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

As of Jul 30, 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.
More about Entry Level Certified Occupational Therapy Assistant jobs
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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

A-List Therapy Group

San Bernardino, CA

$30 - $32.50/wk

Other

Posted 28 days 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.