All careersHealthcare

Occupational Therapy Assistant

$72,300
median / year
$51,490 – $89,780
what most earn per year (10th–90th percentile)

What the job actually is

Carry out occupational therapy plans, helping patients practice daily-living and work skills.

You may also see this posted as: Certified Occupational Therapist Assistant (COTA), Certified Occupational Therapy Assistant (COTA), Licensed Occupational Therapy Assistant (LOTA), Occupational Therapy Assistant (OTA), Acute Care Occupational Therapy Assistant (Acute Care OT Assistant), Certified Occupational Assistant.

Where you work

Clinics, schools, and nursing homes; hands-on, active, on your feet.

The hours

Full-time and part-time; some evenings and weekends.

The day to day

What you'd actually spend time doing

  • Instruct, or assist in instructing, patients and families in home programs, basic living skills, or the care and use of adaptive equipment.
  • Maintain and promote a positive attitude toward clients and their treatment programs.
  • Report to supervisors, verbally or in writing, on patients' progress, attitudes, and behavior.
  • Implement, or assist occupational therapists with implementing, treatment plans designed to help clients function independently.
  • Monitor patients' performance in therapy activities, providing encouragement.

Good fit if you like…

Social

helping, teaching, caring for, or supporting other people

Conventional

organizing information, following systems, and getting details right

Realistic

working with tools, equipment, materials, or the physical world

O*NET job zone 3 of 5

Medium preparation—often vocational training, an associate degree, or substantial experience—is usually needed.

Work styles that matter most

EmpathyDependabilityCooperationAttention to Detail

Software that shows up in the work

Examples employers report—not a checklist you must already know.

eClinicalWorks EHR softwareFacebookMicrosoft AccessMicrosoft ExcelMicrosoft Office softwareMicrosoft Outlook

By the numbers

May 2025 BLS wage & employment data · 2024–34 BLS employment projections.

Median pay
$72,300
per year
Hourly median
$34.76
per hour
What most earn
$51,490–$89,780
yearly, 10th to 90th percentile
Openings a year
~7,200
projected, 2024–34
Outlook to 2034
+19.2%
Much faster than average
Working in the U.S.
51,290
people, nationwide

Openings a year counts new jobs plus the ones that open when people retire or move on — a truer picture of your odds than growth alone.

“Median” means half earn more and half earn less. Your city, employer, and years on the job move it a lot — that is what the 10th-to-90th range shows.

What it pays in your state

Statewide medians are a better starting point than the national number. Your city and experience still matter.

BLS state wage tables

How you get in

Typical starting education

Associate degree

Training path: Associate degree + license.

Related work experience: None.

On-the-job training: None.

License or certification

Most states require a license after an accredited associate program and exam.

Check the path where you live

Licensing rules and available programs change by state. These federal tools take you to the current official listings.

What it takes

CompassionPatienceCommunicationPhysical stamina

The honest take

OT's 2-year sibling — same growth story as PTA.

Standard Occupational Classification 31-2011. Pay and employment from the BLS May 2025 OEWS survey; outlook and openings from the 2024–34 employment projections; job context from the Occupational Outlook Handbook; tasks, interests, work styles, software examples, and job zone from O*NET 30.3. See something off? Tell us.