How to Become an Occupational Therapy Assistant (OTA)

Picture yourself helping patients regain independence after an injury or illness — teaching them how to dress, cook, work, and live confidently again. That’s the work of an occupational therapy assistant (OTA): a hands-on healthcare professional who helps people rebuild their lives.

If you want a career that blends healthcare, psychology, and personal connection, becoming an occupational therapy assistant could be perfect for you.


Why Occupational Therapy Assistants Matter

Occupational therapy assistants work under licensed therapists to help patients improve physical, cognitive, and emotional skills. Their support helps people live more independently after injuries, disabilities, or developmental challenges.

What You Might Do Daily

  • Guide patients through therapeutic exercises and activities
  • Help people relearn daily living skills
  • Record progress and report to occupational therapists
  • Set up therapy equipment and workspaces
  • Encourage and motivate patients throughout recovery

Compassion, patience, and creativity are key in this people-centered career.


Your Career Roadmap: 5 Practical Steps

1. Earn a High School Diploma or GED

Take courses in biology, health, and psychology to prepare for occupational therapy coursework.

2. Complete an Accredited OTA Program

Occupational therapy assistant programs are offered through community colleges and technical schools. Most lead to an associate degree and take about 2 years to complete.

You’ll study:

  • Anatomy and physiology
  • Kinesiology and neuroscience
  • Occupational therapy principles
  • Patient care and adaptive techniques
  • Therapeutic exercise and assistive technology

3. Complete Supervised Fieldwork

All accredited programs include clinical fieldwork. You’ll gain hands-on experience in hospitals, rehab centers, or schools under licensed occupational therapists.

4. Earn National Certification

To practice, you must pass the National Board for Certification in Occupational Therapy (NBCOT) exam. After passing, you can use the title COTA (Certified Occupational Therapy Assistant).

Some states require additional licensing, but most base their requirements on the NBCOT standards.

5. Start Your Career

Once certified, you can work in hospitals, rehab facilities, schools, or home health settings. With experience, some OTAs specialize in pediatrics, geriatrics, or mental health.


Where Occupational Therapy Assistants Work

  • Hospitals: Supporting recovery for patients post-surgery or injury
  • Rehabilitation Centers: Helping clients regain strength and mobility
  • Schools: Assisting children with developmental challenges
  • Home Health Agencies: Providing care in patient homes
  • Skilled Nursing Facilities: Long-term rehabilitation and daily support

What It Costs to Train as an Occupational Therapy Assistant

Program Type Average Cost Typical Duration
Associate Degree $8,000 – $25,000 2 years

Payment options and flexible scheduling options are widely available through accredited OTA programs.


Skills for Success

  • Patience and empathy
  • Excellent communication skills
  • Adaptability and creativity
  • Strong physical and emotional stamina
  • Observation and recordkeeping

Tip: OTAs who stay patient and positive make a huge difference in their clients’ quality of life.


Future Job Outlook and Salary Range

Median Pay $68,340 $32.86/hr Top 10%: $86,930
Job Outlook (2024–2034) 19.3% 7,200 openings/yr
Employment (2024) 47,910
🏁Wage Percentiles
25th $59,950 75th $77,340
🌎Highest Paying States
California Texas Arkansas
🏢Top Industries
Cross-industry

Demand for occupational therapy assistants continues to grow rapidly as more people seek rehabilitation and adaptive therapy services.


Is an Occupational Therapy Assistant Career Right for You?

Great Fit If You… Maybe Not Ideal If…
Enjoy helping others improve their lives Prefer non-interactive or desk work
Have patience and creativity Struggle with emotional situations
Value a meaningful, people-focused career Dislike hands-on or physical work

Pros & Challenges

✅ Benefits

  • Skills used across many care settings
  • Personally rewarding work
  • Strong salary potential
  • Opportunities to specialize

⚠️ Challenges

  • Physically and emotionally demanding
  • Requires ongoing certification maintenance
  • May involve long or irregular hours

Occupational Therapy Assistant Salary by State

BLS OEWS, May 2024

State Median annual Top 10% annual
California $79,420 $100,860
Arkansas $77,340 $99,420
Texas $77,910 $95,900
Nevada $76,450 $95,750
New Jersey $72,800 $94,860
Alaska $51,840 $93,810
Maryland $77,330 $92,880
Vermont $67,160 $92,680
Arizona $75,020 $91,870
Idaho $69,630 $90,780
Virginia $73,870 $88,430
Montana $67,410 $87,030
Washington $76,010 $86,410
New Mexico $69,850 $86,390
South Carolina $72,970 $85,550
Delaware $72,550 $85,270
Massachusetts $72,750 $84,560
Georgia $66,090 $84,430
Louisiana $65,860 $84,030
Colorado $68,650 $83,820
New Hampshire $66,560 $83,570
District of Columbia $66,750 $83,230
Oregon $73,580 $82,240
Utah $61,280 $82,040
New York $64,660 $81,850
Alabama $61,990 $81,530
North Carolina $70,940 $80,960
Oklahoma $68,710 $80,600
Florida $71,800 $79,840
Kansas $64,880 $79,400
Ohio $62,960 $79,210
Connecticut $71,210 $78,960
Nebraska $60,900 $78,800
Kentucky $65,980 $78,660
Iowa $61,980 $78,600
Indiana $61,390 $78,410
Mississippi $62,160 $78,180
Michigan $61,460 $78,010
Illinois $63,710 $77,780
Missouri $62,830 $77,620
Tennessee $62,060 $77,290
West Virginia $61,320 $77,240
Pennsylvania $61,430 $76,200
Maine $59,370 $74,010
Hawaii $63,300 $73,940
Rhode Island $63,590 $73,170
Wisconsin $58,400 $72,820
Wyoming $57,550 $70,720
South Dakota $51,820 $70,670
Minnesota $60,570 $69,330
North Dakota $59,410 $62,780

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2024.

💡 Top earners work in home health, specialized rehab centers, and long-term care facilities.


Start Your Training Today

Many OTA programs take about two years; timelines vary by program and state. Licensure/certification requirements and employment outcomes vary by state and employer. Find accredited OTA programs near you:

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