Occupational Therapy Assistant Job Description and Salary

Updated on: January 11, 2026

Introduction

Occupational therapy assistants (OTAs) play a pivotal role in the rehabilitation and recovery of patients dealing with physical disabilities, mental health issues, and other health-related challenges.

They work under the supervision of licensed occupational therapists and help patients regain independence in their daily lives.

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This article explores the responsibilities, qualifications, work settings, and salary expectations for occupational therapy assistants.

Job Responsibilities

OTAs have a variety of responsibilities that are essential to the treatment process. Their primary duties include:

Patient Care

  • Implement Treatment Plans: OTAs follow the occupational therapist’s treatment plan to help patients improve their ability to perform daily activities, such as dressing, eating, and bathing.
  • Assist with Exercises: They guide patients through therapeutic exercises designed to improve muscle strength, range of motion, and overall function.
  • Monitor Progress: OTAs assess patients’ progress and report any changes or improvements to the supervising occupational therapist, ensuring that treatments are modified as needed.

Equipment Management

  • Instruct on Adaptive Equipment: OTAs teach patients how to use assistive devices and adapted tools to enhance their independence and safety.
  • Maintain Equipment: They are responsible for the upkeep of therapeutic equipment used in treatment sessions, ensuring everything is clean and functional.

Documentation and Reporting

  • Record Patient Progress: Keeping detailed records of patient treatment and progress is vital. OTAs document sessions and communicate updates to occupational therapists.
  • Participate in Team Meetings: OTAs often collaborate with other healthcare professionals, sharing insights and perspectives on patient care.

Emotional Support

  • Provide Compassionate Care: OTAs offer emotional support to patients and their families, helping them cope with the physical and emotional challenges that come with rehabilitation.

Work Settings

Occupational therapy assistants can work in a variety of environments, including:

  • Hospitals: Many OTAs work in inpatient settings, helping patients recover after surgeries or serious injuries.
  • Rehabilitation Centers: These facilities focus on helping patients regain their functional abilities after illness or injury, making them common workplaces for OTAs.
  • Skilled Nursing Facilities: OTAs assist residents in these facilities with daily activities and overall health maintenance.
  • Schools: In educational settings, OTA roles may include helping children with disabilities access educational resources and participate in school activities.
  • Home Health Care: OTAs may visit patients in their homes to provide therapy, especially when mobility is limited.

Education and Certification Requirements

Educational Background

Most occupational therapy assistant programs require candidates to have a high school diploma or equivalent before enrollment. OTAs typically complete an associate’s degree in occupational therapy assisting, which includes both classroom instruction and supervised fieldwork.

Certification and Licensure

Upon completing the educational program, candidates must pass the National Board for Certification in Occupational Therapy (NBCOT) exam to become a COTA (Certified Occupational Therapy Assistant). After certification, additional state licensing may be required to practice legally, which varies by state.

Skills and Qualifications

To succeed as an OTA, individuals should possess the following skills:

  • Communication Skills: OTAs must be able to communicate effectively with patients and team members.
  • Empathy and Compassion: A strong sense of empathy is crucial in providing care and support to patients during their recovery.
  • Physical Stamina: The job may require lifting patients or spending long hours on their feet.
  • Problem-Solving Skills: OTAs often need to think on their feet and adapt when work conditions change.

Salary Expectations

The salary for occupational therapy assistants can vary based on factors such as location, experience, and the specific work setting.

According to the U.S. Bureau of Labor Statistics (BLS), as of May 2022, the median annual wage for occupational therapy assistants was approximately $62,000. The salary range typically falls between $49,000 and $80,000, depending on several factors:

Experience

  • Entry-Level vs. Experienced: New graduates may start in the lower salary range, while OTAs with several years of experience may command higher wages or negotiate better salaries.

Location

  • Geographic Variations: Salaries can vary significantly from one state to another. For example, OTAs in metropolitan areas or states with a higher cost of living often earn more than those in rural areas.

Work Setting

  • Facility Type: OTAs employed in hospitals or outpatient rehabilitation centers may earn more than those working in schools or home health care.

Job Outlook

The demand for occupational therapy assistants is expected to grow over the next decade. The BLS projects that employment in this field will grow by about 28% from 2021 to 2031, significantly faster than the average for all occupations. This trend is driven by an aging population that requires rehabilitation services and increasing awareness of the importance of occupational therapy in promoting health and wellness.

Conclusion

Occupational therapy assistants play a vital role in healthcare, providing essential support to patients and occupational therapists alike. With a combination of technical skills, empathetic care, and strong communication abilities, OTAs help individuals regain independence and enhance their quality of life.

Their valuable contributions to rehabilitation make them a critical component of the healthcare workforce, and as demand for their services continues to grow, pursuing a career as an OTA can be a rewarding and stable choice.

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