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Careers›Roles›Certified Occupational Therapist Assistant (COTA)
Mid-Level

Certified Occupational Therapist Assistant (COTA)

Helping people regain the ability to do everyday things, you carry out occupational therapy plans hands-on, from dressing and cooking to fine motor skills after injury or illness. Therapy aimed at real, daily independence.

Career Level
Junior
Mid
Senior
Director
VP
Executive
Work Personality
S
C
R
I
A
E
Socialhelping, teaching
Conventionalorganizing, detail-oriented
Based on Holland Code framework
Industries that often hire Certified Occupational Therapist Assistant (COTA)s
Professional ServicesHealthcare · 90%Education · 7%Government · 1%Administrative Services · 1%
Job markets for Certified Occupational Therapist Assistant (COTA)s
Employment concentration · ~205 areas
Based on employment in related occupations
Mapped SOC categories:
Healthcare
BLS Occupational Employment Statistics
Jump to:What it's likeCareer pathsBy the numbers
What it's like

What it's like to be a Certified Occupational Therapist Assistant (COTA)

The work means leading therapeutic activities, guiding exercises, and helping patients practice real tasks, under an occupational therapist's plan. You work hands-on in clinics, hospitals, schools, or homes, building relationships across a course of care. Motivation is as much the craft as method, since recovery is slow and patients tire. The work tends to be physical and personal.

What people underestimate is the physical demands and the emotional patience: you help people through frustration, and progress can stall. Documentation and productivity targets are real, caseloads vary, and not everyone recovers the way they hoped. Settings and populations shape the day sharply.

It fits someone patient, encouraging, and physically up for hands-on care. If you want clinical decision-making or fast results, the role can feel constrained. But if you find reward in the small daily gains, and someone doing for themselves again, the work tends to give that back, patient after patient.

What people in this role value
RelationshipsHigh
AchievementAbove avg
Working ConditionsModerate
SupportModerate
IndependenceModerate
RecognitionLower
O*NET Work Values survey
✦ Editorial — written by Truest from industry research and career patterns
Career Paths

Where this role sits in the broader career landscape — and where it can take you.

Earning potential across this track
$239K$179K$119K$60K$0KLower paying387 metro areas, sorted by salary level
All experience levels1
This level's estimated range
INDUSTRIES PAYING ABOVE AVERAGE
Professional Services$77K+1%
Energy & Utilities$77K+0%
Technology & Information$74K-4%
Financial Services$70K-9%
Healthcare$70K-9%
Compared to Healthcare average across all industries
1 BLS OEWS May 2024 covers all Certified Occupational Therapist Assistant (COTA)s (SOC 31-2011.00), not just this title · BEA RPP 2023
* Top salaries exceed this figure. BLS caps reported wages at ~$240K to protect individual privacy in high-earning roles.
Related rolesExplore Healthcare →
Certified Occupational Therapist Assistant (COTA)Independent Living SpecialistRehabilitation Therapy Technician (Rehab Therapy Tech)Licensed Occupational Therapy Assistant (LOTA)Certified Occupational Therapy Assistant (COTA)Licensed Occupational Therapist Assistant (LOTA)
Exploring the Certified Occupational Therapist Assistant (COTA) career path? Truest helps you figure out if it's the right fit — and plan your path forward.
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✦ Editorial — career progression and interview guidance based on industry patterns
The Broader Landscape

Roles like this one sit within a broader occupational category. The numbers below reflect that full landscape — helpful for context, but your specific experience will depend on level, specialty, and where you work.

$49K–$87K
Salary Range
10th – 90th percentile
48K
U.S. Employment
+19.2%
10yr Growth
7K
Annual Openings

How this category is changing

$74K$71K$68K$65K$62K201920202021202220232024$62K$74K
BLS OEWS May 2024 · BLS Employment Projections 2024–2034

Skills & Requirements

Social PerceptivenessActive ListeningSpeakingService OrientationReading ComprehensionTime ManagementCritical ThinkingMonitoringWritingInstructing
O*NET OnLine · Bureau of Labor Statistics
Mapped SOC Codes
31-2011.00

Explore related roles

Roles with similar work and overlapping career paths

directorOccupational Health Nursing Director$118KmidIndependent Living Specialist$68KmidRehabilitation Therapy Technician (Rehab Therapy Tech)$53KmidLicensed Occupational Therapy Assistant (LOTA)$68KmidCertified Occupational Therapy Assistant (COTA)$68KmidLicensed Occupational Therapist Assistant (LOTA)$68K
View all Healthcare roles →

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Federal data: BLS Occupational Employment & Wage Statistics (May 2024) · BLS Employment Projections · O*NET OnLine
Truest editorial: Fit check, role profile, things that vary, advancement analysis, lateral moves, interview questions.