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How to Get a Job as an Occupational Therapy Assistant

An occupational therapist assists a patient with a dexterity task of screwing nuts onto a board of bolts to build strength

Occupational Therapy Assistants (OTAs) support Occupational Therapists in helping patients recover and improve their ability to perform daily living and working activities. They work directly with patients to carry out treatment plans that enhance mobility, coordination, and independence. According to the U.S. Bureau of Labor Statistics, employment of occupational therapy assistants is projected to grow 23% from 2022 to 2032, much faster than average, with about 9,600 job openings each year【source: BLS】.


Entry-Level Requirements for Occupational Therapy Assistants

To launch a career as an Occupational Therapy Assistant, you typically need:

Education: An associate degree in occupational therapy assisting from a program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE). These programs usually take two years and include both classroom instruction and supervised fieldwork.

Certifications & Licenses: OTAs must pass the National Board for Certification in Occupational Therapy (NBCOT) exam to earn the credential Certified Occupational Therapy Assistant (COTA). All U.S. states require OTAs to hold a license to practice.

Experience: Clinical fieldwork placements during the degree program provide critical hands-on experience working with patients under supervision.


Expected Salary for Occupational Therapy Assistants

  • Entry-Level: $55,000–$65,000 annually

  • Mid-Level: $65,000–$80,000 annually

  • Senior-Level: $80,000–$95,000+ annually

The median annual wage for occupational therapy assistants in the U.S. is $66,280【source: BLS】.


Skills and Abilities Needed to Excel

  • Compassion and patience when assisting patients

  • Strong communication and motivational skills

  • Knowledge of rehabilitation and therapeutic techniques

  • Physical stamina and dexterity

  • Ability to follow detailed treatment plans accurately


Is This Role Better for Introverts or Extroverts?

This career is generally a better fit for extroverts. Occupational Therapy Assistants work closely with patients, encouraging progress and maintaining a positive, motivating environment. Extroverts often thrive in this hands-on, people-centered role that requires energy, communication, and collaboration.


Top 5 Degree Programs with Best ROI for Occupational Therapy Assistants


Can You Become an Occupational Therapy Assistant Without a Degree?

No. You must complete an ACOTE-accredited associate degree program and pass the NBCOT exam to become licensed. However, individuals can start in support roles such as rehabilitation aide or therapy technician to gain experience in the field before pursuing certification.


Five Jobs Similar to Occupational Therapy Assistant

  • Physical Therapist Assistant

  • Occupational Therapy Aide

  • Massage Therapist

  • Recreational Therapist

  • Rehabilitation Specialist


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Top Startups and Organizations Hiring OTAs


Occupational Therapy Assistants make a tangible difference in people’s lives by helping them regain independence and confidence after injury or illness. This fast-growing, people-focused field is ideal for extroverts who enjoy collaboration, hands-on care, and motivating others toward recovery.

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