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Pediatric Occupational Therapy Assistant information

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

As of Aug 8, 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.

Do pediatric occupational therapy assistants or occupational therapy assistants get paid more?

Pediatric occupational therapy assistants and occupational therapy assistants generally earn similar wages, as both roles require comparable certifications and responsibilities. Salaries can vary based on experience, location, and work setting, but there is no consistent difference in pay solely based on the specialization in pediatrics versus general occupational therapy assistance.

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 August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% 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 Therapist

RiverKids Pediatric Home Health

El Paso, TX • On-site

$74K - $91K/yr

Full-time, Part-time, Per diem

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Why Join RiverKids?
? Flexible scheduling (Part-Time, Full-Time, PRN options)
? Supportive, family-focused company culture
? Treat within your comfort zone - always
? Make a real impact in the lives of children
? Full Benefits package for Full Time CREW
Pay: $74,100.00 - $91,000.00 per year
Job description:
Pediatric Occupational Therapist (OT) - Home Health
Part-Time Full-Time PRN
At RiverKids Pediatric Home Health, you're more than an employee - you're part of our CREW. Our CREW makes it possible for us to do what we love most: serve and support our kiddos and families with exceptional care. We believe in creating a positive, flexible, and supportive work environment where clinicians feel valued, respected, and empowered to work within their comfort zone.
Position Overview
RiverKids Pediatric Home Health is actively seeking a Pediatric Occupational Therapist (OT) and Certified Occupational Therapy Assistants (COTA) to provide in-home pediatric therapy services in varies locations. We serve Houston, Dallas, Fort Worth, Austin, San Antonio, El Paso, Amarillo and all surrounding areas.
We offer flexible scheduling - allowing you to maintain work-life balance while delivering high-quality care.
Responsibilities
  • Evaluate and treat pediatric patients in a home health setting
  • Develop individualized treatment plans based on patient needs and goals
  • Implement evidence-based occupational therapy interventions Educate families and caregivers on therapy strategies and progress
  • Maintain accurate and timely documentation
  • Collaborate with interdisciplinary therapy teams

Benefits:
  • 401(k)
  • 401(k) matching
  • Continuing education credits
  • Dental insurance
  • Disability insurance
  • Flexible schedule
  • Health insurance
  • Health savings account
  • License reimbursement
  • Life insurance
  • Paid time off
  • Referral program
  • Vision insurance
  • Wellness program

Language:
  • Spanish (Preferred)

License/Certification:
  • Texas Occupational Therapy License (Required)

Work Location: On the road
Requirements
Qualifications Occupational Therapist (OT):
  • Active Texas OT license Certified

Occupational Therapy Assistant (COTA):
  • Active Texas COTA license

For All Candidates:
  • CPR Certification
  • Pediatric experience preferred (home health experience a plus)
  • Strong communication and organizational skills
  • Reliable transportation
  • Auto Insurance
  • Passion for working with children and families

Apply