Occupational Therapy Assistant Jobs in Texas

Occupational Therapy Assistant jobs in Texas are consistently active, with strong demand across pediatric clinics, skilled nursing facilities, school districts, and inpatient rehabilitation centers at levels from entry-level to senior clinical roles. Houston, Dallas, and San Antonio anchor most of the hiring, where large employers such as CHRISTUS Health, Encompass Health, and Texas Children's Hospital maintain ongoing need for occupational therapy assistants. Pediatric, geriatric, and school-based practice are among the most sought-after specialties statewide. Find a role that fits below and apply directly.

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Overview

Open roles274+
Top employerReliant Rehabilitation
Top cityHouston, TX
Cities hiring129
Work type88% On-site
Top industryEducation

Showing 5 of 274+ Occupational Therapy Assistant jobs

Occupational Therapy Assistant Instructor
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Added 1d ago
Occupational Therapy Assistant Instructor
El Paso Community College
El Paso, Texas
Program Management
Project & Program Management
Project Management
$44k - $58k/yr
Associate of Applied Science
1,001-5,000

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Certified Occupational Therapy Assistant (COTA)
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Added 2d ago
Certified Occupational Therapy Assistant (COTA)
HiredFirst
Eastland, Texas
Healthcare Administration
Medical Assistant
Patient Services & Wellbeing
$34 - $38/hr

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Occupational Therapy Assistant
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Added 2d ago
Occupational Therapy Assistant
Pleasant Manor Healthcare & Rehab
Waxahachie, Texas
Higher Education
Research & Academia
Teaching & Instruction
51-200

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Occupational Therapy Assistant
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Added 3d ago
Occupational Therapy Assistant
Reliant Rehabilitation
Weatherford, Texas
Clinical Support
Healthcare Administration
Laboratory Science
5,001-10,000

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Occupational Therapy Assistant Senior Living
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Added 3d ago
Occupational Therapy Assistant Senior Living
Reliant Rehabilitation
Sugar Land, Texas
Higher Education
Research & Academia
Teaching & Instruction
5,001-10,000

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Occupational Therapy Assistant Jobs by City in Texas

Where Texas roles are concentrated, by current openings.

Houston
23 jobs
Austin
17 jobs
San Antonio
15 jobs
Dallas
13 jobs
Fort Worth
8 jobs
McKinney
7 jobs
Arlington
6 jobs
Irving
5 jobs
Katy
4 jobs

Occupational Therapy Assistant Job Market in Texas

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

Who's Hiring

  • Reliant Rehabilitation27
  • Care Options For Kids10
  • PAM Health8
  • MedCare Pediatric Group, LP6
  • Enhabit Home Health & Hospice6

Top Industries Hiring

  • Education
  • Healthcare & Medical Services

What Texas Employers Look For

The qualifications that appear most often in occupational therapy assistant jobs across Texas.

  • Active Texas State Board of Examiners of Occupational Therapy license or license eligibility
  • Associate degree in occupational therapy assistant from an ACOTE-accredited program
  • Passing scores on the NBCOT Certified Occupational Therapy Assistant examination
  • Experience or clinical fieldwork in a relevant practice setting such as SNF or pediatrics
  • Basic Life Support certification issued by the American Heart Association or Red Cross
  • Proficiency with electronic health records systems commonly used in Texas clinical settings

Occupational Therapy Assistant Jobs in Texas: Frequently Asked Questions

How do you become a occupational therapy assistant in Texas?

To become an occupational therapy assistant in Texas, you must earn an associate degree from an ACOTE-accredited program, complete the required supervised fieldwork hours, and pass the NBCOT Certified Occupational Therapy Assistant exam. You then apply for licensure through the Texas State Board of Examiners of Occupational Therapy, which issues the state license required to practice. Licensure must be renewed on a regular cycle with continuing education.

How much do occupational therapy assistants make in Texas?

Occupational therapy assistants 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 occupational therapy assistants in Texas?

Employers hiring occupational therapy assistants in Texas right now include Reliant Rehabilitation, Care Options For Kids, and PAM Health, based on current listings on Migrate Mate as of October 2026. Texas's large integrated health systems, rehabilitation hospital networks, and independent school districts generate steady, year-round demand across the state.

Which Texas cities have the most occupational therapy assistant jobs?

Houston, Austin, and San Antonio have the most occupational therapy assistant openings in Texas. Houston and Dallas drive the largest share of listings because of their dense concentration of hospital systems, rehabilitation centers, and urban school districts, while San Antonio's substantial military and veterans health infrastructure adds consistent demand that keeps it competitive with the larger metros.

Are there remote occupational therapy assistant jobs in Texas?

Yes, but they're rare. Occupational therapy assistants work hands-on with patients, which means the vast majority of roles require an in-person clinical setting. About 13% of occupational therapy assistant openings tied to Texas are remote or hybrid as of October 2026, and those positions are almost exclusively administrative, documentation, or telehealth consultation roles rather than direct patient care.

How can I get hired as a occupational therapy assistant in Texas with little or no experience?

The most realistic entry path is applying directly to new-graduate positions at Texas skilled nursing facilities and inpatient rehabilitation hospitals, which regularly hire COTAs who have completed their ACOTE fieldwork hours but have limited post-graduation experience. Large Texas rehabilitation networks and school districts in the Houston and Dallas areas run structured mentorship programs for new graduates. Candidates who hold an active Texas SBEOTP license on their start date and have fieldwork experience in pediatric or geriatric settings move through hiring faster than those still awaiting licensure.

Where can I find and apply to occupational therapy assistant jobs in Texas?

You can find and apply to occupational therapy assistant jobs in Texas on Migrate Mate, which lists current Texas openings across clinical settings, school districts, and rehabilitation facilities. Find the roles that fit your experience and practice area and apply directly.

See All 274+ Occupational Therapy Assistant Jobs in Texas

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