Career roadmap
How to Become an Occupational Therapy Assistant
The education, training, certifications and steps it takes to start working as an occupational therapy assistant, plus how long it takes and where the career can lead.
To become an occupational therapy assistant: (1) take health classes, (2) complete an OTA program, (3) complete fieldwork, (4) pass the COTA exam, (5) advance. Most people need about 2 years. BLS lists “associate's degree” as the typical entry-level education.
5 steps to become an occupational therapy assistant
Take health classes
Foundation.
Complete an OTA program
Associate degree.
Complete fieldwork
Supervised practice.
Pass the COTA exam
Get licensed.
Advance
Specialize or become an OT.
Education and training requirements
An associate degree from an accredited OTA program, the NBCOT COTA exam and a state license are required.
| Typical entry-level education (BLS) | Associate's degree |
|---|---|
| Related work experience | None |
| On-the-job training | None |
| Typical training time | 2 years |
Certifications and licenses
- COTA (NBCOT): Certified OT Assistant.
- State license: Required.
- CPR: Basic life support.
- Specialty certificates: Pediatrics or physical agents.
Skills to build now
Start with therapeutic activities, adl training, and adaptive equipment, and practice patience and encouragement. Learning the occupational therapy assistant vocabulary early makes training and interviews easier.
Where the career can lead
- OTA: Provide therapy.
- Senior OTA: Specialize.
- Rehab Coordinator: Lead programs.
- Occupational Therapist: With graduate degree.
Get a head start
Our self-paced Occupational Therapy Assistant training gives you a realistic, practical overview of the job (duties, terminology, step-by-step tasks, safety and interview prep) so you can decide with confidence and show employers you’re serious.
Common questions about getting started
How long does it take to become an OTA?
About two years.
How long does it take to become an occupational therapy assistant?
Most people need about 2 years of training. An associate degree from an accredited OTA program, the NBCOT COTA exam and a state license are required.
Do you need a degree to be an occupational therapy assistant?
No four-year degree is typically required. BLS lists “associate's degree” as the typical entry-level education.
What certifications are available for occupational therapy assistants?
Common credentials include COTA (NBCOT), State license, CPR, and Specialty certificates. All states regulate OTAs, usually through licensing after the NBCOT exam.
Sources
- U.S. Bureau of Labor Statistics, BLS Occupational Employment and Wage Statistics (OEWS), May 2025, SOC 31-2011 (Occupational therapy assistants).
- U.S. Bureau of Labor Statistics, BLS Employment Projections, Table 1.2 (2025–35).
- O*NET OnLine summary for Occupational therapy assistants (U.S. Department of Labor).
- BLS Occupational Outlook Handbook.
Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.