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How much do occupational therapy assistant jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for 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 does an occupational therapy assistant do?

An Occupational Therapy Assistant (OTA) works under the supervision of an occupational therapist to help patients develop, recover, and improve the skills needed for daily living and working. OTAs assist with implementing treatment plans, teaching patients how to use adaptive equipment, and documenting progress. They work with individuals of all ages who may have physical, developmental, or emotional challenges, helping them achieve greater independence.

What does an occupational therapy assistant do?

Occupational Therapy Assistants (OTA) work with Occupational Therapists (OT) to help patients with disabilities to develop skills for daily living. They work with patients to complete activities, use helpful tools and devices, and practice skills and positive behaviors. They also help facilitate sessions by setting up, transporting patients, and completing administrative tasks.

What are the key skills and qualifications needed to thrive as an occupational therapy assistant?

To thrive as an Occupational Therapy Assistant, you need an associate degree from an accredited OTA program, state licensure, and a solid understanding of anatomy, therapeutic techniques, and patient care. Familiarity with electronic health records (EHRs), adaptive equipment, and rehabilitation software is often required. Strong interpersonal skills, patience, and adaptability help build rapport with clients and support effective therapy delivery. These skills and qualifications enable OTAs to provide high-quality care, support patient progress, and work efficiently within healthcare teams.

What are some common challenges occupational therapy assistants face when working with diverse patient populations?

Occupational Therapy Assistants often work with individuals of varying ages, backgrounds, and medical conditions, which can present challenges in communication and adapting therapeutic approaches. It's important to be flexible and creative when tailoring interventions to meet each patient's unique needs and cultural preferences. Additionally, balancing a busy caseload while ensuring personalized care for each client requires strong organizational and time-management skills. Collaborating closely with occupational therapists and other healthcare professionals is key to overcoming these challenges and providing effective patient support.

What is the difference between Occupational Therapy Assistant vs Physical Therapy Assistant?

AspectOccupational Therapy AssistantPhysical Therapy Assistant
CredentialsAssociate's degree in occupational therapy assisting, certification requiredAssociate's degree in physical therapy assisting, licensure or certification required
Work EnvironmentHospitals, clinics, schools, rehabilitation centersHospitals, outpatient clinics, rehab centers, sports facilities
Employer & Industry UsageHealthcare providers focusing on daily living skillsHealthcare providers focusing on mobility and physical function

Both roles support patient recovery but focus on different aspects: Occupational Therapy Assistants help patients regain daily living skills, while Physical Therapy Assistants focus on improving mobility and physical function. They often work together in healthcare settings to provide comprehensive care.

Is being an occupational therapy assistant worth it?

Occupational therapy assistants (OTAs) support licensed occupational therapists in helping patients develop or recover daily living and work skills. The role offers steady employment, a median annual salary around $62,000, and opportunities to work in hospitals, clinics, or schools, often requiring certification and strong interpersonal skills. Job satisfaction depends on working with diverse populations and the ability to make a positive impact on patients' lives.

Where do occupational therapy assistants get paid the most?

Occupational therapy assistants tend to earn higher salaries in regions with a higher cost of living and greater demand for healthcare services, such as metropolitan areas and states with robust healthcare industries. Factors like experience, certifications, and working in specialized settings can also influence salary levels.
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Occupational Therapy Assistant jobs near you
Infographic showing various Occupational Therapy Assistant job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 75% 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 $61,491 per year, or $29.6 per hour.

Occupational Therapy Assistant

Blue Stone Therapy

Rock Rapids, IA • On-site

$26 - $35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Blue Stone Therapy rating

6.8

Company rating: 6.8 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Job Type
Full-time
Description
Blue Stone Therapy is proud to be certified as a Great Place to Work®
Since 2009, Blue Stone Therapy has partnered with skilled nursing and senior living communities across the Midwest to deliver individualized, high-quality physical, occupational, and speech therapy services. We are committed to strong clinical standards, consistent operations, and long-term partnerships that support meaningful patient outcomes.
Occupational Therapy Assistant (COTA) - Rock Rapids, IA
Blue Stone Therapy is seeking an Occupational Therapy Assistant (COTA) to provide rehabilitation services to adult and geriatric patients at Lyons Specialty in Rock Rapids, IA.
This role focuses on delivering skilled occupational therapy services to adult and geriatric patients in a skilled nursing and post-acute rehabilitation setting. The Occupational Therapy Assistant works under the supervision of a licensed Occupational Therapist to implement treatment plans designed to improve activities of daily living (ADLs), functional mobility, strength, cognition, and overall independence.
This position will serve multiple partner communities, including Sibley Specialty, with travel between locations as needed.
What You'll Do
  • Provide skilled occupational therapy treatment in accordance with established plans of care
  • Implement individualized treatment programs focused on functional and measurable outcomes
  • Treat adult and geriatric patients in a skilled nursing facility (SNF) setting and rehabilitation settings
  • Monitor patient response to treatment and communicate progress with the supervising Occupational Therapist
  • Maintain timely, accurate documentation to support quality care and reimbursement standards
  • Collaborate with interdisciplinary team members and facility staff to support positive patient outcomes

Requirements
What You Bring
  • Graduate of an accredited Occupational Therapy Assistant program
  • Current Occupational Therapy Assistant license (or eligibility for licensure) in applicable state
  • Experience in skilled nursing, long-term care, or post-acute rehabilitation preferred
  • Strong communication, organization, and clinical reasoning skills
  • Commitment to patient-centered care and professional standards

Why Blue Stone Therapy?
We believe exceptional care begins with exceptional clinicians. Our teams are supported by consistent leadership, collaborative partnerships, and a shared purpose of enhancing lives through quality rehabilitation services. We invest in clinical growth, strong facility relationships, and an environment where therapists can focus on delivering meaningful outcomes.
Benefits
  • Medical, Dental, and Vision insurance
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options
  • 401(k) with employer contribution
  • Employee Assistance Program (EAP)
  • Paid Time Off (PTO) and paid holidays
  • And more

Benefits are subject to eligibility requirements and the terms of applicable plans or programs.
Blue Stone Therapy is an Equal Opportunity Employer
Salary Description
$26-$35

What Blue Stone Therapy employees say

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