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.
Find JobsOverview
Showing 5 of 222+ Occupational Therapy Assistant jobs
- Provide rehabilitative, skilled, and medically necessary treatment interventions to patients with cognitive and/or physical functioning disorders, following regulatory and clinical standards under Occupational Therapist supervision.
- Administer various rehabilitation procedures, including ADL retraining, therapeutic activities, exercises, modalities, and the use of supportive and assistive devices, under Occupational Therapist supervision.
- Assess patient progress and communicate with the supervising Occupational Therapist to adjust treatments in accordance with regulatory and clinical practice requirements.
- Report treatment outcomes' effectiveness to the supervising Occupational Therapist.
Graduate of an accredited Occupational Therapy Assistant program
Hold a current and active State license/registration where applicable
Candidates with all levels of experience are welcome
At San Marcos Rehabilitation, we believe that exceptional care starts with a strong set of values that guide everything we do. As an Occupational Therapy Assistant with us, you’ll be part of a team that helps drive the CAPLICO values: Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership. We want an individual in this role who will demonstrate these values through actions and words.
Browse our website at www.flagshiptherapy.com/who-we-are and find out why we are truly different in dignifying long term and post-acute care.
Benefits:
We offer a variety of benefits programs to eligible employees. Benefit eligibility varies based on employment status and hours worked and may include:
- Medical, Dental, Vision Insurance (Blue Cross Blue Shield)
- 401k w/ Match
- Paid Time Off
- Unlimited CEU Opportunities
- Career Advancement Opportunities
- Tuition Reimbursement
- Scholarship Opportunities
- Employee discounts on gym memberships, entertainment events, hotels, movies, theme parks, cell phones, and much more!
Eligibility for some benefits dependent on full time employment status.
About Us
Disclaimer: Pay rates are competitive and determined by various factors. Please note that any rates labeled as "estimated" are provided by third-party job boards and may not accurately reflect the actual pay rates.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability or veteran status.
See All 222+ Occupational Therapy Assistant Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find JobsOccupational Therapy Assistant Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Care Options For Kids15
- Reliant Rehabilitation10
- Angels of Care Pediatric Home Health7
- PAM Health6
- PARS Therapy6
Top Industries Hiring
- Healthcare & Medical Services
- Education
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 Care Options For Kids, Reliant Rehabilitation, and Angels of Care Pediatric Home Health, based on current listings on Migrate Mate as of August 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?
San Antonio, Houston, and Austin 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 15% of occupational therapy assistant openings tied to Texas are remote or hybrid as of August 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 222+ Occupational Therapy Assistant Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Jobs