HEALTH Zone 3: Medium Preparation

Occupational Therapy Assistant

Occupational Therapy Assistant is one of the fastest-growing occupations in the country, projected to grow +21.5% through 2035. Median pay sits at $72,300 nationally, a strong return for the training investment.

About Occupational Therapy Assistant

This page sets out what the federal data says about working as a occupational therapy assistant: what the job pays, how fast it is growing, and what it takes to get in. Most people arrive through a degree in Medical Assisting and what it leads to, though it is not the only route.

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.


Median Wage
$72,300
Employed Nationally
51K
Openings / Year
8,100
Entry Education
Associate's degree
Job Zone
Zone 3: Medium Preparation

Also known as:

Acute Care Occupational Therapy Assistant (Acute Care OT Assistant) Certified Occupational Assistant Certified Occupational Therapist Assistant (COTA) Certified Occupational Therapy Assistant (COTA) Certified Travel OTA (Certified Travel Occupational Therapist Assistant)

How Much Do Occupational Therapy Assistants Make?

Most occupational therapy assistants take home around $72,300 a year, above what most college graduates make. Half earn somewhere between $61,710 and $79,160, so where you land depends a lot on employer, specialty and city. A solid living in most parts of the country. Source: BLS.

A wage on its own says nothing about whether the degree behind it pays for itself, which is a question of lifetime earnings set against the total cost of getting there.

$72,300
National Median (Annual)

Above the national median for college graduates.

$62K–$79K
Middle 50% Range

25th to 75th percentile. Most workers earn within this band.


Earnings Range

What Do Occupational Therapy Assistants Do?

This is what the job actually looks like on a Tuesday: 5 core activities and 5 skills the work depends on. Read it before the salary, because pay matters less than whether you would want to spend your days doing this. Source: O*NET.

What You'll Do

  • Instruct, or assist in instructing, patients and families in home programs, basic living skills, or the care and use of adaptive equipment.
  • Maintain and promote a positive attitude toward clients and their treatment programs.
  • Report to supervisors, verbally or in writing, on patients' progress, attitudes, and behavior.
  • Implement, or assist occupational therapists with implementing, treatment plans designed to help clients function independently.
  • Monitor patients' performance in therapy activities, providing encouragement.

Core Skills Employers Look For

Active Listening Speaking Service Orientation Social Perceptiveness Reading Comprehension

Who Thrives Here

S
Social

Working closely with people, teaching, advising, or helping others navigate challenges is a defining feature of this career's daily work.

C
Conventional

Success depends on precision and structured processes, where detail-oriented people who work consistently within established systems perform best.

R
Realistic

Hands-on tasks, physical activity, or working with tools and real materials are central parts of the daily work here.

Where Do Occupational Therapy Assistants Work?

What the physical and mental conditions of this job actually look like day to day, based on O*NET Work Context data collected from people working in this occupation.

Work Setting
Mixed

Split between indoor and outdoor or field settings.

Physical Demands
Light

Mix of sitting and movement throughout the day.

Stress Level
Moderate

Moderate pressure. Regular deadlines exist but are generally manageable with experience.

What Is the Job Outlook for Occupational Therapy Assistants?

Through 2035 the BLS expects this field to change by +21.5%, meaning it is growing faster than most occupations, so jobs should be easier to find over time. Around 8,100 roles open up each year, which is the number that matters most if you are starting out. Source: BLS.

Growth rates are only meaningful next to other occupations, and the full list of careers with their projected growth puts this one in context.

↗ +21.5%
10-Year Growth (2025–2035)

Much faster than average.

8,100
Annual Openings

New positions plus replacements for retirees and career-changers.

51K
Currently Employed

Total US employment as of BLS May 2025.

Source: BLS Employment Projections 2025–2035 and Occupational Employment and Wage Statistics May 2025.

Where the Jobs Are

The five states below employ the most Occupational Therapy Assistant professionals nationwide. State-level wages can differ significantly from the $72,300 national median. Research your specific market before committing to a program.

