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Home Based Occupational Therapy Assistant information

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$46

How much do home based occupational therapy assistant jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for home based occupational therapy assistant in the United States is $29.56, according to ZipRecruiter salary data. Most workers in this role earn between $25.00 and $33.65 per hour, depending on experience, location, and employer.

What is the difference between Home Based Occupational Therapy Assistant vs Occupational Therapy Assistant?

AspectHome Based Occupational Therapy AssistantOccupational Therapy Assistant
CredentialsCertified Occupational Therapy Assistant (COTA)Certified Occupational Therapy Assistant (COTA)
Work EnvironmentIn clients' homes, community settingsClinics, hospitals, outpatient facilities
Employer & IndustryHome health agencies, private clientsHospitals, rehab centers, clinics
Search & Comparison IntentFocus on home-based care rolesGeneral occupational therapy roles

The main difference between a Home Based Occupational Therapy Assistant and an Occupational Therapy Assistant is the work setting. The home-based role involves providing therapy services directly in clients' homes, while the general OTA typically works in clinical or institutional settings. Both roles require the same certification but differ in environment and daily responsibilities.

Can a cota work from home?

Home Based Occupational Therapy Assistants (COTAs) typically cannot perform their full duties remotely, as they often need to work directly with clients, assist with hands-on therapy, and follow treatment plans under supervision. However, some administrative tasks, documentation, and telehealth consultations may be done remotely if permitted by licensing and employer policies.

Can OT help with hypermobility?

Home Based Occupational Therapy Assistants can support individuals with hypermobility by helping improve joint stability, develop adaptive strategies, and manage symptoms through tailored exercises and activity modifications. They often work under the supervision of an occupational therapist to implement treatment plans focused on enhancing daily function. Knowledge of anatomy, joint protection techniques, and patient education are essential skills in this role.

Where do OTAS make the most money?

Home-based Occupational Therapy Assistants tend to earn higher salaries in regions with a higher cost of living and greater demand for healthcare services, such as urban areas or states with robust healthcare industries. Salary levels are also influenced by experience, certifications, and the setting in which they work, such as hospitals or outpatient clinics.

Does OTA or PTA make more money?

Occupational Therapy Assistants (OTAs) and Physical Therapist Assistants (PTAs) are different roles with similar salary ranges. Generally, PTAs tend to earn slightly higher wages than OTAs, but salaries vary based on location, experience, and work setting. Both require certification and work under licensed therapists, with salaries typically reflecting their specialized skills and demand in healthcare environments.
More about Home Based Occupational Therapy Assistant jobs
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What states have the most Home Based Occupational Therapy Assistant jobs? States with the most job openings for Home Based Occupational Therapy Assistant jobs include:
What job categories do people searching Home Based Occupational Therapy Assistant jobs look for? The top searched job categories for Home Based Occupational Therapy Assistant jobs are:
Home Based Occupational Therapy Assistant jobs near you

School-Based Occupational Therapy Assistant

Adelphi Staffing

Portland, OR

$31 - $36/hr

Full-time

Posted 25 days ago

Job description

Adelphi is seeking Certified Occupational Therapy Assistants (COTAs) to support school-based occupational therapy services within a school disrtict in Tigard and Tualatin, Oregon. The assistant will work under the supervision of a licensed Occupational Therapist to support students in classroom settings using a consultative and push-in model.

Job Quick Facts
• Reference #: BD-1262-02
• Profession: Therapy Support
• Specialty: School-Based Occupational Therapy Assistant
• Location: Tigard-Tualatin, Oregon
• Facility Type: School
• Coverage Type: On-Site (In-Person Only)
• Job Type: Contract
• Contract Duration: Fall semester (August 20, 2026 – December 18, 2027)
• Schedule: 4 days/week, aligned with school calendar
• Compensation: $36 per hour

Requirements
• Active Oregon Certified Occupational Therapy Assistant (COTA) license in good standing.
• Pediatric experience required; school-based experience preferred.
• Ability to implement therapy plans under OT supervision.
• Familiarity with IEP processes and school-based environments preferred.

Responsibilities
• Implement occupational therapy interventions under the supervision of a licensed OT.
• Support delivery of services in a consultative, classroom-based (push-in) model.
• Assist students in developing fine motor, sensory, and functional skills within classroom routines.
• Collaborate with teachers and staff to support student participation and success.
• Help prepare materials and adapt classroom tools as directed by the OT.
• Document services and maintain accurate records per program requirements.
• Participate in team meetings and support IEP implementation as directed.
• Maintain compliance with FERPA and applicable regulations.
• Provide services on-site only (no remote work).
• Perform other duties as assigned.