HEALTH Zone 3: Medium Preparation

Occupational Therapy Assistant

Occupational Therapy Assistant is one of the fastest-growing occupations in the country, projected to grow +19.2% through 2034. Median pay sits at $72,300 nationally, a strong return for the training investment.

About Occupational Therapy Assistant

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
7,200
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?

Occupational Therapy Assistant earn $72,300 nationally, above the national median for college graduates. The middle 50% of earners fall between $61,710 and $79,160. Actual pay varies by employer, specialization, and location.

$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?

O*NET data identifies 5 core activities and 5 measurable skills for Occupational Therapy Assistant roles. Use this section to judge whether the day-to-day reality aligns with what you actually want to spend time doing.

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?

The BLS projects +19.2% employment change for Occupational Therapy Assistant through 2034, well above the national average of +5%. About 7,200 openings per year keep the field accessible to new entrants.

↗ +19.2%
10-Year Growth (2024–2034)

Much faster than average.

7,200
Annual Openings

New positions plus replacements for retirees and career-changers.

51K
Currently Employed

Total US employment as of BLS May 2024.

Source: BLS Employment Projections 2024–2034 and Occupational Employment and Wage Statistics May 2024.

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 5,660 $77,910 +7.8%
2 Florida 3,580 $71,800 -0.7%
3 California 3,290 $79,420 +9.8%
4 Ohio 3,150 $62,960 -12.9%
5 New York 2,760 $64,660 -10.6%

Source: BLS Occupational Employment and Wage Statistics, May 2024. Employment figures rounded. Read our methodology →

How to Get Here

Most Occupational Therapy Assistant positions require a associate's degree to qualify. The program below is the most common academic pathways into this field, ranked by how many graduates they produce each year.

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 +19.2% employment growth through 2034, 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?
The national median annual wage for Occupational Therapy Assistant is $72,300, near the national median for full-time workers. The middle 50% of earners fall between $61,710 and $79,160. Pay varies by employer size, industry sector, specialization, and geography. National figures are a starting point, not a guarantee.
Is Occupational Therapy Assistant a good career?
For people genuinely interested in the work, yes. At $72,300 median, with +19.2% projected growth through 2034, 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 a 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 +19.2% growth for Occupational Therapy Assistant through 2034, 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 7,200 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?
O*NET data identifies the core skills employers consistently prioritize for Occupational Therapy Assistant roles: Active Listening, Speaking, Service Orientation, Social Perceptiveness, and Reading Comprehension. These develop through formal education and hands-on work. Programs with internship or co-op requirements give you a meaningful head start on the ones that take time to build.

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