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What is an occupational therapy assistant and how to become one

Updated January 8, 2025
5 min read
Quoted expert
Nicole Scheiman DrOT, MHS, OTR/L, CLT-LANA, CES, CKTP, CEES-Advanced, CSST, CDCS, CORE
introduction image

An occupational therapy assistant works under the supervision of an occupational therapist to help patients recover from injuries, illnesses, or disabilities. They assist with the development and implementation of treatment plans, as well as the evaluation of patient progress. Occupational therapy assistants help patients improve their daily living skills, such as dressing, grooming, and eating, in addition to social skills and work-related abilities. They may work in hospitals, schools, rehabilitation centers, or other healthcare settings.

What general advice would you give to an occupational therapy assistant?

Nicole Scheiman DrOT, MHS, OTR/L, CLT-LANA, CES, CKTP, CEES-Advanced, CSST, CDCS, CORENicole Scheiman DrOT, MHS, OTR/L, CLT-LANA, CES, CKTP, CEES-Advanced, CSST, CDCS, CORE LinkedIn profile

Department Chair/Program Director/ Professor, Huntington University

Likes: 1. Impactful Work, 2. Holistic Approach, 3. Diverse Opportunities, 4. Client-Centered Care, 5. Creative Interventions. Dislikes: 1. Administrative Burden, 2. Limited Resources, 3. High Stress Environments, 4. Complex Cases, 5. Scope of Practice.
ScoreOccupational Therapy AssistantUS Average
Salary
4.0

Avg. Salary $50,653

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 82.76%

male 17.24%

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

What are the pros and cons of being an occupational therapy assistant?

Pros

  • Growing job market with good career advancement opportunities

  • Ability to work closely with patients and make a significant impact on their lives

  • Flexible scheduling options, including part-time and per diem positions

  • Continuing education opportunities to stay up-to-date on the latest techniques and treatments

  • Collaborative work environment with other healthcare professionals

Cons

  • Emotionally challenging work dealing with patients who may be struggling with serious health conditions or disabilities

  • Requires significant training and education, including an associate's degree and certification exam

  • Job can be repetitive at times, performing similar tasks with different patients

  • May require working evenings, weekends, or holidays to accommodate patient schedules

  • Potential for burnout due to the emotional and physical demands of the job

Occupational therapy assistant career paths

Key steps to become an occupational therapy assistant

  1. Explore occupational therapy assistant education requirements

    Most common occupational therapy assistant degrees

    Associate

    68.8 %

    Bachelor's

    19.3 %

    Certificate

    4.4 %
  2. Start to develop specific occupational therapy assistant skills

    SkillsPercentages
    Patients27.38%
    Rehabilitation22.35%
    Home Health10.92%
    Patient Care9.86%
    Therapy Programs4.31%
  3. Complete relevant occupational therapy assistant training and internships

    Accountants spend an average of Less than 1 month on post-employment, on-the-job training. New 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 an occupational therapy assistant based on U.S. Bureau of Labor Statistics data and data from real occupational therapy assistant resumes.
  4. Obtain the necessary licensing

    Becoming an licensed occupational therapy assistant usually require a college degree. However, you need to pass an exam to become a licensed occupational therapy assistant in most of states. 37 states require 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 occupational therapy assistant duties and responsibilities

    • Order patient equipment as well as developing and fabricating inexpensive adaptive equipment for patients to use.
    • Educate patients and family members on the importance of using adaptive equipment and following proper safety precautions.
    • Provide all occupational therapy services to facility patients, including charting their progress, developing and maintaining treatment plans.
    • Assist in rebuilding the therapy department in an inner city SNF.
  6. Prepare your occupational therapy assistant resume

    When your background is strong enough, you can start writing your 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 an 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 occupational therapy assistant resume templates

    Build a professional 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 occupational therapy assistant resume.
    Occupational Therapy Assistant Resume
    Occupational Therapy Assistant Resume
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    Occupational Therapy Assistant Resume
    Occupational Therapy Assistant Resume
  7. Apply for occupational therapy assistant jobs

    Now it's time to start searching for an 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 occupational therapy assistant job

Zippi

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Average occupational therapy assistant salary

The average occupational therapy assistant salary in the United States is $50,653 per year or $24 per hour. Occupational therapy assistant salaries range between $37,000 and $68,000 per year.

Average occupational therapy assistant salary
$50,653 Yearly
$24.35 hourly

What am I worth?

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How do occupational therapy assistants rate their job?

-/5

5 stars

4 stars

3 stars

2 stars

1 star

Occupational therapy assistant reviews

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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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A zippia user wrote a review on Oct 2019
Pros

Geriatric population and working towards functional goal.

Cons

Clients don’t think they need to participate to get better.


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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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