Occupational Therapy Assistant Jobs in Virginia

Occupational therapy assistant jobs in Virginia are actively hiring, with strong demand concentrated in healthcare systems, skilled nursing facilities, school districts, and pediatric outpatient clinics at every level from new graduate through senior clinician. The largest hiring markets are Northern Virginia, Richmond, and Virginia Beach, where established employers such as Inova Health System, VCU Health, and Sentara Healthcare maintain consistent occupational therapy assistant staffing needs. The most in-demand specialties in the state are pediatrics, geriatric rehabilitation, and school-based therapy. Find a role that fits below and apply directly.

Find Jobs

Overview

Open roles125+
Top employerKona Medical Consulting
Top cityFredericksburg, VA
Cities hiring74
Work type92% On-site
Top industryHealthcare

Showing 5 of 125+ Occupational Therapy Assistant jobs

Certified Occupational Therapy Assistant
We won't show you this job again
Added 3d ago
Certified Occupational Therapy Assistant
Guggenheimer Health & Rehabilitation Center
Lynchburg, Virginia
Allied Health
Healthcare Administration
Patient Services & Wellbeing
$35 - $45/hr
Military encouraged
51-200

Have you applied for this role?

Occupational Therapy Assistant - COTA
We won't show you this job again
Added 4d ago
Occupational Therapy Assistant - COTA
Powerback Rehabilitation
Reston, Virginia
Caregiving & Elderly Support
Healthcare Administration
Patient Services & Wellbeing
$35 - $38/hr
Bachelor's degree
5,001-10,000

Have you applied for this role?

Pediatric Occupational Therapist or Certified Occupational Therapy Assistant
We won't show you this job again
Added 4d ago
Pediatric Occupational Therapist or Certified Occupational Therapy Assistant
Ivy Health
Suffolk, Virginia
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$30 - $34/hr
5,001-10,000

Have you applied for this role?

Occupational Therapy Assistant (COTA)
We won't show you this job again
Added 5d ago
Occupational Therapy Assistant (COTA)
Legacy Healthcare Services
Springfield, Virginia
Caregiving & Elderly Support
Healthcare Administration
Patient Services & Wellbeing
$32 - $37/hr
Associate of Applied Science
1,001-5,000

Have you applied for this role?

Certified Occupational Therapy Assistant (COTA)
We won't show you this job again
Added 5d ago
Certified Occupational Therapy Assistant (COTA)
HiredFirst
Fairfax, Virginia
Allied Health
Healthcare Administration
Patient Services & Wellbeing
$34 - $38/hr

Have you applied for this role?

See All 125+ Occupational Therapy Assistant Jobs in Virginia

Find roles in Virginia that match your experience and apply in just a few clicks.

Find Jobs

Occupational Therapy Assistant Jobs by City in Virginia

Where Virginia roles are concentrated, by current openings.

Fredericksburg
6 jobs
Richmond
5 jobs
Newport News
5 jobs
Alexandria
4 jobs
Charlottesville
4 jobs
Herndon
3 jobs
Norfolk
3 jobs
Roanoke
3 jobs
Manassas
3 jobs

Occupational Therapy Assistant Job Market in Virginia

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

Who's Hiring

  • Kona Medical Consulting16
  • Continuum Therapy Partners11
  • tmc7
  • Powerback Rehabilitation6
  • Saber Healthcare5

Top Industries Hiring

  • Healthcare & Medical Services
  • Education

What Virginia Employers Look For

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

  • Active occupational therapy assistant license issued or recognized by the Virginia Board of Medicine
  • Associate degree in occupational therapy assistant from an ACOTE-accredited program
  • Current National Board for Certification in Occupational Therapy certification in good standing
  • Current CPR and Basic Life Support certification from an approved provider
  • Hands-on experience or clinical fieldwork in a relevant care setting such as SNF or pediatrics
  • Ability to document treatment plans and progress notes accurately in an electronic health record system

Occupational Therapy Assistant Jobs in Virginia: Frequently Asked Questions

How do you become a occupational therapy assistant in Virginia?

You must earn an associate degree from an ACOTE-accredited occupational therapy assistant program, then pass the National Board for Certification in Occupational Therapy certification exam before applying for licensure. Virginia licenses occupational therapy assistants through the Virginia Board of Medicine, which requires a completed application, proof of education, passing NBCOT scores, and a background check. Supervision by a licensed occupational therapist is required for practice in Virginia.

How much do occupational therapy assistants make in Virginia?

Occupational therapy assistants in Virginia earn a median of about $74,960 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $57,250 for the lowest 10% to over $89,560 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire occupational therapy assistants in Virginia?

Employers hiring occupational therapy assistants in Virginia right now include Kona Medical Consulting, Continuum Therapy Partners, and tmc, based on current listings on Migrate Mate as of October 2026. Virginia's large integrated health systems, school divisions, and regional rehabilitation networks generate some of the most consistent occupational therapy assistant openings in the mid-Atlantic region.

Which Virginia cities have the most occupational therapy assistant jobs?

The cities with the most occupational therapy assistant openings in Virginia are Fredericksburg, Richmond, and Newport News. Northern Virginia's concentration of large hospital systems and pediatric outpatient clinics drives volume in that corridor, Richmond's position as a hub for VCU Health and regional rehabilitation centers supports steady demand, and Virginia Beach reflects the density of senior care and school-based programs across Hampton Roads.

Are there remote occupational therapy assistant jobs in Virginia?

Yes, but they're rare. Occupational therapy assistant work is inherently hands-on, requiring direct patient contact for evaluation support and treatment delivery, so most roles are fully on-site. About 8% of occupational therapy assistant openings tied to Virginia are remote or hybrid as of October 2026, and those positions tend to involve documentation support, telehealth coordination, or administrative functions rather than direct clinical care.

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

The most realistic path is applying directly to large Virginia health systems that offer structured new-graduate onboarding, such as Inova Health System or Sentara Healthcare, which regularly hire associates completing their Level II fieldwork. Entry-level candidates also find openings through school-based positions with Virginia public school divisions, which often welcome new graduates. Completing your NBCOT certification before applying and gaining fieldwork hours in a pediatric or geriatric setting significantly strengthens your candidacy.

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

You can find and apply to occupational therapy assistant jobs in Virginia on Migrate Mate, which lists current Virginia openings across health systems, school districts, outpatient clinics, and skilled nursing facilities. Find the roles that fit your experience and specialty interest and apply directly to the employers posting them.

See All 125+ Occupational Therapy Assistant Jobs in Virginia

Find roles in Virginia that match your experience and apply in just a few clicks.

Find Jobs