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How much do pediatric cota jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for pediatric cota 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 is a pediatric COTA?

A Pediatric Certified Occupational Therapy Assistant (COTA) is a healthcare professional who works under the supervision of an occupational therapist to help children develop, recover, and improve skills needed for daily living and school activities. They assist in implementing therapeutic activities and interventions designed specifically for children who have physical, developmental, or emotional challenges. Pediatric COTAs often work in settings such as schools, hospitals, outpatient clinics, and early intervention programs, collaborating with families and other professionals to support a child's growth and independence.

What does a pediatric COTA do?

As a pediatric certified occupational therapy assistant or pediatric COTA, your job is to provide occupational therapy services to children. In this role, you assist patients with special needs, help them develop the correct behavior and motor skills, and promote cognitive development. As an assistant, your job is to work directly under an occupational therapist (OT) who makes the primary decisions about care, but you may work independently on some tasks. Pediatric COTAs often travel to visit patients in hospitals, schools, and home settings, so a driver's license and reliable transportation are essential to your success in this field.

What are the key skills and qualifications needed to thrive as a pediatric Certified Occupational Therapy Assistant (COTA), and why are they important?

To thrive as a Pediatric Certified Occupational Therapy Assistant (COTA), you need a solid understanding of pediatric development, therapeutic techniques, and must hold an associate degree in occupational therapy and national certification (COTA credential). Familiarity with adaptive equipment, therapy documentation software, and standardized assessment tools is essential. Strong communication, patience, and creativity are critical soft skills for engaging children and collaborating with families and therapists. These skills ensure effective support for children's development, accurate progress tracking, and a positive therapeutic environment.

What are some common challenges pediatric COTAs face when working with children in diverse clinical settings?

Pediatric COTAs often encounter challenges such as adapting therapy techniques to suit children with varying developmental levels and diagnoses, as well as communicating effectively with both children and their families. Working in diverse clinical settings—such as schools, outpatient clinics, or hospitals—requires flexibility and creativity to engage children in therapeutic activities while also collaborating closely with occupational therapists, teachers, and other healthcare professionals. Balancing documentation requirements with direct patient care can also be demanding, but strong organizational skills and teamwork can help manage these responsibilities successfully.

What is the difference between Pediatric Cota vs Pediatric Occupational Therapist?

AspectPediatric CotaPediatric Occupational Therapist
Required CredentialsCertified Occupational Therapy Assistant (COTA) credentialMaster's degree in Occupational Therapy and state licensure
Work EnvironmentAssist in therapy sessions under supervision, typically in clinics, schools, or hospitalsConducts evaluations, develops treatment plans, and provides therapy independently
Employer & Industry UsageHospitals, schools, outpatient clinics, pediatric therapy centersHospitals, clinics, schools, outpatient settings

The Pediatric Cota works under the supervision of an Occupational Therapist, focusing on implementing treatment plans and assisting with therapy activities. In contrast, a Pediatric Occupational Therapist independently evaluates and develops treatment strategies for children. Both roles are essential in pediatric therapy but differ in scope, education, and responsibilities.

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Pediatric Cota jobs near you
Infographic showing various Pediatric Cota job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 5% As Needed, 69% Full Time, 17% Part Time, and 8% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Certified Occupational Therapy Assistant (COTA) - Pediatrics

Pivot Home Health

Wheat Ridge, CO • On-site

$54 - $62/hr

Other

Medical, Dental, Vision, Life, PTO

Re-posted 10 hours ago

Job description

Certified Occupational Therapy Assistant (COTA) | Pediatric Home Health

Region: Lakewood, Wheat Ridge & Arvada
Employment Type: full-time or part-time (FT is 20 visits/week)
Caseload: full caseload of babies and pediatric patients available on day 1
Compensation: $54-$62 per visit

Join Pivot, Where Clinicians Come First

At Pivot Home Health, we believe that when clinicians are supported, patients thrive. Our clinician-first approach removes unnecessary barriers, allowing you to focus on what truly matters, helping children grow, play, and build independence in their everyday lives.

We’re hiring Pediatric Certified Occupational Therapy Assistants (COTAs) across Colorado to provide therapy in home-based and community settings. Join a compassionate, growing team that values autonomy, flexibility, and purpose-driven care.

Why Join Pivot?Flexibility & Autonomy
  • Choose your own caseload with no minimum visit requirement
  • Set your schedule to fit your lifestyle and financial goals
  • Provide therapy in homes for natural, meaningful progress
  • iPad provided for seamless electronic documentation
Support You Can Count On
  • Clinical Therapy leadership that backs your clinical decisions
  • 24/7 on-call support for guidance and emergencies
  • Ongoing mentorship, training, and professional development
Top-Tier Benefits
  • Comprehensive health, dental, and vision insurance with employer contributions
  • Short- and long-term disability, life insurance, and accident coverage
  • Professional liability insurance included
  • PTO with no annual cap, earned from day one, and increasing with tenure
  • Paid sick leave and holiday incentive pay
  • CEU benefits, including paid annual OTAC membership and conference fees
Your Impact as a Pediatric Certified Occupational Therapy Assistant

As a home health pediatric COTA, you’ll work under the direction of an Occupational Therapist to help children reach important developmental milestones and achieve independence in daily routines. You’ll implement treatment plans that focus on fine motor skills, sensory regulation, play, self-care, and school readiness. By engaging children in meaningful, play-based activities, you’ll help them build confidence and functional skills while supporting families with practical strategies they can use every day.

Requirements
  • Active Colorado Certified Occupational Therapy Assistant (COTA) license
  • (New graduates and relocating clinicians encouraged to apply)
  • Current CPR certification
  • Strong communication, organization, and collaboration skills
  • Passion for helping children reach their full potential through home-based care

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