COTA Jobs in Texas

COTA jobs in Texas represent one of the most active occupational therapy assistant markets in the country, with strong demand in school districts, pediatric outpatient clinics, skilled nursing facilities, and inpatient rehabilitation centers stretching from entry-level to senior clinician roles. The deepest concentration of openings is in Houston, Dallas-Fort Worth, and San Antonio, where large employers such as CHRISTUS Health, Baylor Scott and White Health, and Encompass Health operate extensive rehabilitation networks. Hand therapy, pediatrics, and school-based practice are the most consistently sought specialties across Texas employers. Find a role that fits below and apply directly.

Find COTA Jobs in Texas

Overview

Open roles5+
Top employerHealthPRO Heritage
Top cityAustin, TX
Cities hiring5
Work type100% On-site
Top industryHealthcare

Showing 5 of 5+ COTA jobs

Memorial Hermann Health System
Cota
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Memorial Hermann Health System
Added 1w ago
Cota
Memorial Hermann Health System
Houston, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Associate's
10,000+

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Lifepoint Health
Certified Occupational Therapist Assistant (COTA)
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Lifepoint Health
Added 1w ago
Certified Occupational Therapist Assistant (COTA)
Lifepoint Health
Round Rock, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Associate's
10,000+

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St. David's HealthCare
Home Health Occupational Therapy Assistant COTA
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St. David's HealthCare
Added 1w ago
Home Health Occupational Therapy Assistant COTA
St. David's HealthCare
Austin, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Associate's
5,001-10,000

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HealthPRO Heritage
Certified Occupatioal Therapist Assistant (COTA)
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HealthPRO Heritage
Added 2mo ago
Certified Occupatioal Therapist Assistant (COTA)
HealthPRO Heritage
Palestine, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Other

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HealthPRO Heritage
Certified Occupational Therapist Assistant (COTA)
We won't show you this job again
HealthPRO Heritage
Added 2mo ago
Certified Occupational Therapist Assistant (COTA)
HealthPRO Heritage
Dallas, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Other

Have you applied for this role?

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See All 5 COTA Jobs in Texas

Find roles in Texas that match your experience and apply in just a few clicks.

Find COTA Jobs in Texas

COTA Jobs by City in Texas

Where Texas roles are concentrated, by current openings.

Austin
1 jobs
Dallas
1 jobs
Houston
1 jobs
Palestine
1 jobs
Round Rock
1 jobs

COTA Job Market in Texas

A snapshot from current Texas openings, updated as new roles post.

Who's Hiring

  • HealthPRO Heritage
    HealthPRO Heritage2
  • Lifepoint Health
    Lifepoint Health1
  • Memorial Hermann Health System
    Memorial Hermann Health System1
  • St. David's HealthCare
    St. David's HealthCare1

Top Industries Hiring

  • Healthcare & Medical Services5

What Texas Employers Look For

The qualifications that appear most often in COTA jobs across Texas.

  • Active Texas State Board of Occupational Therapy Examiners license as a COTA
  • Graduation from an ACOTE-accredited occupational therapy assistant program
  • Passed the NBCOT Certified Occupational Therapy Assistant certification examination
  • Current CPR and Basic Life Support certification maintained throughout employment
  • Experience or clinical placement in pediatric, school-based, or rehabilitation settings
  • Ability to complete accurate documentation in electronic health record systems

COTA Jobs in Texas: Frequently Asked Questions

How do you become a cota in Texas?

To become a cota in Texas you must complete an associate degree from an ACOTE-accredited occupational therapy assistant program, accumulate your required fieldwork hours, pass the NBCOT Certified Occupational Therapy Assistant exam, and then apply for licensure through the Texas State Board of Occupational Therapy Examiners. Texas requires active state licensure before you can practice, and the board issues the license only after NBCOT certification is confirmed.

How much do COTAs make in Texas?

COTAs in Texas earn a median of about $81,500 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,980 for the lowest 10% to over $95,900 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire cotas in Texas?

Employers hiring cotas in Texas right now include HealthPRO Heritage, Lifepoint Health, and Memorial Hermann Health System, based on current listings on Migrate Mate as of June 2026. Texas's large integrated health systems and school district therapy contracts tend to generate the most consistent volume of openings across the state.

Which Texas cities have the most cota jobs?

Austin, Dallas, and Houston have the most cota openings in Texas right now. Houston and Dallas-Fort Worth lead because of their density of hospital systems, pediatric networks, and independent school districts under contract for therapy services, while San Antonio's large military-affiliated population and growing rehabilitation hospital footprint drive steady demand there as well.

Are there remote cota jobs in Texas?

Yes, but they're rare. Because cota work is fundamentally hands-on, the large majority of Texas openings require in-person presence at a clinic, school, or facility. About 0% of cota openings tied to Texas are remote or hybrid as of June 2026, and those positions are almost exclusively in telehealth consultation or documentation-support roles rather than direct patient care.

How can I get hired as a cota in Texas with little or no experience?

The most realistic entry path is applying directly to school districts and large rehabilitation networks that run new-graduate orientation programs, since Texas districts like Houston ISD and Dallas ISD regularly bring on first-year cotas under supervising OTs. Encompass Health and CHRISTUS Health both offer structured onboarding for new clinicians. Completing a Level II fieldwork rotation at your target employer strengthens your application significantly, and holding an active Texas State Board of Occupational Therapy Examiners license before you apply removes the most common hiring barrier.

Where can I find and apply to cota jobs in Texas?

You can find and apply to cota jobs in Texas on Migrate Mate, which lists current Texas openings updated regularly. Search the listings, find a role that fits your experience and preferred setting, and apply directly to the employer through the posting.

See All 5 COTA Jobs in Texas

Find roles in Texas that match your experience and apply in just a few clicks.

Find COTA Jobs in Texas