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Therapy & rehab

Certified Occupational Therapist Assistant

Total RehabFull time, Part time, Per diem / Full timePosted 1y+ agoStill open, checked every night

Open in 5 locations

Total Rehab posts this job separately for each location. Apply to the one where you can work: the unit, shifts, schedule and pay can differ between locations.

Texas

5 open

How this pay compares

This posting does not state an hourly rate. Open occupational therapy assistant jobs in Texas post a median of $36.50 an hour, the middle half $32.17–$40.50, across 41 jobs that state their pay. Occupational therapy assistants employed in Texas earn a median of $39.19 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 Texas: pay by town and employer

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

Licensed in another state?

Texas is not issuing OT Compact privileges, so an occupational therapist or OT assistant licensed in another state needs a Texas 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

About the Role

Total Rehab Kids is seeking a dedicated Certified Occupational Therapy Assistant (COTA) to join our growing therapy team. In this role, you will work under the supervision of a licensed Occupational Therapist (OT) to help patients improve their daily living skills, functional independence, and overall quality of life.

This is a hands-on clinical position where you’ll implement treatment plans, guide therapeutic activities, and support patients in regaining independence. You’ll play a key role in motivating patients, documenting progress, and collaborating with families and the care team to ensure the best outcomes.

Minimum Qualifications

  • Associate’s degree from an accredited Occupational Therapy Assistant program.
  • Active state licensure (or eligibility) as an Occupational Therapy Assistant in Texas.

Preferred Qualifications

  • Previous experience in an outpatient, pediatric, or rehabilitation setting.
  • Bilingual (English/Spanish) skills for effective communication with diverse patient populations.
  • Current CPR and First Aid certification.

Key Responsibilities

  • Assist Occupational Therapists in implementing individualized treatment plans.
  • Lead therapeutic activities and exercises to improve physical, sensory, and cognitive function.
  • Monitor and document patient progress, reporting updates to the supervising OT.
  • Educate and support patients and families on therapeutic strategies to promote independence at home.
  • Maintain a safe, organized, and supportive therapy environment.

Skills & Qualities We Value

  • Strong communication and interpersonal skills to build trust with patients and families.
  • Organizational skills to manage caseloads and maintain accurate documentation.
  • Physical stamina and dexterity for assisting patients in exercises and mobility tasks.
  • Compassion, patience, and empathy to encourage and motivate patients.
  • Bilingual communication skills (preferred) to connect with a broader range of patients.

Why Join Total Rehab?

At Total Rehab Kids, we are committed to providing high-quality therapy services while supporting our team members with the resources they need to succeed. As a COTA, you’ll have the opportunity to grow your skills, collaborate with a multidisciplinary team, and make a direct impact on patient recovery and independence.

Benefits We Offer

  • Competitive pay with growth opportunities.
  • Medical, Vision, and Dental Insurance.
  • Employer-Paid Life Insurance.
  • 401(k) with Company Match.
  • Paid Time Off (PTO) & Paid Holidays.
  • Supportive, team-oriented work environment.

From Total Rehab's job posting for Harlingen, TX, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Total Rehab

Total Rehab hires therapists and front-office staff in Harlingen, Edinburg and other towns in Texas.

Hires in TexasPay on its listings: 0% of its open jobs state an hourly rate

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