Certified Occupational Therapy Assistant Salaries

Updated on May 09, 2025
Position
Salary

How much does a Certified Occupational Therapy Assistant make?

The average salary for a Certified Occupational Therapy Assistant is $70,547 per year in the US.

A Certified Occupational Therapy Assistant (COTA) plays a vital role in helping patients recover and improve their daily living skills. This rewarding career offers a competitive salary that can vary based on experience and location. On average, a COTA earns around $70,547 per year. This figure can range from about $50,000 for those just starting out to over $100,000 for those with more experience.

Several factors can influence a COTA's earnings. These include the type of healthcare facility, such as hospitals, schools, or private practices, and the geographic location. For example, COTAs in urban areas or regions with a higher cost of living may earn more than those in rural areas. Additionally, those with specialized skills or certifications may command higher salaries. This career offers growth opportunities and the chance to make a meaningful impact in people's lives.

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What are the highest paying cities for a Certified Occupational Therapy Assistant?

Salinas, CA, offers the highest pay for Certified Occupational Therapy Assistants, with an average salary of $87,981. San Francisco and San Jose, CA, follow closely, offering salaries around $86,000. Other top-paying cities include Stockton, CA, and Vallejo, CA, where salaries exceed $84,000. These cities provide excellent opportunities for those in the field. Los Angeles, San Diego, and Modesto, CA, also offer competitive salaries, making them attractive options. Houston, TX, and Chico, CA, round out the list of top-paying cities, offering salaries above $80,000.
Graph displaying highest paying cities salaries for Certified Occupational Therapy Assistant jobs, highlighting Salinas, CA with the highest at $87,981 and Chico, CA with the lowest at $80,814.
  1. Salinas, CA
    Average Salary: $87,981
    In Salinas, occupational therapy assistants work with patients to improve their daily living skills. Salinas offers a variety of healthcare facilities, including Salinas Valley Memorial Healthcare System, where professionals can gain valuable experience.
    Find Certified Occupational Therapy Assistant jobs in Salinas, CA


  2. San Francisco, CA
    Average Salary: $86,361
    San Francisco provides a dynamic environment for occupational therapy assistants. Working in this city means collaborating with top-tier healthcare providers like UCSF Health. The city's diverse population offers unique challenges and learning opportunities.
    Find Certified Occupational Therapy Assistant jobs in San Francisco, CA


  3. San Jose, CA
    Average Salary: $86,038
    San Jose is a hub for tech and healthcare. Occupational therapy assistants here benefit from a strong job market and innovative healthcare facilities. Companies like Stanford Health Care offer excellent career growth opportunities.
    Find Certified Occupational Therapy Assistant jobs in San Jose, CA


  4. Stockton, CA
    Average Salary: $85,120
    Stockton offers a supportive community for occupational therapy assistants. Working in this city means helping patients regain independence. Stockton's healthcare facilities, such as St. Joseph's Medical Center, provide a solid foundation for professional development.
    Find Certified Occupational Therapy Assistant jobs in Stockton, CA


  5. Vallejo, CA
    Average Salary: $84,343
    Vallejo provides a peaceful setting for occupational therapy assistants. This city offers a mix of urban and suburban environments. Professionals here work with patients to enhance their quality of life in facilities like Kaiser Permanente.
    Find Certified Occupational Therapy Assistant jobs in Vallejo, CA


  6. Los Angeles, CA
    Average Salary: $82,574
    Los Angeles offers a vibrant and diverse environment for occupational therapy assistants. Working in this city means collaborating with a wide range of patients. Major healthcare providers like Cedars-Sinai provide excellent career opportunities.
    Find Certified Occupational Therapy Assistant jobs in Los Angeles, CA


  7. San Diego, CA
    Average Salary: $81,980
    San Diego is known for its beautiful weather and strong healthcare sector. Occupational therapy assistants here work with patients to improve their daily activities. Facilities like Scripps Health offer a supportive and innovative work environment.
    Find Certified Occupational Therapy Assistant jobs in San Diego, CA


  8. Modesto, CA
    Average Salary: $81,715
    Modesto offers a close-knit community for occupational therapy assistants. Working in this city means helping patients achieve their goals. Local healthcare providers like Memorial Medical Center provide a stable and rewarding work environment.
    Find Certified Occupational Therapy Assistant jobs in Modesto, CA


  9. Houston, TX
    Average Salary: $81,181
    Houston is a major city with a diverse population. Occupational therapy assistants here work with patients to improve their daily living skills. Major healthcare facilities like Houston Methodist offer excellent career growth opportunities.
    Find Certified Occupational Therapy Assistant jobs in Houston, TX


  10. Chico, CA
    Average Salary: $80,814
    Chico offers a friendly and supportive environment for occupational therapy assistants. Working in this city means helping patients regain independence. Local healthcare providers like Enloe Medical Center provide a stable and rewarding work environment.
    Find Certified Occupational Therapy Assistant jobs in Chico, CA

What are the best companies a Certified Occupational Therapy Assistant can work for?

