Occupational Therapy Assistant / COTA / OTA / PRN Salary in the United States

How much does an Occupational Therapy Assistant / COTA / OTA / PRN make in the United States?

As of January 01, 2026, the average salary for an Occupational Therapy Assistant / COTA / OTA / PRN in the United States is $65,964 per year, which breaks down to an hourly rate of $32.

However, an Occupational Therapy Assistant / COTA / OTA / PRN's salary can vary significantly. Here’s a look at the typical salary range:

  • Top Earners (90th percentile): $73,766
  • Majority Range (25th-75th percentile): $57,681 to $70,048
  • Entry-Level (10th percentile): $50,139
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View as table View as graph 25% $57,681 10% $50,139 90% $73,766 75% $70,048 $65,964 50%(Median) Didn’t find job title? Click

Occupational Therapy Assistant / COTA / OTA / PRN Salaries by Percentile

Annual
Salary
Monthly
Pay
Weekly
Pay
Hourly
Wage
75th Percentile $70,048 $5,837 $1,347 $34
Average $65,964 $5,497 $1,269 $32
25th Percentile $57,681 $4,807 $1,109 $28
Check out Occupational Therapy Assistant / COTA / OTA / PRN Job Openings in the United States
Certified Occupational Therapy Assistant COTA PRN

Ashland Post Acute - ASHLAND, OR

COTA Certified Occupational Therapy Assistant

HIDEC PreSchool - BROOKLYN, NY

Certified Occupational Therapy Assistant

Crescent City Care Center - CRESCENT CITY, CA

Certified Occupational Therapy Assistant

Horizon Adult Health Care - MONTICELLO, KY

Search More Occupational Therapy Assistant / COTA / OTA / PRN Jobs in the United States

Key Factors That Influence Occupational Therapy Assistant / COTA / OTA / PRN Salaries

An Occupational Therapy Assistant / COTA / OTA / PRN's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location and company size can directly affect your earning potential.

How Experience Level Affects Occupational Therapy Assistant / COTA / OTA / PRN Salaries?

Experience is a primary driver of an Occupational Therapy Assistant / COTA / OTA / PRN's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:

  • Entry-Level (less than 1 year): $62,784
  • Early Career (1-2 years): $63,439
  • Mid-Level (2-4 years): $64,355
  • Senior-Level (5-8 years): $65,784
  • Expert (over 8 years): $66,985
Levels Salary
Entry Level Occupational Therapy Assistant / COTA / OTA / PRN$62,784
Intermediate Level Occupational Therapy Assistant / COTA / OTA / PRN$63,439
Senior Level Occupational Therapy Assistant / COTA / OTA / PRN$64,355
Specialist Level Occupational Therapy Assistant / COTA / OTA / PRN$65,784
Expert Level Occupational Therapy Assistant / COTA / OTA / PRN$66,985
$62,784 0 yr
$63,439 < 2 yrs
$64,355 2-4 yrs
$65,784 5-8 yrs
$66,985 > 8 yrs
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What Am I Worth?

How Do Occupational Therapy Assistant / COTA / OTA / PRN Salaries Vary from State to State?

Your salary can change significantly depending on where you work. States with a higher cost of living and strong industrial sectors often pay more to attract Occupational Therapy Assistant / COTA / OTA / PRNs. For example, consider the average annual salaries in these key locations:

  • District of Columbia: $73,035.
  • California: $72,758.
  • Massachusetts: $71,788.

Top Paying Cities for Occupational Therapy Assistant / COTA / OTA / PRNs

Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:

  • San Jose: $83,200
  • San Francisco: $82,382
  • Oakland: $80,555

What Skills Can Increase an Occupational Therapy Assistant / COTA / OTA / PRN's Salary?

Demanded Skills for the Role:

  • Innovation (Mentioned in 6.83% Job Postings): The ability and process of implementing new ideas and initiatives to improve organizational performance.
  • Infection Control (Mentioned in 6.71% Job Postings): Infection control is the discipline concerned with preventing nosocomial or healthcare-associated infection, a practical (rather than academic) sub-discipline of epidemiology. It is an essential, though often underrecognized and undersupported, part of the infrastructure of health care. Infection control and hospital epidemiology are akin to public health practice, practiced within the confines of a particular health-care delivery system rather than directed at society as a whole. Anti-infective agents include antibiotics, antibacterials, antifungals, antivirals and antiprotozoals. Infection control addresses factors related to the spread of infections within the healthcare setting (whether patient-to-patient, from patients to staff and from staff to patients, or among-staff), including prevention (via hand hygiene/hand washing, cleaning/disinfection/sterilization, vaccination, surveillance), monitoring/investigation of demonstrated or suspected spread of infection within a particular health-care setting (surveillance and outbreak investigation), and management (interruption of outbreaks). It is on this basis that the common title being adopted within health care is "infection prevention and control."
  • Leadership Education (Mentioned in 0.34% Job Postings): Educational leadership is the process of enlisting and guiding the talents and energies of teachers, students, and parents toward achieving common educational aims.
See More Skills
Skills Demand Percentage
Innovation 6.83%
Infection Control 6.71%
Leadership Education 0.34%
What skills can make your compensation higher?
Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on an Occupational Therapy Assistant / COTA / OTA / PRN's salary.
  • Leadership Education: Can increase your salary by up to 33%.
  • Innovation: Can increase your salary by up to 32%.
  • Coordination: Can increase your salary by up to 13%.
Skill Salary Salary % Increase
Leadership Education
$87,732
33%
Innovation
$87,072
32%
Coordination
$74,539
13%
Healthcare Services
$73,220
11%
Confidentiality
$71,901
9%
Clinical Skills
$71,901
9%
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Occupational Therapy Assistant / COTA / OTA / PRN Salary: Hourly Rate, Weekly Pay, and Monthly Pay

Understanding how an Occupational Therapy Assistant / COTA / OTA / PRN's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.

Last Updated on January 01, 2026

Salary Trends for Occupational Therapy Assistant / COTA / OTA / PRN

Salaries for an Occupational Therapy Assistant / COTA / OTA / PRN can change over time, reflecting shifts in market demand and the overall economy. The median salary decreased from $64,077 in 2023 to around $62,211 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of Occupational Therapy Assistant / COTA / OTA / PRN salary trends, .

Average Annual Salary of Occupational Therapy Assistant / COTA / OTA / PRN Over Time

2022
$???
2023
$64,077
2024
$64,417
2025
$62,211
2026
$???
2027
$???
Year Average Annual Salary
2022
View More
2023 $64,077
2024 $64,417
2025 $62,211
2026
View More
2027
View More

Most common benefits for Occupational Therapy Assistant / COTA / OTA / PRN

Social Security
401(k)
Disability
Healthcare
Pension
Time Off (days)
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Common company salaries for Occupational Therapy Assistant / COTA / OTA / PRN

Here are companies hiring for Occupational Therapy Assistant / COTA / OTA / PRN and their salaries, click below for more details.

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Where Does Our Salary Data Come From?

Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.

We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)

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