licensure. Experience with telehealth platforms, electronic documentation systems, and HIPAA compliance is highly valuable. Strong communication, organizational skills, and the ability to motivate patients remotely are critical soft skills in this field. These competencies enable COTA Teletherapy practitioners to deliver effective, patient-centered therapy in a virtual environment while ensuring compliance and positive therapeutic outcomes.

What is a Cota Teletherapy job?

A COTA Teletherapy job involves providing occupational therapy assistant services remotely under the supervision of a licensed occupational therapist. Using secure telehealth platforms, COTAs help patients improve daily living and motor skills through guided exercises and activities. This role requires strong communication skills, proficiency with technology, and adherence to state and federal telehealth regulations.

What are some common challenges COTA Teletherapy professionals face when working remotely, and how can they be addressed?

COTA Teletherapy professionals may encounter challenges such as building rapport with patients virtually, managing technology issues, and adapting traditional therapy activities to the online setting. Successfully addressing these hurdles often involves effective use of digital tools, maintaining open communication with patients and their families, and collaborating closely with supervising Occupational Therapists and interdisciplinary teams. Many teletherapy providers offer ongoing training and technical support to help staff stay updated and confident. By being proactive and resourceful, COTAs can deliver high-quality therapy and achieve positive outcomes in remote environments.

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Cota Teletherapy jobs near you
Infographic showing various Cota Teletherapy job openings in the United States as of June 2026, with employment types broken down into 33% Full Time, 50% Part Time, and 17% Contract. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Certified Occupational Therapy Assistant (COTA)

TX-STAR Speech Language Services

San Antonio, TX • On-site

$25.75 - $34.25/hr

Part-time, Per diem

Medical, Dental, Vision

Posted 22 days ago

Job description

Make an Impact Where It Matters Most

At TX-STAR Speech Language Services, we partner with school districts across Texas to support students with diverse developmental and functional needs. We are currently hiring Certified Occupational Therapist Assistants (COTAs) for school-based opportunities in the Austin and San Antonio areas.

This role is ideal for professionals who are passionate about supporting students in developing the skills needed for independence and success in the classroom.

What You'll Do

As a COTA in a school setting, you will support the delivery of occupational therapy services under the supervision of a licensed Occupational Therapist.

Key responsibilities include:

  • Implement occupational therapy interventions aligned with IEP goals

  • Support students in developing fine motor, sensory, and functional skills

  • Deliver therapy services in-person and/or via teletherapy

  • Assist with documenting student progress and therapy sessions

  • Collaborate with supervising OT, teachers, and school staff

  • Support students in accessing classroom activities and routines

  • Help prepare therapy materials and maintain organized records

  • Follow district guidelines and compliance standards

What You'll Need

  • Active Texas licensure as a Certified Occupational Therapist Assistant (COTA)

  • Associate's degree from an accredited Occupational Therapy Assistant program

  • Ability to work under the supervision of a licensed Occupational Therapist

  • Strong communication and organizational skills

  • Experience working with pediatric or school-based populations is a plus

Work Environment & Flexibility

  • School-based positions in Austin, San Antonio, and surrounding areas

  • Opportunities serving students from early childhood through high school

  • Flexible opportunities available:

    • Part-time placements

    • PRN opportunities

  • In-person and teletherapy options based on district needs

  • Placement based on your availability and preferences

Why TX-STAR?

  • Competitive compensation based on experience

  • Flexible scheduling options

  • Bi-weekly pay

  • Access to medical, dental, and vision insurance

  • Supportive, people-first culture

  • Ongoing support from experienced program staff

  • Referral bonus opportunities

  • Professional growth and development opportunities

  • Access to a wide network of school partnerships across Texas

About TX-STAR Speech Language Services

TX-STAR has been supporting school districts across Texas since 2010, partnering with over 40 districts as well as agencies and regional cooperatives. Our team specializes in connecting schools with highly qualified special education professionals who thrive in educational environments.

We are committed to building strong, lasting relationships while ensuring students receive the support they need to succeed academically and beyond.