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$46

How much do pediatric cota jobs pay per hour?

As of Aug 24, 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.

Occupational Therapy Assistant: West Little Rock

Cynergy Rehab Group/Arkids Pediatric Day Centers

Little Rock, AR • On-site

$27.25 - $36.50/hr

Part-time

Re-posted 21 days ago

Job description

Pediatric COTA - Flexible Settings | Outpatient
Work with young children in an Outpatient setting and grow your skills in pediatrics-all within one supportive team.
Build meaningful relationships with kids and families while delivering fun, play-based therapy.
Join a company where therapists feel heard, supported, and excited to come to work.
Certified Occupational Therapy Assistant (COTA) - Pediatric Settings
Part-Time | Cynergy Rehab Group
Come work for an established, supportive company that puts pediatric therapy at the heart of its brand. At Cynergy Rehab Group, we don't just provide therapy-we build relationships, support families, and help children reach meaningful milestones in their everyday lives.
As a Certified Occupational Therapy Assistant (COTA), you will work under the direction of an Occupational Therapist to deliver individualized, play-based therapy across two dynamic pediatric settings.
Settings:
  • Outpatient Pediatric Clinic: Serving children and adolescents up to age 21

Schedule: Part-time
License Requirement: Active COTA license
Your Role in Action
This is a hands-on, highly interactive role where creativity and adaptability are key. You'll have the opportunity to work with a wide range of ages and developmental needs across both settings.
In this role, you will:
  • Provide 1:1 play-based therapy sessions to children with developmental delays, sensory processing needs, autism spectrum disorders, and other diagnoses
  • Implement treatment plans developed by the supervising OT, focusing on fine motor skills, visual motor integration, sensory regulation, and daily living skills
  • Use creative, child-led activities (sensory play, crafts, obstacle courses, structured routines) to promote engagement and progress
  • Support development of self-care skills such as feeding, dressing, grooming, and toileting readiness
  • Apply sensory integration strategies to improve attention, behavior, and participation
  • Educate and partner with parents/caregivers to support carryover at home
  • Monitor progress and communicate updates to the supervising OT
  • Complete electronic documentation accurately and in a timely manner
  • Work alongside a multidisciplinary team (OT, PT, SLP) to provide comprehensive care
  • Maintain a safe, clean, and organized therapy environment

What the Day Looks Like
  • A mix of structured therapy sessions and natural, play-based interventions
  • Opportunities to build strong, consistent relationships with children and families
  • A collaborative, supportive environment where your input is valued
  • A fast-paced, rewarding day where no two sessions are the same

What We're Looking For
  • Current COTA license
  • Passion for working with children across a range of developmental stages
  • Ability to be engaging, creative, and flexible in different settings
  • Strong communication and teamwork skills
  • Commitment to providing compassionate, high-quality care

Why Choose Cynergy Rehab Group?
Over 95% of our therapists say they would recommend Cynergy Rehab Group as a great place to work.
In fact, they have some pretty great things to say about working here:
"I have never worked for a company that cares so much about their employees and their input.""I have seen time and time again where employees recommend things and they truly try to implement those ideas."
"The best place I have ever worked!!! All staff and management are very supportive and I enjoy coming to work each day!!"
"The support from regional directors and management is excellent."
Additional perks you'll actually enjoy:
  • Easy-to-use electronic documentation system
  • Company swag
  • Community events and outreach opportunities
  • Team celebrations and company events

Join a Growing Team
Cynergy Rehab Group is one of the fastest-growing therapy providers in Arkansas, and we're looking for passionate clinicians who want to grow with us.
Are you ready to experience the Cynergy difference?
Apply today and make a lasting impact in the lives of children and families.

Apply