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Certified occupational therapist assistant salary

Average certified occupational therapist assistant salary

$53,296

$25.62 hourly rate

Entry-level certified occupational therapist assistant salary
$40,000 yearly salary
Updated December 15, 2025

Average Certified Occupational Therapist Assistant Salary

The average salary for a Certified Occupational Therapist Assistant (COTA) stands at $53,296 annually, or about $26 per hour. Various factors such as geographic location, years of experience, and specific practice settings significantly influence salaries. For instance, COTAs in metropolitan areas often see higher wages compared to those in rural regions.

Where Can You Earn More?

States like California, Texas, and New York typically offer higher salaries for COTAs, with cities like San Francisco and New York City leading the charts. By targeting your job search towards these high-paying locations, you can enhance your earning potential as a COTA.

Additional Opportunities

Employment opportunities for COTAs are on the rise, with demand in various healthcare settings, including hospitals, rehabilitation centers, and schools. Pursuing further certifications or specializations can also lead to increased salary prospects. Stay informed about salary trends and job openings to strategically navigate your career path in occupational therapy.

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Where can a Certified Occupational Therapist Assistant earn more?

Compare salary by location
Vs
91k
71k
51k
31k
11k
Columbus, OH$62,831
Mobile, AL$40,828
Compare salary by company
Vs
86k
66k
46k
26k
Constellation Health Services$68,643
The Good Samaritan Society$56,456

Average certified occupational therapist assistant salary by state

The highest-paying states for certified occupational therapist assistants are Hawaii, Nevada, and Florida. The lowest average certified occupational therapist assistant salary states are Pennsylvania, Minnesota, and Maryland.

  • State view
  • County view
Average salary:

Highest paying states for certified occupational therapist assistants

RankStateAvg. salaryHourly rate
1Nevada$62,582$30.09
2Hawaii$67,025$32.22
3Rhode Island$60,577$29.12
4Kentucky$53,933$25.93
5Oregon$55,703$26.78
6New Hampshire$53,694$25.81
7Washington$59,730$28.72
8West Virginia$54,292$26.10
9Maine$56,466$27.15
10California$61,430$29.53
11Florida$61,915$29.77
12Alaska$56,454$27.14
13Vermont$52,834$25.40
14New York$56,683$27.25
15Connecticut$54,705$26.30
16Delaware$58,850$28.29
17Montana$54,640$26.27
18Ohio$54,363$26.14
19Arizona$51,024$24.53
20South Carolina$52,544$25.26
21Arkansas$49,644$23.87
22New Mexico$51,555$24.79
23Texas$50,283$24.17
24Utah$50,929$24.49
25Kansas$50,405$24.23
26Colorado$54,896$26.39
27Missouri$48,951$23.53
28Massachusetts$54,289$26.10
29Illinois$50,217$24.14
30North Dakota$48,653$23.39
31Nebraska$49,065$23.59
32District of Columbia$58,072$27.92
33Mississippi$47,819$22.99
34Idaho$51,447$24.73
35Oklahoma$46,613$22.41
36New Jersey$48,180$23.16
37Indiana$45,515$21.88
38Virginia$48,689$23.41
39Tennessee$46,119$22.17
40Wyoming$44,239$21.27
41Wisconsin$47,531$22.85
42North Carolina$47,706$22.94
43Michigan$46,952$22.57
44Iowa$45,887$22.06
45Louisiana$40,188$19.32
46Maryland$42,095$20.24
47Georgia$45,218$21.74
48Alabama$41,144$19.78
49South Dakota$41,224$19.82
50Pennsylvania$43,703$21.01
51Minnesota$43,482$20.90
Top certified occupational therapist assistant jobs near you

Highest paying cities for certified occupational therapist assistants

The highest-paying cities for certified occupational therapist assistants are Napa, CA, New York, NY, and Gresham, OR.

RankCityAvg. salaryHourly rate
1Napa, CA$62,831$30.21
2New York, NY$56,788$27.30
3Gresham, OR$55,447$26.66
4Colorado Springs, CO$55,037$26.46
5Plymouth, MA$54,714$26.30
6Toledo, OH$54,412$26.16
7Paducah, KY$53,881$25.90
8Manchester, NH$53,763$25.85
9El Paso, TX$52,147$25.07
10Nampa, ID$51,937$24.97
11Las Cruces, NM$51,856$24.93
12Phoenix, AZ$51,105$24.57
13Rock Island, IL$50,241$24.15
14Lansing, MI$46,860$22.53
15Des Moines, IA$45,880$22.06
16Michigan City, IN$45,526$21.89
17Casper, WY$44,175$21.24
18Baltimore, MD$42,142$20.26
19Mobile, AL$40,828$19.63

Certified occupational therapist assistant salary details

A certified occupational therapist assistant's salary ranges from $40,000 a year at the 10th percentile to $70,000 at the 90th percentile.

