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Entry Level Certified Occupational Therapy Assistant information

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$32

$46

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

As of Jul 27, 2026, the average hourly pay for entry level 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 does an Entry Level Certified Occupational Therapy Assistant do?

An Entry Level 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. Their responsibilities often include assisting with treatment plans, documenting patient progress, and teaching patients exercises and activities that support their rehabilitation. Entry-level COTAs typically work in settings such as hospitals, nursing homes, schools, or outpatient clinics, and play a vital role in helping clients achieve greater independence. They also collaborate closely with therapists, patients, and families to ensure the best possible outcomes.

Can I be an OT assistant without a degree?

Entry-level Certified Occupational Therapy Assistants (COTAs) typically need an accredited associate degree in occupational therapy assisting. Certification from the National Board for Certification in Occupational Therapy (NBCOT) is also required to practice legally. Without the necessary degree and certification, you cannot work as an OT assistant.

What entry-level positions are at COTA?

Entry-level positions for Certified Occupational Therapy Assistants (COTAs) typically include roles such as outpatient COTA, inpatient COTA, pediatric COTA, and skilled nursing facility COTA. These positions involve assisting licensed occupational therapists in implementing treatment plans and often require certification and some clinical experience.

Can OT help with hypermobility?

Entry Level Certified Occupational Therapy Assistants (OTAs) can support individuals with hypermobility by developing personalized therapy plans that improve joint stability, strength, and functional movement. They often use exercises, activity modifications, and assistive devices under supervision to help manage symptoms and enhance daily activities.

What is the difference between Entry Level Certified Occupational Therapy Assistant vs Certified Occupational Therapy Assistant?

AspectEntry Level Certified Occupational Therapy AssistantCertified Occupational Therapy Assistant
CredentialsGraduated from an accredited OTA program, passed NBCOT examSame as entry level, typically requires certification
Work EnvironmentHospitals, clinics, schools, skilled nursing facilitiesSame as entry level, varies by setting
ExperienceEntry level, minimal professional experienceUsually indicates some experience, but can be entry level

The main difference is that 'Entry Level Certified Occupational Therapy Assistant' refers to a recent graduate who has just obtained certification, while 'Certified Occupational Therapy Assistant' can include both entry-level and more experienced professionals. Both roles work under supervision to assist patients with therapy plans in various healthcare settings.

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

To thrive as an Entry Level Certified Occupational Therapy Assistant, you need a solid understanding of therapeutic techniques, anatomy, and patient care, typically supported by an associate degree from an accredited OTA program and national certification (COTA). Familiarity with electronic health record (EHR) systems and rehabilitation equipment is also important. Strong communication, empathy, and teamwork skills help you build rapport with patients and collaborate effectively with occupational therapists and healthcare teams. These skills and qualifications are crucial for supporting patient recovery and delivering safe, effective therapy interventions.

How much does an entry level occupational therapist assistant make?

An entry-level occupational therapy assistant typically earns between $50,000 and $60,000 annually. Salaries can vary based on location, work setting, and certifications, with some positions offering additional benefits or overtime pay.

What are some common challenges faced by entry level Certified Occupational Therapy Assistants when transitioning from school to a clinical setting?

As an entry level Certified Occupational Therapy Assistant (COTA), one of the main challenges is adapting to the fast-paced environment and managing a larger caseload than what you may have experienced during your training. New COTAs often need to quickly learn documentation systems, become familiar with facility protocols, and collaborate effectively with occupational therapists and other healthcare team members. Building rapport with diverse patients and balancing hands-on care with administrative duties can also require strong time management and communication skills. Support and mentorship from experienced staff can help ease this transition and promote professional growth.
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Entry Level Certified Occupational Therapy Assistant jobs near you
Infographic showing various Entry Level 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

PRN Physical, Occupational, & Speech Therapy

Clifton Park, NY • On-site

$27 - $32/hr

Per diem

Retirement

Posted 6 days ago

Job description

Description:

PRN Physical, Occupational, and Speech Therapy, an affiliate of The Weston Group, is dedicated to providing evidence-based, person-centered therapeutic services to residents. We are proud to remain a therapist-owned and operated company that believes in a unique and innovative approach to geriatric care.


We're looking for a Per diem Certified Occupational Therapy Assistant (COTA), a licensed professional who administers treatment plans according to the directives of the Occupational Therapist at the facility. The COTA assists the Occupational Therapist with patient documentation as directed by the Occupational Therapist.


- Several opportunities for Per Diem work throughout the capital district in assisted living, memory care and independent living settings


POSITION DUTIES/RESPONSIBILITIES

  • COTAs demonstrate skill in the use and proper choice of occupational therapy techniques and treats patients effectively with good response.
    • Maintains and enhances patient dignity and modesty during treatment.
    • Shows appropriate therapist-patient rapport explaining the treatments and discussing the reasons for occupational therapy with patient, etc.
    • Follows accepted precautions and contraindications for treatment.
    • Utilizes appropriate therapeutic techniques.
  • COTAs provide accurate and timely patient records.
    • Completes daily documentation procedures assuring that all services are appropriately accounted for from a clinical and billing perspective.
    • Communicates and documents significant changes in patient progress as a result of treatment and accepts modified treatment plan if needed.
    • Documents equipment provided, home programs and handouts given to the patient.
    • Documents all communication with physicians and POA concerning patient's status.
  • COTAs communicate with others maintaining a professional attitude to assure quality care.
    • If directed by the Occupational Therapist, contacts physicians as needed to clarify diagnosis or orders, change treatment, or discharge.
    • Consults patient's POA, nurses, social workers, physical and speech therapists, and physicians as appropriate and needed.
    • Notifies facility personnel and family as to use of equipment.
    • Attends patient related meetings in accordance with facility policy.
  • COTAs demonstrate knowledge of insurance guidelines as related to applicable rehabilitation services.
  • COTAs perform all other duties and functions necessary for the maintenance of efficient, economic and quality operation of the department.
    • Projects and maintains a professional appearance.
    • Makes suggestions for department improvement and assists in development of these as appropriate.
    • Demonstrates leadership qualities utilizing support personnel where appropriate to perform activities not requiring a licensed Occupational Therapist.

BENEFITS

  • 401K
  • Referral Bonus Policy
  • Flexible schedule
Requirements:

EDUCATION AND TRAINING

Certified Occupational Therapy Assistants must possess an appropriate Associate of Science degree from an accredited institution.


LICENSURE OR REGISTRY REQUIREMENTS

Certified Occupational Therapy Assistants must be licensed in the state practicing by the Board of Occupational Therapy and provide an acceptable Criminal Background Check.