$Who Earns What

How much does a ot assistant make?

US Occupational Therapy Assistants

Answer: A typical ot assistant in the United States makes $72,300 a year (median, May 2025, US Bureau of Labor Statistics).

Yearly pay of a typical person doing this job in the US
$72,300

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).

Lower earner
$51,490
10th from the bottom of 100
Typical person
$72,300
Right in the middle (median)
Higher earner
$89,780
10th from the top of 100

If 100 people had this job

Lowest at bottom-left, highest at top-right

Hover over a person to see their yearly pay

55 of 100
more than half

OT assistant pay in the United States (May 2025, median and spread)

OT assistant pay in the United States (May 2025, median and spread) — Data: US BLS OEWS, May 2025
Lower earner (10th from bottom)Typical person (median)Higher earner (10th from top)People in this job
$51,490$72,300$89,780about 51,000
States where ot assistants earn the most (median, May 2025)
StateTypical person (median)People in this job
Maryland$82,010about 710
California$81,770about 4,000
Texas$81,500about 6,000
Arkansas$78,940about 730
Washington$77,590about 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 US
Whole US$72,300
Maryland$82,010
California$81,770
Texas$81,500
Arkansas$78,940
Washington$77,590
Tennessee$62,420
Alabama$62,250
Wisconsin$59,960

Top 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

Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY