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 $59,95075th $77,340
🌎Highest Paying States
CaliforniaTexasArkansas
🏢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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