Occupational therapy assistants: Salary, Job Outlook, Education and Career Path

Assist occupational therapists in providing occupational therapy treatments and procedures. May, in accordance with state laws, assist in development of treatment plans, carry out routine functions, direct activity programs, and document the progress of treatments. Generally requires formal training.

Short answer: Occupational therapy assistants earn a national median annual wage of $72,300 (BLS, May 2025). Employment is projected to change +21.5% from 2025 to 2035 (all occupations: +3.5%), with about 8,100 openings per year. The typical entry credential is associate's degree.

Median annual wage
$72,300
May 2025 Verified data
Projected change
+21.5%
2025 to 2035 Official projection
Openings per year
8,100
Average, 2025 to 2035 Official projection
Employment
51,290
OEWS, May 2025 Verified data

Occupational therapy assistants salary

$0$25K$50K$75KUnited States$72,300
National annual wages for occupational therapy assistants, May 2025: 10th percentile $51,490, 25th $61,710, median $72,300, 75th $79,160, 90th $89,780. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$51,490$24.76
Median (50th percentile)$72,300$34.76
Mean (average)$70,710$33.99
90th percentile$89,780$43.16

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Occupational therapy assistants pay by state and metro area

$53.5K$82.0K
Median annual wage for occupational therapy assistants by state, May 2025. Highest: Maryland at $82,010. States in gray have no published estimate.
Table: median wage and employment for all 50 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$62,250$50,120$79,6007501.07
Alaska$53,530$34,110$95,900600.56
Arizona$73,490$53,810$89,8801,1201.04
Arkansas$78,940$50,710$98,9607301.69
California$81,770$65,680$104,9903,8400.64
Colorado$75,340$60,880$100,1907100.75
Connecticut$72,780$60,180$81,4008201.46
Delaware$78,640$63,970$82,0702201.39
District of Columbia$66,390$57,450$85,660600.27
Florida$71,630$59,890$79,3503,9101.19
Georgia$75,920$55,840$86,8301,0600.66
Hawaii$72,710$65,660$77,280600.28
Idaho$65,330$59,820$74,7202100.76
Illinois$64,120$47,830$80,1502,4701.23
Indiana$66,660$43,340$86,8701,4901.41
Iowa$64,140$47,670$79,8004000.77
Kansas$65,010$55,120$77,4106601.39
Kentucky$65,230$50,840$77,2705000.76
Louisiana$66,090$31,530$83,2007601.18
Maine$64,270$53,230$81,2202501.17
Maryland$82,010$62,380$95,5207100.78
Massachusetts$75,040$42,120$82,1801,4101.18
Michigan$63,260$52,270$79,3101,2500.86
Minnesota$64,920$56,360$73,0405400.56
Mississippi$61,650$51,920$78,3204201.09
Missouri$66,070$50,990$80,9301,4701.52
Montana$72,800$59,060$94,510600.33
Nebraska$63,180$47,490$77,8402100.61
Nevada$79,510$61,530$97,5902200.42
New Hampshire$67,790$48,410$85,6101500.66
New Jersey$74,960$65,550$100,7001,0800.76
New Mexico$77,020$36,820$94,0003001.04
New York$68,530$49,050$83,2002,2300.7
North Carolina$69,390$55,130$83,3601,5900.97
North Dakota$60,970$48,760$65,5401300.94
Ohio$62,700$49,500$79,6003,8902.13
Oklahoma$66,520$51,710$79,3201,0001.77
Oregon$76,850$65,190$86,0102500.38
Pennsylvania$71,590$55,690$77,7902,5601.28
Rhode Island$66,710$58,220$75,5603001.8
South Carolina$73,740$52,050$87,8608301.1
South Dakota$56,180$40,110$72,8001000.65
Tennessee$62,420$23,910$78,9501,3001.2
Texas$81,500$60,980$95,9005,6101.21
Utah$66,080$42,690$94,8702800.48
Virginia$74,960$57,250$89,5601,1300.84
Washington$77,590$62,960$88,2507200.61
West Virginia$60,370$49,280$76,9403401.47
Wisconsin$59,960$44,620$72,9401,0501.08
Wyoming$62,750$37,680$74,430800.88

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

New York-Newark-Jersey City, NY-NJ2,200
Los Angeles-Long Beach-Anaheim, CA1,720
Chicago-Naperville-Elgin, IL-IN1,710
Dallas-Fort Worth-Arlington, TX1,220
Austin-Round Rock-San Marcos, TX1,190
Miami-Fort Lauderdale-West Palm Beach, FL1,090
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD940
Houston-Pasadena-The Woodlands, TX900
Boston-Cambridge-Newton, MA-NH850
Phoenix-Mesa-Chandler, AZ800

