How much does a ot assistant make?
Answer: A typical ot assistant in the United States makes $72,300 a year (median, May 2025, US Bureau of Labor Statistics).
Line up 100 people; this is the one in the middle (median). about 51,000 people work in this job. Well above the US-wide typical pay ($50,980).
If 100 people had this job
Lowest at bottom-left, highest at top-rightHover over a person to see their yearly pay
OT assistant pay in the United States (May 2025, median and spread)
| Lower earner (10th from bottom) | Typical person (median) | Higher earner (10th from top) | People in this job |
|---|---|---|---|
| $51,490 | $72,300 | $89,780 | about 51,000 |
| State | Typical person (median) | People in this job |
|---|---|---|
| Maryland | $82,010 | about 710 |
| California | $81,770 | about 4,000 |
| Texas | $81,500 | about 6,000 |
| Arkansas | $78,940 | about 730 |
| Washington | $77,590 | about 720 |
Why does pay differ?
In the United States, OT assistant pay can differ with experience, location, and employer type, such as a clinic, hospital, or care home. Work hours and shifts, extra credentials, and more complex duties or specialized skills may also affect pay.
What if you lived in a different state?
Pay varies a lot by state in the USTop 5 and bottom 3 states, typical (median) yearly pay.
What does a ot assistant do?
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.
What's a typical day like?
They set up activities, then coach people through practice—like dressing, moving from bed to wheelchair, or using helpful equipment. They watch progress, write notes, and share updates with the occupational therapist.
How to get this job
In the U.S., complete an associate degree in an ACOTE-accredited OTA program and its hands-on fieldwork. Then pass the NBCOT exam and apply for a state license; exact rules vary by state.
Vocational school or a few years' experience (preparation level 3 of 5)
Good for people who like helping and teaching and keeping things organized.
Did you know?
Some OT assistants lead children with disabilities in play—not just for fun, but to build coordination and social skills and support developmental milestones.
Similar jobs
Jobs using similar skills (O*NET)Sources and data
Source: US Bureau of Labor Statistics, OEWS May 2025 (bls.gov); descriptions and related jobs from O*NET 31.0. Figures as of May 2025, full-time yearly pay (hourly × 2,080 hours). bls.gov/oes · O*NET OnLine
Pages used for the text
- www.bls.gov/ooh/healthcare/occupational-therapy-assistants-and-aides.htm
- www.aota.org/career/become-an-ot-ota
- www.bls.gov/careeroutlook/2015/article/wage-differences.htm
- www.nbcot.org/get-certified/eligibility
Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY