Occupational Therapy Assistant
Allied healthcare
Occupational therapy support blends hands-on care, adaptation, human context, and patient motivation.
- BLS median pay
- $68,340 (May 2024)
- Job outlook
- 19% growth for occupational therapy assistants, 2024-34
- Training path
- Associate degree, about 2 years
- Entry education
- Associate's degree
- On-the-job training
- None
- Physical demand
- Medium
- Category
- Allied healthcare
- AI resilience
- Strong
Why This Role Is More Resilient
This career has strong AI resilience. It depends on in-person judgment, licensed responsibility, or physical care that current AI systems cannot reliably replicate.
Best For
Patient, practical people who enjoy helping others rebuild daily-life skills.
Avoid If
You want independent desk work or dislike clinical documentation.
First Step to Research
Find ACOTE-accredited OTA programs and review fieldwork requirements.
How to Start: First Jobs, Common Mistakes, and Fit
Distilled from how working people and job postings describe the entry path. Use it for direction, then verify licensing, pay, and program details locally.
First job titles to search
Entry roles often aren't posted under "Occupational Therapy Assistant." Search and apply under these titles too:
- Occupational therapy assistant
- Certified occupational therapy assistant
- COTA
- New grad COTA
- OT aide
- Rehab aide
Common beginner mistakes to avoid
- Searching only "Occupational Therapy Assistant" and missing the real beginner titles: Occupational therapy assistant, Certified occupational therapy assistant, COTA, New grad COTA.
- Paying for training before verifying local employer demand and official eligibility.
- Assuming national wage data equals local first-year pay.
- Buying tools, products, equipment, or supplies before receiving a real list.
- Ignoring schedule, commute, physical strain, and first-setting realities.
Signs this could be a good fit
- You can handle patient contact and documentation.
- You can complete structured schooling and clinical evaluation.
- You are detail-oriented under time pressure.
- You can tolerate bodily fluids, anxious people, and schedule constraints.
Warning signs it may not be
- You cannot reduce outside work during clinical-heavy terms.
- You dislike patient contact or documentation.
- Programs near you have unclear accreditation or poor outcomes.
- Local first jobs do not match your tolerance.
What This Pays in Your State
Occupational Therapy Assistant salary & licensing by state
Real state and metro wages, license steps, and where to train as an occupational therapy assistant in every state we cover:
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Sources and Verification
Pay, education, training, and outlook data sourced from Bureau of Labor Statistics Occupational Outlook Handbook: Occupational therapy assistants and aides. Verified 2026-06-09. Standard Occupational Classification (SOC) 31-2011 / Occupational Information Network (O*NET) 31-2011.00.
View BLS Occupational Outlook · View O*NET Profile
National median pay is a starting point only. State licensing, local wages, training costs, clinical placement rates, and local employer demand vary. Always verify with the Bureau of Labor Statistics, O*NET, state licensing boards, and local training providers before making a decision.