Assist occupational therapists in providing occupational therapy treatments and procedures. May, in accordance with state laws, assist in development of treatment plans, carry out routine functions, direct activity programs, and document the progress of treatments. Generally requires formal training.
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Licensing, certifications and working conditions
State licensing. Occupational Therapy Assistants is licensed or registered in 48 of 57 states and territories, as reported by each state to CareerOneStop. A license often applies only to certain roles within a career, and records were last updated between 2010 and 2024, so confirm requirements with the state licensing board.
Certifications. CareerOneStop directly links 2 professional certifications to Occupational Therapy Assistants. 1 of them are in CareerOneStop's "Core" group, for example: Certified Occupational Therapy Assistant (COTA). Certifications are voluntary credentials offered by the organizations named; listing one is not an endorsement.
Working conditions. The typical heaviest weight lifted or carried is about 50.0 pounds. Shares of workers who interact with the general public (over 99.5%), have a consistently fast work pace (72.1%), and cannot pause their work (79.1%). From the U.S. Bureau of Labor Statistics Occupational Requirements Survey (2023 estimates); figures describe the occupation on average.
Sources: CareerOneStop (licenses and certifications), part of the CareerOneStop suite of web products, sponsored by the U.S. Department of Labor Employment and Training Administration; U.S. Bureau of Labor Statistics (working conditions, wages). MajorPays has reorganized this information; these agencies have not approved or endorsed it. See it interactively, with state-by-state detail →
More data on this career
Where the jobs are, and what they pay by industry. Nationwide, the industries that employ the most occupational therapy assistants are Offices of Other Health Practitioners (42% of the jobs counted, median pay $70,820), Nursing Care Facilities (Skilled Nursing Facilities) (20% of the jobs counted, median pay $76,780), General Medical and Surgical Hospitals (12% of the jobs counted, median pay $64,970), Home Health Care Services (7% of the jobs counted, median pay $77,310) (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025). Among large industries, the highest median pay is in Home Health Care Services ($77,310), Nursing Care Facilities (Skilled Nursing Facilities) ($76,780), Specialty (except Psychiatric and Substance Abuse) Hospitals ($74,960). Pay differs by industry for many reasons, including the mix of jobs and where employers are located.
Injury and illness rates. For occupational therapy assistants, employers reported 107.3 nonfatal injury and illness cases with days away from work per 10,000 full-time workers, compared with 94.6 for all U.S. workers; the median case kept the worker away 6 days (all workers: 8) (U.S. Bureau of Labor Statistics, 2023-2024). Rates reflect the work setting as well as the occupation.
Projected supply and demand. HRSA projects the supply of occupational therapy assistants at 102% of demand in 2025 and 113% in 2038 (100% means supply matches demand). These are model projections, not forecasts of any one job market (U.S. Health Resources and Services Administration).
Union membership. In the broad group "Healthcare support", which includes this career, 8.7% of wage and salary workers belong to a union (all U.S. workers: 10.0%); median weekly pay is $884 for union members and $777 for workers not in a union (U.S. Bureau of Labor Statistics, Current Population Survey, 2025). This is a group figure, not specific to occupational therapy assistants.
Employer benefits. In the broad group "Service", which includes this career, 52% of civilian workers had access to an employer retirement plan, 51% had access to employer medical care benefits, and 70% had paid sick leave, 60% paid vacation and 59% paid holidays (all civilian workers: 75%, 74%, 83%, 77% and 79%) (U.S. Bureau of Labor Statistics, National Compensation Survey, March 2026). This is a group figure, not specific to occupational therapy assistants, and having access to a benefit does not mean every worker uses it. The Bureau of Labor Statistics has not endorsed this presentation. Employers spent about $27.17 per hour worked on total compensation for the occupational group "Service" in June 2026 ($19.59 in wages and salaries and $7.58 in benefits, 27.9% of the total; all civilian workers: $49.46, with 31.6% in benefits) (U.S. Bureau of Labor Statistics, Employer Costs for Employee Compensation).
Work environment. In O*NET's survey of workers in this occupation, the conditions most often placed at the two highest levels for occupational therapy assistants are: contact with others (100%), freedom to make decisions (100%), physical proximity (99%), determine tasks, priorities and goals (99%), exposed to disease or infections (99%), face-to-face discussions with individuals and within teams (96%). Each percentage is the share of respondents choosing the top two levels for that condition (for example 'most of the time' or 'continually'), so it describes how common the condition is in the job, not how a particular workplace is (O*NET 31.0 Database, U.S. Dept. of Labor, ETA, CC BY 4.0).
Typical preparation. In O*NET's survey of workers in this occupation, for related work experience, the most common answer (39% of 17 respondents) was "over 6 months, up to and including 1 year". These are what workers report is needed to do the job; employers' requirements and individual paths vary (O*NET 31.0 Database, U.S. Dept. of Labor, ETA, CC BY 4.0).
Related careers. O*NET lists these occupations as similar to occupational therapy assistants in the work done and the skills used: Occupational Therapy Aides, Physical Therapist Assistants, Physical Therapist Aides, Psychiatric Technicians, Respiratory Therapists, Acute Care Nurses, Radiation Therapists, Licensed Practical and Licensed Vocational Nurses (O*NET 31.0 Database, U.S. Dept. of Labor, ETA, CC BY 4.0).
Pay by state. See what occupational therapy assistants earn in each state, with the pay range and number of jobs: Occupational Therapy Assistants salary by state (U.S. Bureau of Labor Statistics, May 2025).
Compare occupational therapy assistants with other careers (pay, growth, openings and education side by side).
Sources: U.S. Census Bureau, American Community Survey 2024 PUMS (MajorPays' own estimates from the survey; Census is credited as the source of the original data and has not endorsed them); BLS Survey of Occupational Injuries and Illnesses; BLS Current Population Survey; BLS National Compensation Survey (employee benefits); HRSA National Center for Health Workforce Analysis; U.S. Department of Labor, Office of Foreign Labor Certification (LCA disclosure data, FY2025). MajorPays has selected and reorganized these figures; these agencies have not approved or endorsed them. See it interactively →
Occupational Therapist Assistant
CIP 51.0803