Average certified occupational therapist assistant salary graph
Average certified occupational therapist assistant salary graph, trends, and summary

What is a certified occupational therapist assistant's salary?

PercentileAnnual salaryMonthly salaryHourly rate
90th Percentile$70,000$5,833$34
75th Percentile$61,000$5,083$29
Average$53,296$4,441$26
25th Percentile$46,000$3,833$22
10th Percentile$40,000$3,333$19

Highest paying certified occupational therapist assistant jobs

The highest paying types of certified occupational therapist assistants are occupational therapist, staff occupational therapist, and physical therapist.

Job titleAnnual salaryMonthly salaryHourly rateJob openings
Therapist$55,943$4,662$26.90159,770
Physical Therapist$73,070$6,089$35.1386,697
Occupational Therapy Aide$31,070$2,589$14.9468,832
Occupational Therapist$75,707$6,309$36.4078,315

Top companies hiring certified occupational therapist assistants now:

  1. Life Care Centers of America jobs (4)
  2. Central Ohio Transit Authority jobs (12)
  3. Synchrony Rehab jobs (5)
  4. Reliant Rehabilitation jobs (9)
  5. Restore Therapy jobs (3)

Which companies pay certified occupational therapist assistants the most?

Certified occupational therapist assistant salaries at Constellation Health Services and Life Care Centers of America are the highest-paying according to our most recent salary estimates. In addition, the average certified occupational therapist assistant salary at companies like Legacy Health and Careerstaff Unlimited - A Genesis Healthcare Company are highly competitive.

RankCompanyAverage salaryHourly rate
1Constellation Health Services$68,643$33.00
2Life Care Centers of America$68,237$32.81
3Legacy Health$63,535$30.55
4Careerstaff Unlimited - A Genesis Healthcare Company$62,303$29.95
5Liberty HomeCare and Hospice$60,837$29.25
6Beacon Health Options$59,254$28.49
7GradyHealth$59,029$28.38
8Ambercare$59,002$28.37
9St. Luke's Health System$58,686$28.21
10ProMedica Toledo Hospital$58,596$28.17
11Sparrow Health System$58,594$28.17
12Phoenix Rehabilitation and Health Services$58,365$28.06
13Therapy Resources Management$58,236$28.00
14Dignity Health$57,468$27.63
15Dean Health Plan$57,273$27.54
16Aegis Therapies$57,198$27.50
17Catholic Health East$56,752$27.28
18Legacy Healthcare$56,746$27.28
19Interstate Rehab$56,475$27.15
20The Good Samaritan Society$56,456$27.14

Wage gap by gender, race and education

$54,000$53,400$52,800$52,200$51,600$51,000
MaleFemale

Certified occupational therapist assistant salary trends

The average certified occupational therapist assistant salary has risen by $9,230 over the last ten years. In 2014, the average certified occupational therapist assistant earned $44,066 annually, but today, they earn $53,296 a year. That works out to a 7% change in pay for certified occupational therapist assistants over the last decade.

Compare certified occupational therapist assistant salaries for cities or states with the national average over time.

Average certified occupational therapist assistant salary over time

Compare certified occupational therapist assistant salaries for individual cities or states with the national average.

Certified occupational therapist assistant salary by year

YearAvg. salaryHourly rate% Change
2026$53,300$25.62+2.3%
2025$52,100$25.04+2.1%
2024$51,000$24.52+1.5%
2023$50,200$24.15+0.5%
2022$50,000$24.02+1.9%

Recently added certified occupational therapist assistant salaries

CompanyJobLocationDate addedSalary
Fox RehabilitationCertified Occupational Therapist Assistant-TintonJersey City, NJ06/29/2025$45,142
La Villa Grande Care CenterCertified Occupational Therapist Assistant ~ CotaGrand Junction, CO06/29/2025$56,349
La Villa Grande Care CenterCertified Occupational Therapist Assistant ~ CotaCove, UT06/29/2025$56,349
Cherrelyn Healthcare CenterCertified Occupational Therapist AssistantDenver, CO06/29/2025$68,871
Grand Haven Area Public SchoolsCertified Occupational Therapist AssistantBowne, MI06/28/2025$51,570
MGA HomecareCertified Occupational Therapist Assistant (Cota)Aurora, CO06/28/2025$43,680
Mission Community HospitalCertified Occupational Therapist Assistant/Cota (Home Health)Murrieta, CA06/27/2025$75,132
AlumusCota Certified Occupational Therapist Assistant Sante of North Scottsdale PRNScottsdale, AZ06/27/2025$73,045
Believe TherapiesCertified Occupational Therapist AssistantMontgomery, TX06/27/2025$50,000
Gateway Post AcuteCota-Certified Occupational Therapist Assistant PRNPorterville, CA06/27/2025$87,654

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