Occupational Therapy Assistant Jobs in New York
Occupational Therapy Assistant jobs in New York represent one of the most active markets in the country, with steady demand across hospital systems, skilled nursing facilities, school districts, and outpatient rehabilitation clinics, and openings at every level from new graduate through senior clinician. Most hiring concentrates in New York City, Buffalo, and Albany, where large employers such as Northwell Health, NYU Langone Health, and the New York City Department of Education maintain a consistent presence. The most in-demand specialties are pediatric and school-based therapy, geriatric rehabilitation, and hand therapy. Find a role that fits below and apply directly.
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We are seeking dedicated and compassionate Certified Occupational Therapy Assistants to join our New York City team, to work with children and families. If you are looking for a rewarding and exciting experience, please apply below. We look forward to meeting you!
New York City Location:
Positions are available throughout Bronx, Manhattan, Queens, Brooklyn and Staten Island boroughs.
Come and join a team of passionate therapists providing excellent pediatric therapy. We specialize in conducting evaluations and providing ongoing services in homes, community, and clinic settings. Achieve Beyond is centered around a culture of collaboration and support, to ensure our services are of the highest quality and adhere to our strong ethical standards. We currently offer ABA, Speech, Occupational, Social Work, and Physical therapy as well as Special Education/SEIT services. We serve children and families in the metro New York area (all 5 boroughs of NYC, Hudson Valley, Long Island and Albany), Virginia/DC area, Maryland, New Jersey, Connecticut and Delaware.
Benefits:
- Flexible work schedule
- Access provided to our paperless billing and data collection system (training provided).
- Support from our team of dedicated clinical supervisors and administrative staff.
- Financial educational assistance program (when applicable).
- Available benefits include: medical, dental, vision and 401k.
Job Responsibilities:
- Provide pediatric therapy services and/or evaluations to children aged birth 21 years in a natural setting.
- Educate families and caregivers on applicable intervention strategies to facilitate active involvement and carry-over.
- Work in diverse settings such as client homes, daycare homes/centers, preschools, clinics, and other community settings.
- Follow the unique therapy plan established for a family/child, plan for ongoing treatment and address identified goals while documenting progress.
- Prepare progress reports as indicated.
- Maintain child records and confidentiality of information regarding children and families (in accordance with HIPAA, state and federal regulations). Required records must be submitted within the established timelines.
Requirements:
- Must have a passion for working with children and families!
- Valid NYS OTA License
- Must be self-motivated and a team player who exercises patience and professionalism.
- Fluency in a language other than English is a plus!
Physical Requirements:
- Must be able to travel to and from assigned cases, including but not limited to: driving a personal vehicle, walking and/or the use of public transportation such as a bus or train.
- The ability to ascend and descend staircases.
- The ability to lift 10 pounds regularly.
- The ability to sit on the floor, kneel and/or crawl for extended periods of time.
$50.00-$80.00 per hour
This job description is subject to change at any time.
Achieve Beyond provides equal employment opportunities to all employees and applicants. Achieve Beyond prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting an accommodation for the application process, please contact us for assistance.
This job description is subject to change at any time.
Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting accommodation for the application process, please contact us for assistance.
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Find JobsOccupational Therapy Assistant Jobs by City in New York
Where New York roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in New York
A snapshot from current New York openings, updated as new roles post.
Who's Hiring
- Sigma Health Rehab19

- PT+12P
- Evolve Therapy Services5

- White Glove Community Care5

- Achieve Beyond Pediatric Therapy and Autism Services5

Top Industries Hiring
- Healthcare & Medical Services
What New York Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across New York.
- Active New York State OTA license issued by the New York State Education Department
- Associate degree from a ACOTE-accredited occupational therapy assistant program
- Passing score on the NBCOT Certified Occupational Therapy Assistant examination
- Current CPR and Basic Life Support certification from an approved provider
- Experience with electronic health record systems such as Epic or Meditech
- Strong documentation skills and ability to work under supervising occupational therapist
Occupational Therapy Assistant Jobs in New York: Frequently Asked Questions
How do you become a occupational therapy assistant in New York?
To become an occupational therapy assistant in New York, you must earn an associate degree from an ACOTE-accredited program, pass the NBCOT COTA examination, and obtain a license from the New York State Education Department Office of the Professions. New York requires licensure before you can practice, and your license must be renewed every three years with continuing education. Many accredited programs are offered at community colleges throughout the state, including LaGuardia Community College and Erie Community College.
How much do occupational therapy assistants make in New York?
Occupational therapy assistants in New York earn a median of about $68,530 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $49,050 for the lowest 10% to over $83,200 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in New York?
Employers hiring occupational therapy assistants in New York right now include Sigma Health Rehab, PT+, and Evolve Therapy Services, based on current listings on Migrate Mate as of August 2026. New York's large integrated health systems and extensive public school network create particularly consistent demand for COTAs across inpatient, outpatient, and school-based settings statewide.
Which New York cities have the most occupational therapy assistant jobs?
The cities with the most occupational therapy assistant openings in New York are Brooklyn, Bronx, and Queens. New York City dominates due to its concentration of major hospital systems, rehabilitation centers, and the largest public school district in the country, while secondary markets like Buffalo and Albany are driven by regional health systems and state agency facilities serving aging and pediatric populations.
Are there remote occupational therapy assistant jobs in New York?
Yes, but they're rare. Occupational therapy assistant work is inherently hands-on, requiring direct patient contact for assessment and treatment, so most positions are on-site. About 10% of occupational therapy assistant openings tied to New York are remote or hybrid as of August 2026, and those roles tend to involve documentation support, telehealth consultation, or care coordination rather than direct clinical treatment.
How can I get hired as a occupational therapy assistant in New York with little or no experience?
The most realistic entry path is applying directly to school-based therapy positions through the New York City Department of Education or suburban school districts, which commonly hire new graduates and provide structured mentorship under supervising occupational therapists. Large New York health systems such as Northwell Health and NewYork-Presbyterian also post new-grad roles in inpatient rehabilitation and skilled nursing. Completing your fieldwork hours at a well-regarded New York facility and obtaining your New York State COTA license before you apply gives you a meaningful edge over candidates who are still awaiting licensure.
Where can I find and apply to occupational therapy assistant jobs in New York?
You can find and apply to occupational therapy assistant jobs in New York on Migrate Mate, which lists current New York openings from employers actively hiring in the state. Find roles that fit your experience level, specialty, and preferred location, then apply directly to each one.
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