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What is a certified occupational therapy assistant and how to become one

Updated January 8, 2025
4 min read
Quoted expert
Courtney Gohean MS, OTR/L, CLT
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Certified occupational therapy assistants work under licensed occupational therapists' direction to help the clients by providing rehabilitative services to those with any form of impairment. They treat the clients by using therapeutic and self-care activities designed to improve function. Certified occupational therapy assistants earn an average sum of $51,000 annually or $25 per hour.

Certified occupational therapy assistants primarily help patients perform daily living activities and perform exercises as specified in a treatment plan. They monitor the patient's activities to ensure that they are performing the exercises correctly while offering encouragement. They also document patient's weekly progress in appropriate records while maintaining the office treatment areas.

Certified occupational therapy assistants typically hold a high school diploma or equivalent and current licensure as occupational therapy assistants in practicing state or nationally certified. It will be best to earn an associate degree, which usually takes two years to complete. Additionally, certified occupational therapy assistants typically combine classroom study with clinical fieldwork.

What general advice would you give to a certified occupational therapy assistant?

Courtney Gohean MS, OTR/L, CLT

Academic Fieldwork Coordinator

Embrace Lifelong Learning: Occupational therapy is a dynamic field with continuous advancements. Stay current by attending workshops, seminars, and pursuing further certifications. This will not only enhance your skills but also keep you competitive in the job market.
ScoreCertified Occupational Therapy AssistantUS Average
Salary
4.0

Avg. Salary $50,872

Avg. Salary $59,228

Stability level
7.9

Growth rate 25%

Growth rate 0.3%

Diversity
8.1
Race

American Indian and Alaska Native 0.76%

Asian 5.20%

Black or African American 8.87%

Hispanic or Latino 8.56%

Unknown 5.81%

White 70.80%

Gender

female 84.84%

male 15.16%

Age - 40
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 40
Stress level
7.9

Stress level is high

7.1 - high

Complexity level
6.8

Complexity level is challenging

7 - challenging

Work life balance
9.2

Work life balance is excellent

6.4 - fair

Certified occupational therapy assistant career paths

Key steps to become a certified occupational therapy assistant

  1. Explore certified occupational therapy assistant education requirements

    Most common certified occupational therapy assistant degrees

    Associate

    83.7 %

    Bachelor's

    10.1 %

    Certificate

    3.5 %
  2. Start to develop specific certified occupational therapy assistant skills

    SkillsPercentages
    Patients24.62%
    Rehabilitation20.53%
    Home Health13.98%
    Patient Care6.53%
    Occupational Therapy3.68%
  3. Complete relevant certified occupational therapy assistant training and internships

    Accountants spend an average of Less than 1 month on post-employment, on-the-job training. New certified occupational therapy assistants learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a certified occupational therapy assistant based on U.S. Bureau of Labor Statistics data and data from real certified occupational therapy assistant resumes.
  4. Obtain the necessary licensing

    Becoming a licensed certified occupational therapy assistant usually require a college degree. However, you need to pass an exam to become a licensed certified occupational therapy assistant in most of states. 37 states require certified occupational therapy assistants to have license for their work. You can see the list of states below.
    StateEducationExamLicense url
    Alabama--Licensed Occupational Therapist Assistant
    AlaskaDegree requiredThird-party exam requiredOccupational Therapy Assistant
    ArkansasSpecific course requiredState exam requiredOccupational Therapist Assistant (OTA)
    CaliforniaDegree requiredThird-party exam requiredOccupational Therapy Assistant
    ColoradoDegree requiredThird-party exam requiredOccupational Therapy Assistant
  5. Research certified occupational therapy assistant duties and responsibilities

    • Achieve advance clinical competency in UE splinting.
    • Rotate between acute care, SNF and rehab services with a variety of diagnosis.
    • Test and evaluate patients' physical and mental abilities and analyze medical data to determine realistic rehabilitation goals for patients.
    • Assist occupational therapists in implementing and administering therapy programs to restore and enhance performance, using select activities and adaptive equipment.
  6. Prepare your certified occupational therapy assistant resume

    When your background is strong enough, you can start writing your certified occupational therapy assistant resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a certified occupational therapy assistant resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose from 10+ customizable certified occupational therapy assistant resume templates

    Build a professional certified occupational therapy assistant resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your certified occupational therapy assistant resume.
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
    Certified Occupational Therapy Assistant Resume
  7. Apply for certified occupational therapy assistant jobs

    Now it's time to start searching for a certified occupational therapy assistant job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How did you land your first certified occupational therapy assistant job

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Average certified occupational therapy assistant salary

The average certified occupational therapy assistant salary in the United States is $50,872 per year or $24 per hour. Certified occupational therapy assistant salaries range between $37,000 and $68,000 per year.

Average certified occupational therapy assistant salary
$50,872 Yearly
$24.46 hourly

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How do certified occupational therapy assistants rate their job?

3/5

Based on 1 ratings

5 stars

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3 stars

2 stars

1 star

Certified occupational therapy assistant reviews

profile
A zippia user wrote a review on Aug 2020
Pros

The relationship with the pts and seeing progress made for their return home

Cons

Cooperate money relations


profile
A zippia user wrote a review on Dec 2019
Cons

Lifting patients who couldn’t able by themselves from bed


profile
3.0
A zippia user wrote a review on Nov 2019
Pros

I absolutely loved working with the elderly and veteran populations in skilled nursing facilities and at the VA hospital. I thoroughly enjoy empowering people to live their best lives and I'm heart broken that I will no longer be able to find employment in this field.

Cons

I absolutely loved working as a COTA these past seven years but it has been filled with ups and downs. Working at skilled nursing facilities is difficult due to high productivity demands impacting therapist ability to give patient centered care. Now with the new patient driven payment model change to medicare laws, therapists are being laid off left and right. These therapists, like myself, will have the impossible task of trying to find work in the Seattle area - which has been flooded with newly graduated COTAs due to several OTA schools opening in this area. The jobs in pediatrics and at hospitals that are left will see in increase in competition as the displaces/laid off COTAs rush to those jobs.


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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