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Healthcare support

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 pay

$72,300

Growth to 2035

+22%

much faster than average

Openings a year

8,100

Time to qualify*

2 years

* From a bachelor's degree in an unrelated field.

Pay

Occupational therapy assistant

$72,30010% earn under $51,490 · middle half $61,710–$79,160 · top 10% over $89,780
Bar: middle 50% of workers. Line: 10th to 90th percentile. Dot: median. BLS OEWS, May 2025, national.

Getting in

Typical entry education
Associate's degree
On-the-job training
None
Prior experience
None

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What the work is like

Occupational therapy assistant

Dealing with the public

Rarely
Constantly

Unpleasant or angry people

Rarely
Constantly

Time pressure

Rarely
Constantly

Cost of a mistake

Minor
Severe

Freedom to make decisions

Little
A lot

Repeating the same tasks

Rarely
Constantly

Time sitting

Rarely
Constantly

Time standing

Rarely
Constantly

Exposure to disease

Rarely
Constantly

Occupational therapy assistant: 15% usually work over 40 hours a week

Average worker ratings, 1 to 5. O*NET 31.0 work context survey.

Core tasks

Also called: Acute Care Occupational Therapy Assistant (Acute Care OT Assistant) · Certified Occupational Assistant · Certified Occupational Therapist Assistant (COTA) · Certified Occupational Therapy Assistant (COTA) · Licensed Occupational Therapist Assistant (LOTA) · Licensed Occupational Therapy Assistant (LOTA) · Occupational Therapist Assistant (OTA) · Occupational Therapy Assistant (OTA)

Outlook and AI

Occupational therapy assistants held 52,200 jobs in 2025. BLS projects 63,400 by 2035 (+22%, much faster than average; all jobs: +3.5%).

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