Certified Occupational Therapist Assistant Salary Guide
Average Certified Occupational Therapist Assistant Salary
$42.03/hour
The average salary for a Certified Occupational Therapist Assistant is $42.03 per hour. This is 16% lower than the therapy US average of $48.60.
Last updated on October 3, 2026. Based on active jobs on Vivian.com.
Salaries for Certified Occupational Therapist Assistant compared to Therapist National Averages
$42.03/hour
16% lower than the therapy US average.
$48.60/hour
United States
Where do Certified Occupational Therapists get paid the most?
California pays Certified Occupational Therapist Assistants the most, averaging $58 per hour, followed by New York ($48) and Florida ($46). California also has the highest ceiling, with max hourly pay reaching $72. For comparison, the national average for Certified Occupational Therapist Assistants is $42 per hour — California pays 37% more.
| State | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| California | $58 | $72 |
| New York | $48 | $57 |
| Florida | $46 | $58 |
What are the highest paying Employers and Agencies for Certified Occupational Therapist Assistant jobs?
Confluent Health pays Certified Occupational Therapist Assistants the most, averaging $44 per hour, followed by Community Medical Centers ($42) and Frontline Personnel ($39). For comparison, the national average for Certified Occupational Therapist Assistants is $42 per hour — Confluent Health pays 5% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Confluent Health | $44 | $44 |
| Community Medical Centers | $42 | $42 |
| Frontline Personnel | $39 | $40 |
| Med Hires | $36 | $36 |
| Elara Caring | $35 | $35 |
| Select Medical | $35 | $35 |
| BJC HealthCare | $33 | $33 |
| Step Up Rehab | $33 | $33 |
| Baptist Health System - San Antonio TX | $31 | $31 |
| Memorial Hermann Health System | $30 | $30 |
Last updated on October 3, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.
Certified Occupational Therapist Assistant Career Guide
Use our exclusive Career Guides to research the education, qualifications, skills and responsibilities for a variety of healthcare disciplines and specialties employers are hiring now.
Go to the guideTop Certified Occupational Therapist Assistant Jobs
Certified Occupational Therapy Assistant (COTA) - SNF/LTC
- Centra Healthcare QIA
- Alameda, CA
- 5x8 hrs, Days
$104K-114K/year
approximately $50-55/hrCertified Occupational Therapy Assistant (COTA) - SNF/LTC
- Centra Healthcare QIA
- Santa Clara, CA
- 5x8 hrs, Days
$104K-114K/year
approximately $50-55/hrCertified Occupational Therapy Assistant
- Centra Healthcare QIA
- Salinas, CA
- 5x8 hrs, Days
$104K-114K/year
approximately $50-55/hrCertified Occupational Therapy Assistant
- Centra Healthcare QIA
- Carmichael, CA
- 5x8 hrs, Days
$100K-114K/year
approximately $48-55/hrCertified Occupational Therapy Assistant (COTA) - SNF/LTC
- Centra Healthcare QIA
- San Leandro, CA
- 5x8 hrs, Days
$100K-114K/year
approximately $48-55/hrGet alerts about new jobs and salary trends
Be the first to know about new jobs for Certified Occupational Therapists with the salary that suits you.
Featured Blog Posts
Featured Blog Posts