# State Jobs Median Wage vs. National
1 Texas 5,610 $81,500 +12.7%
2 Florida 3,910 $71,630 -0.9%
3 Ohio 3,890 $62,700 -13.3%
4 California 3,840 $81,770 +13.1%
5 Pennsylvania 2,560 $71,590 -1.0%

Source: BLS Occupational Employment and Wage Statistics, May 2025. Employment figures rounded. Read our methodology →

How to Get Here

To get hired here you will usually need a associate's degree. The program below is the most common route in, ordered by how many people actually graduate from each one.

Associate's degree
Zone 3: Medium Preparation

A medium amount of preparation is required, often an associate degree, certificate program, or apprenticeship, plus some related experience.


Degree Programs That Lead Here

# Program Graduates/yr 4yr Median Colleges
1 Medical Assisting 79,189 $68,559 1,600

Top Colleges for Aspiring Occupational Therapy Assistants

Colleges offering the degree programs that lead to this career, ranked by UCD Score. A strong program plus solid outcomes is a good place to begin your search.

# College UCD Score Net Price Salary 10yr
1 Victor Valley College Victorville, CA 90 $1,947 $36,119
2 Turtle Mountain College Belcourt, ND 88 $3,428 $32,079
3 Pima Medical Institute-Tucson Tucson, AZ 88 — $38,673
4 Martinsburg College Cheyenne, WY 87 $11,956 —
5 South Georgia Technical College Americus, GA 86 $1,164 $30,364
6 Institute of Medical Careers Pittsburgh, PA 86 $21,392 —

Plan Your Path

Once you've sized up Occupational Therapy Assistant, these tools turn the numbers into a plan. Estimate the real cost of a degree that leads here, weigh the long-term payoff, compare specific colleges side-by-side, and find programs that match your profile.

Occupational Therapy Assistant Pros & Cons

Strong earnings and growing demand make Occupational Therapy Assistant a compelling path. The 3 strengths and 1 trade-offs below are drawn from BLS wage data and employment projections.

PROS
  • Above-average pay At $72,300 median annually, this career pays meaningfully more than most college-graduate roles. Financial return on education is typically strong.
  • Exceptional job growth The BLS projects +21.5% employment growth through 2035, one of the fastest rates across all occupations. Demand for qualified candidates should remain elevated for a decade.
  • Accessible entry path The typical entry requirement is a associate's degree, lower than many comparable-paying careers. This creates a shorter path from training to first paycheck.
CONS
  • Earnings and demand vary significantly by region National figures for Occupational Therapy Assistant mask real geographic variation. High-demand metros can pay 20% or more above the national median while lower-cost or rural markets often fall well short. Where you work matters nearly as much as your credentials.

Occupational Therapy Assistant Frequently Asked Questions

How much do Occupational Therapy Assistant professionals earn?
Around $72,300 a year for the typical worker, near the national median for full-time workers. The middle 50% of earners fall between $61,710 and $79,160. Treat the national figure as a starting point rather than a promise: employer size, industry and city all move it.
Is Occupational Therapy Assistant a good career?
For people genuinely interested in the work, yes. At $72,300 median, with +21.5% projected growth through 2035, there is a real financial case and a stable market for new entrants. Compare program net price against local salary outcomes (not just the national median) before committing.
How do I become an Occupational Therapy Assistant?
Most Occupational Therapy Assistant positions require a associate's degree as the minimum credential. a medium amount of preparation is required, often an associate degree, certificate program, or apprenticeship, plus some related experience. Programs like Medical Assisting are common starting points.
How fast is the Occupational Therapy Assistant field growing?
Very fast. The BLS projects +21.5% growth for Occupational Therapy Assistant through 2035, well above the roughly 5% national average and among the fastest rates across all occupations. Demand is being driven by structural forces, not cyclical ones. About 8,100 job openings per year are expected as the field expands and existing workers move on. From a current base of 51K workers, sustained growth creates real hiring volume, though fast-growing fields also attract more new graduates competing for entry-level roles.
What skills do Occupational Therapy Assistant professionals need?
Mainly Active Listening, Speaking, Service Orientation, Social Perceptiveness, and Reading Comprehension. Notice how many of those are habits rather than facts: they come from doing the work, not from a lecture. That is why programs with an internship or co-op requirement put you ahead of people who only studied the theory. Source: O*NET.

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