Highest paying metro areas

San Francisco-Oakland-Fremont, CA$97,860
San Jose-Sunnyvale-Santa Clara, CA$95,370
Sacramento-Roseville-Folsom, CA$95,180
Washington-Arlington-Alexandria, DC-VA-MD-WV$88,250
San Diego-Chula Vista-Carlsbad, CA$82,680
Baltimore-Columbia-Towson, MD$82,620
Austin-Round Rock-San Marcos, TX$81,500
Houston-Pasadena-The Woodlands, TX$81,340
Dallas-Fort Worth-Arlington, TX$81,170
Fayetteville-Springdale-Rogers, AR$80,910
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for occupational therapy assistants

2025 (actual)52,2002035 (projected)63,400
BLS projects employment of occupational therapy assistants to go from 52,200 in 2025 to 63,400 in 2035, a change of +21.5% (+11,200 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 8,100. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for occupational therapy assistants

Typical entry education
Associate's degree
Related work experience
None
On-the-job training
None
O*NET Job Zone
Job Zone Three: Medium Preparation Needed

Highest education of people working in this occupation

Less than high school2%
High school diploma6.8%
Some college, no degree12.7%
Associate's degree51%
Bachelor's degree21.8%
Master's degree4.6%
Doctoral or professional1.1%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is an associate's degree (51%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

Active Listening3.9
Speaking3.9
Reading Comprehension3.6
Critical Thinking3.4
Monitoring3.4
Writing3.3
Active Learning3.3
Learning Strategies3.3
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Customer and Personal Service4.7
Psychology4.3
Education and Training3.9
English Language3.7
Therapy and Counseling3.7
Public Safety and Security3.4
Sociology and Anthropology3.1
Administrative3.1
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Instruct, or assist in instructing, patients and families in home programs, basic living skills, or the care and use of adaptive equipment.
  • Maintain and promote a positive attitude toward clients and their treatment programs.
  • Report to supervisors, verbally or in writing, on patients' progress, attitudes, and behavior.
  • Implement, or assist occupational therapists with implementing, treatment plans designed to help clients function independently.
  • Monitor patients' performance in therapy activities, providing encouragement.
  • Observe and record patients' progress, attitudes, and behavior and maintain this information in client records.
  • Select therapy activities to fit patients' needs and capabilities.
  • Attend continuing education classes.

Technology skills

  • Facebook (hot technology)
  • Microsoft Access (hot technology)
  • Microsoft Excel (hot technology)
  • Microsoft Office software (hot technology)
  • Microsoft Outlook (hot technology)
  • Microsoft PowerPoint (hot technology)
  • Microsoft Windows (hot technology)
  • Microsoft Word (hot technology)
  • eClinicalWorks EHR software (hot technology)
  • Billing software
  • Bookkeeping software
  • BrainTrain Captain's Log
  • BrainTrain IVA+Plus
  • BrainTrain SmartDriver
  • Client caseload management software
  • Database software

Transferable skills for career changers: Social Perceptiveness, Service Orientation, Time Management, Instructing, Coordination, Judgment and Decision Making.

Common job titles: Acute Care Occupational Therapy Assistant (Acute Care OT Assistant), Certified Occupational Assistant, Certified Occupational Therapist Assistant (COTA), Certified Occupational Therapy Assistant (COTA), Licensed Occupational Therapist Assistant (LOTA), Licensed Occupational Therapy Assistant (LOTA), Occupational Therapist Assistant (OTA), Occupational Therapy Assistant (OTA), Registered Therapist Assistant, School Based Certified Occupational Therapy Assistant (School Based COTA).

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do occupational therapy assistants make?

The national median annual wage for occupational therapy assistants was $72,300 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $51,490 and the highest paid 10 percent earned more than $89,780. These figures cover all workers in the occupation, not only new entrants.

What education do occupational therapy assistants need?

BLS lists associate's degree as the typical education needed to enter this occupation, with none of related work experience and none on-the-job training typically needed to become competent.

Is occupational therapy assistants a growing career?

BLS projects employment of occupational therapy assistants to change +21.5% from 2025 to 2035, compared with +3.5% for all occupations. About 8,100 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay occupational therapy assistants the most?

By median annual wage in May 2025, the highest paying states were Maryland ($82,010), California ($81,770), Texas ($81,500). Pay differences partly reflect differences in living costs.

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