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Therapy & rehab

Pediatric Occupational Therapy Assistant

Limitlessli$56,000–$76,000/yrPuyallup, WAFull timePosted 1mo agoStill open, checked every night

How this pay compares

This posting does not state an hourly rate. Open occupational therapy assistant jobs in Washington post a median of $38.50 an hour, the middle half $36.99–$41.50, across 37 jobs that state their pay. Occupational therapy assistants employed in Washington earn a median of $37.30 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Occupational therapy assistants in Washington: pay by town and employer

The Physical, Occupational, Speech & Respiratory Therapy job market: pay, applicant demand and hiring, researched nightly

Licensed in another state?

Washington is not issuing OT Compact privileges yet, so an occupational therapist or OT assistant licensed in another state needs a Washington license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) Every state's OT Compact status.

Physical, occupational, speech and respiratory therapy jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 87.1%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
  • How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%

From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs

About the job

Certified Occupational Therapy Assistant (COTA)

Location: Puyallup, WA

Job Type: Full-Time | Permanent

Schedule: Flexible Schedule

Compensation: $56,000–$76,000 annually

About the Opportunity

Are you a passionate, creative, and compassionate Certified Occupational Therapy Assistant (COTA) who loves helping children grow through play, movement, and meaningful connection?

We are seeking a dedicated COTA to join a vibrant, fast-paced, community-based pediatric therapy clinic in Puyallup, WA. This role provides the opportunity to work with children ages 0–21 and help them develop functional skills while building confidence and independence.

If you're ready to make a meaningful impact in the lives of children and their families, we'd love to hear from you!

What You'll Do

  • Provide occupational therapy services to children with a variety of developmental and functional needs.
  • Lead engaging individual and group therapy sessions, including feeding, social skills, handwriting, preschool, motor, and life skills groups.
  • Collaborate with families and other professionals to support each child's goals and development.
  • Develop and implement individualized home programs.
  • Monitor and document progress while celebrating milestones and successes along the way.
  • Participate in team meetings and collaborate with other clinicians to support high-quality patient care.

What You Bring

  • Certified Occupational Therapy Assistant (COTA) with a valid Washington State license .
  • Associate's degree from an ACOTE-accredited Occupational Therapy Assistant program .
  • Current CPR certification .
  • A playful, creative spirit and genuine compassion for working with children and families.
  • Strong understanding of child development and the progression of functional skills.
  • Familiarity with neurodiversity-affirming clinical practices and a commitment to supporting children and families through this approach.
  • Flexible, team-oriented mindset with a passion for continuous learning and professional growth.
  • Excellent organizational, time management, and communication skills.
  • Ability to collaborate effectively within a supportive multidisciplinary team.

Preferred Experience

Experience in an outpatient setting is preferred. Experience with any of the following is especially beneficial:

  • Sensory-based approaches
  • Feeding therapy
  • Social skills programs
  • Handwriting programs

Previous experience in these areas is not required but will be beneficial in this role.

What We Offer

  • Competitive compensation of $56,000–$76,000 annually
  • Generous PTO and paid holidays
  • Flexible scheduling options
  • Medical, dental, and vision benefits
  • Retirement plan with company matching
  • Continuing education support
  • Mentorship and professional development opportunities
  • Weekly team meetings and opportunities to collaborate and learn from other clinicians
  • Supportive, welcoming, and collaborative work environment
  • Autonomy within a supportive team and caring culture
  • Opportunity to make a meaningful difference in the lives of children and families

Why Join Us?

You'll have the opportunity to work in a supportive pediatric therapy environment where creativity, collaboration, and individualized care are valued. You'll help children build skills, confidence, and independence while working closely with their families and a dedicated team of professionals.

If you're looking for a rewarding pediatric therapy career where your work truly matters, we encourage you to apply!

From Limitlessli's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Limitlessli

Limitlessli hires nurses, therapists and mental health staff in 13 states.

Hires in 12 statesPay on its listings: shown on each listing that states it

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