How much does a Certified Occupational Therapy Assistant make?
Certified Occupational Therapy Assistants play a vital role in helping patients improve their daily living skills. They work under the supervision of occupational therapists to support patients in various settings such as hospitals and schools. These professionals help those who have suffered injuries or who are dealing with disabilities. Their work can greatly improve the quality of life for their patients.
The salary for Certified Occupational Therapy Assistants varies depending on experience and location. On average, they earn around $71,934 per year. Many factors can influence the salary, including the type of facility and the number of years in the field. For instance, those in the top earning bracket make around $115,000 a year. This salary can grow with additional experience and specialized training. The demand for these professionals is also on the rise, making it a stable and rewarding career choice.
What are the highest paying cities for a Certified Occupational Therapy Assistant?

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Salinas, CA
Average Salary: $93,054
In Salinas, occupational therapy assistants help patients with daily tasks and improve their quality of life. The healthcare facilities here offer a supportive environment. Salinas Medical Center and Community Hospital of the Monterey Peninsula are prominent employers.
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San Jose, CA
Average Salary: $91,836
San Jose offers many opportunities for those in occupational therapy. Assistants work in a variety of settings, from hospitals to schools. Stanford Health Care and Kaiser Permanente are notable employers in the area.
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San Francisco, CA
Average Salary: $90,499
In San Francisco, occupational therapy assistants support patients in regaining independence. The city’s diverse population provides varied challenges and learning opportunities. UCSF Health and Kaiser Permanente are leading employers.
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San Diego, CA
Average Salary: $89,933
San Diego provides a mix of urban and beach lifestyles for occupational therapy assistants. Workers help patients in hospitals and rehabilitation centers. Scripps Health and Kaiser Permanente are well-known employers here.
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Stockton, CA
Average Salary: $88,209
Stockton offers a close-knit community for those in occupational therapy. Assistants work in various facilities to help people with daily activities. Dignity Health and Kaiser Permanente are major employers in the area.
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Vallejo, CA
Average Salary: $85,382
Vallejo provides a supportive community for occupational therapy assistants. Workers help patients improve their daily living skills. Kaiser Permanente and NorthBay Healthcare are key employers.
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Modesto, CA
Average Salary: $85,313
In Modesto, occupational therapy assistants focus on helping patients regain independence. The city has many healthcare facilities offering diverse opportunities. Kaiser Permanente and Adventist Health are prominent employers.
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Los Angeles, CA
Average Salary: $84,632
Los Angeles offers a bustling environment for occupational therapy assistants. Workers help people in hospitals and clinics across the city. Cedars-Sinai and Kaiser Permanente are major employers here.
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Sacramento, CA
Average Salary: $84,290
Sacramento provides a range of opportunities for occupational therapy assistants. Workers support patients in hospitals and community centers. Kaiser Permanente and UC Davis Health are key employers in the area.
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Chico, CA
Average Salary: $82,452
Chico offers a smaller community feel for occupational therapy assistants. Workers help patients in local healthcare facilities. Enloe Medical Center and Kaiser Permanente are notable employers.
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What are the best companies a Certified Occupational Therapy Assistant can work for?

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Achieve Beyond Pediatric Therapy and Autism Services
Average Salary: $127,332
Achieve Beyond Pediatric Therapy and Autism Services offers rewarding Certified Occupational Therapy Assistant jobs. They operate in the Southeast and offer therapy services across many locations. The company values its staff and provides a supportive work environment.
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Arizona Autism
Average Salary: $120,909
Arizona Autism provides excellent opportunities for Certified Occupational Therapy Assistants. They operate across Arizona. They focus on helping children with autism, which makes the work both challenging and fulfilling.
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Advanced Home Health & Hospice, an Excelin Company
Average Salary: $115,000
Advanced Home Health & Hospice offers Certified Occupational Therapy Assistant positions with competitive pay. They work in California, providing home health and hospice services. Their team environment is supportive, focusing on patient care.
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Nurse Next Door Home Care Services
Average Salary: $104,054
Nurse Next Door Home Care Services is a great place for Certified Occupational Therapy Assistants. They operate in the Northeastern United States. They offer flexible hours and a strong team atmosphere.
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CVHCare
Average Salary: $103,727
CVHCare provides Certified Occupational Therapy Assistant jobs with good pay. They serve areas in the Midwest. They focus on delivering high-quality care to patients in their homes.
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PROFESSIONAL POST ACUTE CENTER
Average Salary: $102,714
PROFESSIONAL POST ACUTE CENTER offers rewarding Certified Occupational Therapy Assistant jobs. They operate in various states. They emphasize teamwork and professional development for their staff.
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BrightStar Care
Average Salary: $99,328
BrightStar Care provides Certified Occupational Therapy Assistant positions with competitive salaries. They work in multiple locations across the country. They focus on delivering personalized care to clients.
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Ascend Rehab Inc
Average Salary: $96,951
Ascend Rehab Inc offers Certified Occupational Therapy Assistant jobs with a supportive work environment. They operate in various states. They focus on rehabilitation services and patient care.
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Powerback Rehabilitation
Average Salary: $96,283
Powerback Rehabilitation provides Certified Occupational Therapy Assistant positions with good pay. They serve multiple locations. They emphasize patient care and offer a collaborative work environment.
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InHome Therapy
Average Salary: $94,800
InHome Therapy offers Certified Occupational Therapy Assistant jobs with a focus on home care. They operate in several states. They provide a friendly work environment and support their staff.
How to earn more as a Certified Occupational Therapy Assistant?
Certified Occupational Therapy Assistants (COTAs) play a key role in helping patients achieve their health goals. Increasing earning potential in this profession often involves a mix of professional growth and strategic decisions. One way to boost earnings is to seek specialization in areas such as pediatrics, geriatrics, or mental health. Specialization can make a COTA more valuable to employers and open up higher-paying opportunities.
Another factor to consider is gaining additional certifications. Certifications in areas such as wound care or aquatic therapy can add to a COTA's skill set and make them more attractive to employers. Continuing education not only enhances skills but also shows a commitment to the profession. Locations with a higher demand for healthcare services often offer higher salaries. Choosing to work in urban areas or regions with a shortage of healthcare professionals can lead to better pay. Additionally, considering employment in higher-paying facilities, such as private practices or rehabilitation centers, can also increase earnings. Networking with other professionals and staying informed about industry trends can lead to discovering new and higher-paying job opportunities. Lastly, negotiating salary based on experience and qualifications can lead to better compensation packages.
Here are five key factors to consider:
- Specialization: Focus on specific areas of occupational therapy.
- Additional Certifications: Gain certifications in specialized fields.
- Location: Choose areas with high demand for healthcare services.
- Employment Setting: Consider working in private practices or rehabilitation centers.
- Negotiation: Always negotiate salary based on experience and qualifications.



