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$46

How much do pediatric occupational therapy assistant jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for pediatric 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 are the key skills and qualifications needed to thrive as a Pediatric Occupational Therapy Assistant, and why are they important?

To thrive as a Pediatric Occupational Therapy Assistant, you need a solid understanding of pediatric development, occupational therapy principles, and an associate degree from an accredited OTA program along with state licensure. Familiarity with adaptive equipment, therapy documentation software, and standardized assessment tools is typically required. Compassion, patience, and strong interpersonal communication skills help build trust with children and collaborate effectively with families and healthcare teams. These competencies are crucial for delivering effective interventions that support children's growth, independence, and overall well-being.

What does a Pediatric Occupational Therapy Assistant do?

A Pediatric Occupational Therapy Assistant (OTA) works under the supervision of an occupational therapist to help children develop the skills needed for daily living and school activities. They assist in implementing therapy plans, guiding children through exercises and activities designed to improve motor skills, coordination, and independence. Pediatric OTAs often work in schools, hospitals, or clinics, and collaborate with families and teachers to support each child’s developmental needs. Their goal is to help children participate more fully in everyday activities despite physical, developmental, or emotional challenges.

What is the difference between Pediatric Occupational Therapy Assistant vs Pediatric Speech-Language Pathology Assistant?

AspectPediatric Occupational Therapy AssistantPediatric Speech-Language Pathology Assistant
CredentialsCertified Occupational Therapy Assistant (COTA), state licensureCertified Speech-Language Pathology Assistant (SLPA), state licensure
Work EnvironmentHospitals, clinics, schools, therapy centersSchools, clinics, hospitals, therapy centers
Employer & Industry UsageHealthcare, educational settings, pediatric clinicsEducational institutions, healthcare, pediatric clinics

Both roles support pediatric therapy teams but focus on different areas. Pediatric Occupational Therapy Assistants help children develop daily living skills and motor functions, while Pediatric Speech-Language Pathology Assistants focus on speech, language, and communication disorders. They share similar credentials and work environments, often collaborating within multidisciplinary teams to support children's developmental needs.

What are some common challenges Pediatric Occupational Therapy Assistants face when working with children, and how are they addressed?

Pediatric Occupational Therapy Assistants often encounter challenges such as engaging children with diverse needs, managing behavioral issues, and adapting interventions to a child’s developmental level. To address these, they use creative play-based techniques, work closely with supervising occupational therapists, and maintain open communication with families and teachers. Ongoing training and collaboration within multidisciplinary teams also help ensure effective strategies are used to maximize each child's progress.
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Pediatric Occupational Therapy Assistant jobs near you
Infographic showing various Pediatric 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.
Pediatric Occupational Therapy Assistant

Pediatric Occupational Therapy Assistant

Center for Pediatric Therapies

Martinsville, VA • On-site

$26.75 - $35.75/hr

Full-time

Posted 23 days ago

Job description

Company Description
The Center for Pediatric Therapies (CPT) is a full service rehabilitation clinic serving children from birth through age 21 in Southside Virginia. CPT offers a multidisciplinary approach to treat a variety of neurological, orthopedic, and developmental disorders. Our services are delivered in the most appropriate environment for the child, whether that is in the home, daycare, school, or one of our kid-friendly outpatient clinics in Danville, Lynchburg, South Boston or Martinsville, Virginia.
Job Description
The Pediatric Occupational Therapy Assistant is responsible for the treatment of referred patients that require rehabilitation services which includes; providing direct patient care to assess their medical condition, functional capabilities, limitations and restrictions and potential for rehabilitation. As well, the Occupational Therapy Assistant must document and record the patient's condition and educate patients and families in an appropriate therapy methods. The OTA works under the supervision of the OT, collaboratively with a multidisciplinary team including OTs, PTs, SLPs, and teachers.
Qualifications
  • Must have graduated from an accredited school
  • Current Virginia license as a Occupational Therapy Assistant or proactively in the process of the application process for current state licensure as a Occupational Therapy Assistant
  • Current CPR certification
  • Valid driver's license
  • Experience in pediatric occupational therapy (preferred, not required)

Additional Information
All your information will be kept confidential according to EEO guidelines.

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