Occupational Therapy Assistant Jobs in Massachusetts
Occupational Therapy Assistant jobs in Massachusetts are consistently in demand, concentrated in hospital systems, skilled nursing facilities, pediatric clinics, and school-based settings, with openings available from entry-level positions through senior and lead roles. The busiest hiring markets are Boston, Worcester, and Springfield, where large employers such as Mass General Brigham, UMass Memorial Health, and Baystate Health regularly post openings. The most sought-after specialties in Massachusetts are pediatrics, geriatric rehabilitation, and hand therapy. Find a role that fits below and apply directly.
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Hiring a Certified Occupational Therapy Assistant (COTA) for a contract position in Rockport, Massachusetts 01966
13 week contract assignment
Monday – Friday schedule
Expected 40 hours per week
Compensation:
Local Pay: $34/hr
Estimated Travel Weekly Pay: $1,538 gross / 40 hrs ($38/hr)
Travel per diems follow GSA guidelines.
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Find JobsOccupational Therapy Assistant Jobs by City in Massachusetts
Where Massachusetts roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Massachusetts
A snapshot from current Massachusetts openings, updated as new roles post.
Who's Hiring
- Reliant Rehabilitation11

- Powerback Rehabilitation7

- HiredFirst6H
- Preferred Therapy Solutions5

- Evolve Therapy Services4

Top Industries Hiring
- Healthcare & Medical Services
What Massachusetts Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Massachusetts.
- Active Massachusetts COTA license issued by the Board of Allied Health Professions required
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Current NBCOT Certified Occupational Therapy Assistant credential in good standing
- One or more years of clinical experience in a relevant care setting preferred
- CPR and Basic Life Support certification current at time of hire
- Strong documentation skills and familiarity with electronic health record systems
Occupational Therapy Assistant Jobs in Massachusetts: Frequently Asked Questions
How do you become a occupational therapy assistant in Massachusetts?
To work as an occupational therapy assistant in Massachusetts, you must hold an active license issued by the Massachusetts Board of Allied Health Professions. The path starts with completing an associate degree from an ACOTE-accredited occupational therapy assisting program, then passing the NBCOT Certified Occupational Therapy Assistant exam. Once you have your NBCOT credential, you apply to the Board for your Massachusetts license before practicing independently.
How much do occupational therapy assistants make in Massachusetts?
Occupational therapy assistants in Massachusetts earn a median of about $75,040 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $42,120 for the lowest 10% to over $82,180 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Massachusetts?
Employers hiring occupational therapy assistants in Massachusetts right now include Reliant Rehabilitation, Powerback Rehabilitation, and HiredFirst, based on current listings on Migrate Mate as of October 2026. Massachusetts's large academic medical systems and regional skilled nursing networks generate consistent openings throughout the year, making the state one of the more active markets for this role in New England.
Which Massachusetts cities have the most occupational therapy assistant jobs?
Boston, Worcester, and Danvers have the most occupational therapy assistant openings in Massachusetts. Boston drives the highest volume thanks to its dense concentration of academic medical centers, rehabilitation hospitals, and pediatric specialty practices, while Worcester and Springfield reflect strong regional demand from community hospitals and long-term care networks anchored in those metro areas.
Are there remote occupational therapy assistant jobs in Massachusetts?
Yes, but they're rare. Occupational therapy assisting is a hands-on clinical role that almost always requires in-person patient care, so the vast majority of openings are on-site. About 0% of occupational therapy assistant openings tied to Massachusetts are remote or hybrid as of October 2026, and those positions typically involve documentation support, care coordination, or telehealth consultation rather than direct treatment sessions.
How can I get hired as a occupational therapy assistant in Massachusetts with little or no experience?
The most realistic entry path is applying to new-graduate positions at Massachusetts skilled nursing facilities and pediatric outpatient clinics, which regularly bring on COTAs with no post-graduate experience. Large employers such as Mass General Brigham and UMass Memorial Health run structured clinical onboarding for new-grad allied health staff. Candidates who complete fieldwork rotations in Massachusetts settings and hold a current NBCOT certification and active state license before applying have a clear edge over those still awaiting credentialing.
Where can I find and apply to occupational therapy assistant jobs in Massachusetts?
You can find and apply to occupational therapy assistant jobs in Massachusetts on Migrate Mate, which lists current Massachusetts openings across hospital systems, rehabilitation facilities, schools, and outpatient clinics. Find roles that fit your experience and credentials and apply directly.
See All 80 Occupational Therapy Assistant Jobs in Massachusetts
Find roles in Massachusetts that match your experience and apply in just a few clicks.
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