Job seekers looking for top-paying roles as Certified Occupational Therapy Assistants should consider positions at Achieve Beyond Pediatric Therapy and Autism Services. This company offers one of the highest salaries, making it a prime choice for those in the field. Other notable employers include Absolute Rehabilitation, Inc., and Nurturing Home Health Care, both of which provide competitive compensation packages.
Graph displaying best paying company salaries for Certified Occupational Therapy Assistant jobs, highlighting Achieve Beyond Pediatric Therapy and Autism Services with the highest at $129,110 and BAYADA Home Health Care with the lowest at $92,154.
  1. Achieve Beyond Pediatric Therapy and Autism Services
    Average Salary: $129,110
    Achieve Beyond Pediatric Therapy and Autism Services offers rewarding Certified Occupational Therapy Assistant jobs. They provide services in various locations, focusing on pediatric therapy and autism services. Their team works closely with children and families to improve their quality of life.


  2. Absolute Rehabilitation, Inc
    Average Salary: $110,295
    Absolute Rehabilitation, Inc. is known for its high-paying Certified Occupational Therapy Assistant positions. They operate in multiple locations, offering a range of rehabilitation services. Their focus is on helping patients regain their independence and improve their daily living skills.


  3. Nurturing Home Health Care
    Average Salary: $105,147
    Nurturing Home Health Care provides Certified Occupational Therapy Assistant jobs with competitive salaries. They serve clients in their homes across various locations, offering personalized care. Their goal is to support patients in achieving their highest level of independence and well-being.


  4. @Home Therapy
    Average Salary: $101,185
    @Home Therapy offers Certified Occupational Therapy Assistant jobs with a focus on in-home care. They operate in several locations, providing therapy services directly in the comfort of patients' homes. Their team is dedicated to helping patients improve their daily activities and overall quality of life.


  5. Nurse Next Door Home Care Services
    Average Salary: $101,000
    Nurse Next Door Home Care Services provides Certified Occupational Therapy Assistant jobs with a strong salary. They offer home care services in various locations, focusing on personalized care for each patient. Their mission is to support patients in maintaining their independence and enhancing their daily living skills.


  6. Sterling Staffing Solutions
    Average Salary: $97,619
    Sterling Staffing Solutions offers Certified Occupational Therapy Assistant jobs with a competitive salary. They operate in multiple locations, providing staffing solutions for various healthcare facilities. Their focus is on matching qualified therapists with the right opportunities to advance their careers.


  7. CVHCare
    Average Salary: $96,063
    CVHCare provides Certified Occupational Therapy Assistant jobs with a solid salary. They serve patients in various locations, offering a range of healthcare services. Their team is dedicated to helping patients improve their daily activities and overall quality of life.


  8. Thrive Skilled Pediatric Care
    Average Salary: $96,063
    Thrive Skilled Pediatric Care offers Certified Occupational Therapy Assistant jobs with a competitive salary. They provide pediatric therapy services in multiple locations, focusing on helping children achieve their developmental milestones. Their team works closely with families to support each child's unique needs.


  9. Glenn Medical Center
    Average Salary: $92,364
    Glenn Medical Center offers Certified Occupational Therapy Assistant jobs with a good salary. They operate in various locations, providing a range of medical services. Their focus is on helping patients regain their independence and improve their daily living skills.


  10. BAYADA Home Health Care
    Average Salary: $92,154
    BAYADA Home Health Care provides Certified Occupational Therapy Assistant jobs with a strong salary. They offer home health care services in multiple locations, focusing on personalized care for each patient. Their mission is to support patients in maintaining their independence and enhancing their daily living skills.

How to earn more as a Certified Occupational Therapy Assistant?

A Certified Occupational Therapy Assistant (COTA) can explore several avenues to increase their earnings. One effective strategy involves gaining additional certifications that enhance skills and marketability. Specializations in areas such as pediatrics, geriatrics, or mental health can open up higher-paying opportunities and roles in more specialized settings. Another factor is gaining experience in high-demand areas or regions where there is a shortage of COTAs. This can lead to increased job offers and higher salaries.

Location also plays a significant role in determining earnings. Urban areas and regions with a higher cost of living often offer higher wages to compensate. Additionally, pursuing a master's degree in occupational therapy can lead to a career transition into a higher-paying role, such as an Occupational Therapist. Networking and building professional relationships can also lead to discovering higher-paying positions and opportunities for advancement. Finally, staying updated with the latest industry trends and continuing education can make a COTA more competitive in the job market, potentially leading to higher-paying roles.

Consider these factors to maximize earning potential:

  1. Obtain additional certifications
  2. Gain experience in high-demand areas
  3. Work in high-cost living regions
  4. Pursue advanced degrees
  5. Network and build professional relationships

Currently 3,100 Certified Occupational Therapy Assistant job openings, nationwide.

How's the job market for a Certified Occupational Therapy Assistant in the US?

Learn what a Certified Occupational Therapy Assistant does, how to become one, and understand the job outlook. Get simple steps to start your career as a Certified Occupational Therapy Assistant today.
Position
Overview
Certified Occupational Therapy Assistant
3,100 Job Openings