COTA Jobs in Texas
COTA jobs in Texas are concentrated in Houston, Dallas-Fort Worth, and San Antonio, where large rehabilitation networks, hospital systems, and pediatric facilities maintain steady demand for occupational therapy assistants at every experience level. Major employers with an established Texas presence include CHRISTUS Health, Encompass Health, and U.S. Physical Therapy, alongside school districts and long-term care networks that hire cotas in volume. The most in-demand specialties in the state are pediatric OT, geriatric rehabilitation, and school-based therapy. Scan the live roles below and apply to whichever ones fit.
Find COTA Jobs in TexasOverview
Showing 5 of 125+ COTA jobs
Certified Occupational Therapy Assistant (COTA) Pediatric Home Health
Territory:Alief/Sharpstown, TX
Pay: $68,000 - $78,000+
A Role That Supports Your Path
At Care Options for Kids, we've built a home health COTA role around what therapy assistants value most: strong clinical support, meaningful hands-on experience, and flexibility that fits different career paths and life stages.
In this role, you'll work directly with children in home-based settings, supporting occupational therapy treatment plans under the supervision of licensed OTs. You'll help children build functional skills, support daily routines, and partner with families to promote carryover in real-world environments. Whether you're a COTA who enjoys building a long-term career in this role or someone considering future growth, you'll be supported, valued, and set up for success.
If you're looking for a role where your contribution matters and your career goals are respected, this position was designed with you in mind.
Care Options for Kids Benefits
Weekly Pay and Direct Deposit
Medical, Dental, and Vision Insurance
Life, LTD, and STD Coverage
Provide home based services in a condensed geographic zone
Supplemental Insurance Options
401(k) Retirement Plan
Paid Time Off (PTO)
Continuing Education through an Online Learning Portal
Industry-leading Training and Professional Development
Employee Referral Bonus Opportunities
Support That Expands Your Impact
Opportunities to participate in COFK's Global Outreach Program, providing therapy services to underserved children abroad, with travel and participation costs covered by Care Options for Kids
A top-tier EHR designed to streamline documentation and reduce administrative burden
Access to clinical leadership and supervising OTs when you need guidance, feedback, and support
Requirements
Associate's degree in Occupational Therapy from an accredited program
NBCOT certification for Occupational Therapy Assistant
Active Occupational Therapy Assistant license in State of Practice
Current BLS/CPR Certification
Reliable Transportation and a Valid Driver's License
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
- Restrictions Apply. Connect with your Talent Acquisition Specialist for more details.
Care Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.
Certified Occupational Therapy Assistant (COTA) Pediatric Home Health
Territory:Alief/Sharpstown, TX
Pay: $68,000 - $78,000+
A Role That Supports Your Path
At Care Options for Kids, we've built a home health COTA role around what therapy assistants value most: strong clinical support, meaningful hands-on experience, and flexibility that fits different career paths and life stages.
In this role, you'll work directly with children in home-based settings, supporting occupational therapy treatment plans under the supervision of licensed OTs. You'll help children build functional skills, support daily routines, and partner with families to promote carryover in real-world environments. Whether you're a COTA who enjoys building a long-term career in this role or someone considering future growth, you'll be supported, valued, and set up for success.
If you're looking for a role where your contribution matters and your career goals are respected, this position was designed with you in mind.
Care Options for Kids Benefits
Weekly Pay and Direct Deposit
Medical, Dental, and Vision Insurance
Life, LTD, and STD Coverage
Provide home based services in a condensed geographic zone
Supplemental Insurance Options
401(k) Retirement Plan
Paid Time Off (PTO)
Continuing Education through an Online Learning Portal
Industry-leading Training and Professional Development
Employee Referral Bonus Opportunities
Support That Expands Your Impact
Opportunities to participate in COFK's Global Outreach Program, providing therapy services to underserved children abroad, with travel and participation costs covered by Care Options for Kids
A top-tier EHR designed to streamline documentation and reduce administrative burden
Access to clinical leadership and supervising OTs when you need guidance, feedback, and support
Requirements
Associate's degree in Occupational Therapy from an accredited program
NBCOT certification for Occupational Therapy Assistant
Active Occupational Therapy Assistant license in State of Practice
Current BLS/CPR Certification
Reliable Transportation and a Valid Driver's License
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
- Restrictions Apply. Connect with your Talent Acquisition Specialist for more details.
Care Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.
See All 125+ COTA Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find COTA Jobs in TexasCOTA Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
COTA Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Care Options For Kids18
- Angels of Care Pediatric Home Health8
- Enhabit Home Health & Hospice7
- Adaptive Home Health5
- Powerback Rehabilitation5
Top Industries Hiring
- Healthcare & Medical Services
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 required
- National Board for Certification in Occupational Therapy certification required
- Associate degree in occupational therapy assistant from an accredited program
- Demonstrated experience with pediatric, geriatric, or school-based OT populations
- Proficiency documenting treatment plans and progress notes in electronic health records
- Strong communication skills for coordinating care with supervising occupational therapists
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 accredited associate degree program in occupational therapy assisting, pass the NBCOT Certified Occupational Therapy Assistant exam, and obtain an active license from the Texas State Board of Occupational Therapy Examiners. The board requires proof of your NBCOT certification and program completion before issuing a license. Texas does not currently participate in the OT Licensure Compact, so out-of-state cotas must apply for a Texas license directly.
Which companies hire cotas in Texas?
Companies currently hiring cotas in Texas include Care Options For Kids, Angels of Care Pediatric Home Health, and Enhabit Home Health & Hospice, per current listings on Migrate Mate as of August 2026. Texas's large school districts and pediatric rehabilitation networks also represent a consistent source of cota openings alongside the major health systems.
Which Texas cities have the most cota jobs?
Houston, San Antonio, and Austin have the most cota openings in Texas. Houston and Dallas-Fort Worth drive the bulk of demand through their large hospital systems, pediatric networks, and senior living facilities, while San Antonio's concentration of military families and veteran rehabilitation centers creates additional steady volume for occupational therapy assistants.
Are there remote cota jobs in Texas?
Yes, but they're rare. The cota role is fundamentally hands-on, so most positions require in-person patient contact and cannot be performed remotely. About 8% of cota openings tied to Texas are remote or hybrid as of August 2026, and those tend to be documentation-support, care coordination, or telehealth-adjacent positions that supplement direct clinical work rather than replace it.
How can I get hired as a cota in Texas with little or no experience?
The most realistic entry path is applying to new-graduate positions at large Texas rehabilitation networks like Encompass Health or CHRISTUS Health, which regularly onboard cotas directly from accredited programs with close supervision built in. Texas school districts also hire new cotas for school-based therapy roles, where mentorship from a supervising occupational therapist is a structural part of the job. Having your Texas State Board license in hand before you apply and being open to roles in long-term care or pediatric outpatient settings significantly widens the pool of employers willing to hire without prior clinical experience.
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 openings across the state. Search the listings to find roles that match your specialty and preferred location, then apply directly to the ones that fit your background.
See All 125+ COTA Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find COTA Jobs in Texas