How much does a Certified Occupational Therapy Assistant make?
Certified Occupational Therapy Assistants (COTA) play a key role in helping patients regain skills. On average, they earn about $73,614 per year. This varies depending on experience and location. Many COTAs can expect to earn between $50,000 and $75,000 annually.
Here are some key points for COTAs looking at salaries:
- Experience: New COTAs often earn less. As they gain experience, their salaries rise.
- Location: Salaries differ by region. Urban areas often pay higher than rural areas.
- Specialization: Working in certain fields, like pediatrics or gerontology, can lead to higher pay.
- Education: COTAs with advanced degrees or certifications may earn more.
Understanding these factors can help COTAs make informed decisions about their careers and salary expectations.
What are the highest paying cities for a Certified Occupational Therapy Assistant?

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San Jose, CA
Average Salary: $93,834
Working in San Jose offers a bustling environment with many healthcare facilities. The tech-driven city provides numerous opportunities for occupational therapy assistants. Local healthcare providers like Kaiser Permanente and Stanford Health Care often seek qualified assistants.
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Salinas, CA
Average Salary: $93,468
Salinas offers a friendly community with various healthcare needs. Assistants here play a crucial role in helping patients regain their independence. Salinas Valley Memorial Healthcare System and local clinics are known employers.
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San Francisco, CA
Average Salary: $92,549
In San Francisco, occupational therapy assistants work in a diverse and vibrant city. With many clinics and rehabilitation centers, professionals here make a significant impact. UCSF Health and Kaiser Permanente are top employers in the area.
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San Diego, CA
Average Salary: $89,873
San Diego provides a beautiful coastal setting with plenty of job opportunities. Assistants here benefit from a mix of urban and natural environments. Scripps Health and Rady Children's Hospital are notable employers.
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Stockton, CA
Average Salary: $88,829
Stockton offers a smaller city feel with many local healthcare facilities. Assistants here provide essential care to the community. Major employers include St. Joseph’s Medical Center and Sutter Health.
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Modesto, CA
Average Salary: $86,315
Modesto is a welcoming city with various healthcare providers looking for qualified assistants. The community-focused environment allows for strong patient interactions. Sutter Health and Doctors Medical Center are key employers.
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Yuma, AZ
Average Salary: $85,630
Yuma provides a warm and welcoming atmosphere for those looking to work in healthcare. Assistants here contribute to the well-being of the local population. Yuma Regional Medical Center and local clinics are top employers.
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Vallejo, CA
Average Salary: $85,038
Vallejo offers a unique blend of urban and suburban living with many healthcare opportunities. Assistants here make a real difference in patient care. Kaiser Permanente and Solano County are prominent employers.
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Chico, CA
Average Salary: $84,944
Chico is a college town with a strong community spirit and many healthcare needs. Assistants here enjoy a supportive environment. Enloe Medical Center and local clinics often seek qualified professionals.
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Los Angeles, CA
Average Salary: $84,663
Los Angeles offers a dynamic and diverse environment for occupational therapy assistants. The city's vast healthcare network provides numerous opportunities. Cedars-Sinai Medical Center and Kaiser Permanente are top employers.
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What are the best companies a Certified Occupational Therapy Assistant can work for?

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Arizona Autism
Average Salary: $131,000
Arizona Autism offers rewarding Certified Occupational Therapy Assistant roles, focusing on patients with autism. They operate across multiple locations in Arizona, providing therapy in homes, schools, and clinics.
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Achieve Beyond Pediatric Therapy and Autism Services
Average Salary: $128,843
At Achieve Beyond, Certified Occupational Therapy Assistants work with children with developmental disorders. They serve areas in the Midwest, ensuring personalized care for each child.
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Omni Therapy
Average Salary: $126,429
Omni Therapy provides diverse opportunities for Certified Occupational Therapy Assistants, working in schools, clinics, and patients’ homes across several states.
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Advanced Home Health & Hospice, an Excelin Company
Average Salary: $115,000
This company offers Certified Occupational Therapy Assistants a chance to work with patients in their homes. They cover several states, delivering high-quality care.
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@Home Therapy
Average Salary: $110,000
@Home Therapy allows Certified Occupational Therapy Assistants to provide in-home care, focusing on rehabilitation. They serve clients in various locations.
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Personal-Touch Home Care
Average Salary: $107,500
Personal-Touch Home Care provides personalized care for patients in their homes. Certified Occupational Therapy Assistants work across multiple locations.
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BrightStar Care
Average Salary: $106,250
BrightStar Care offers flexible roles for Certified Occupational Therapy Assistants in home care. They operate in several states, focusing on patient well-being.
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PROFESSIONAL POST ACUTE CENTER
Average Salary: $105,000
This center offers Certified Occupational Therapy Assistants a chance to work in post-acute care settings, providing essential rehabilitation services.
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Nurse Next Door Home Care Services
Average Salary: $104,500
Nurse Next Door Home Care Services offers Certified Occupational Therapy Assistants the opportunity to provide in-home care, enhancing patients' quality of life.
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InHome Therapy
Average Salary: $95,267
InHome Therapy allows Certified Occupational Therapy Assistants to deliver care in the comfort of patients’ homes. They serve multiple locations.
How to earn more as a Certified Occupational Therapy Assistant?
A Certified Occupational Therapy Assistant (COTA) has many ways to earn more money. By improving skills and gaining experience, COTAs can see higher pay. COTAs who work in certain areas or with specific populations may also earn more. Taking the right steps can make a big difference in earnings.
Here are some ways a COTA can earn more:
- Specialize in a Field: COTAs who focus on a specific area like pediatrics or geriatrics may find higher-paying jobs.
- Gain More Experience: With more years of experience, COTAs often earn higher salaries. Working in a variety of settings can also help.
- Pursue Advanced Certifications: Earning additional certifications in areas like hand therapy or assistive technology can lead to higher pay.
- Work in High-Demand Locations: Certain cities or regions may offer higher wages for COTAs. Consider relocating if possible.
- Seek Leadership Roles: Taking on supervisory or leadership roles can lead to higher earnings. These roles often come with additional responsibilities and pay.



