Occupational Therapy Assistant Jobs in Washington
Occupational Therapy Assistant jobs in Washington are in strong and steady demand, with openings concentrated in hospital systems, skilled nursing facilities, school districts, and pediatric outpatient clinics, and roles available from entry-level to senior and lead positions. Seattle, Spokane, and Tacoma are the primary hiring hubs, with well-established employers like Providence Health and Services, MultiCare Health System, and Seattle Children's consistently recruiting occupational therapy assistants. The most in-demand specialties are pediatrics, geriatric rehabilitation, and school-based 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 Bellingham, Washington 98225
13 week contract assignment
Monday – Friday schedule
Expected 40 hours per week
Compensation:
Local Pay: $37/hr
Estimated Travel Weekly Pay: $1,695 gross / 40 hrs ($42/hr)
Travel per diems follow GSA guidelines.
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Find JobsOccupational Therapy Assistant Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Washington Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Washington.
- Active Washington State occupational therapy assistant license issued by the WADOH
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Current NBCOT COTA certification in good standing
- Experience or clinical placement in pediatric, geriatric, or rehabilitation settings
- Ability to document therapy progress accurately in electronic health record systems
- Valid CPR and Basic Life Support certification current at time of hire
Occupational Therapy Assistant Jobs in Washington: Frequently Asked Questions
How do you become a occupational therapy assistant in Washington?
To work as an occupational therapy assistant in Washington, you must hold an active license issued by the Washington State Department of Health, Occupational Therapy Practice section. You need to complete an associate degree from an ACOTE-accredited occupational therapy assistant program and pass the NBCOT COTA certification exam before applying for your Washington license. The Department of Health oversees applications, renewals, and continuing education requirements.
How much do occupational therapy assistants make in Washington?
Occupational therapy assistants in Washington earn a median of about $77,590 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $62,960 for the lowest 10% to over $88,250 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Washington?
Employers hiring occupational therapy assistants in Washington right now include Reliant Rehabilitation, Providence Swedish, and Powerback Rehabilitation, based on current listings on Migrate Mate as of October 2026. Washington's mix of large integrated health systems, public school districts, and long-term care networks means openings appear across a wide range of settings throughout the state.
Which Washington cities have the most occupational therapy assistant jobs?
Seattle, Spokane, and Tacoma have the most occupational therapy assistant openings in Washington. Seattle's concentration of major hospital systems and pediatric specialty centers drives the largest share of listings, while Spokane and Tacoma support consistent demand through regional medical centers, school districts, and skilled nursing facilities serving their surrounding communities.
Are there remote occupational therapy assistant jobs in Washington?
Yes, but they're rare. Occupational therapy assistants work directly with patients on physical tasks, so the role is almost entirely hands-on and on-site. About 0% of occupational therapy assistant openings tied to Washington are remote or hybrid as of October 2026, and those positions typically involve documentation, care coordination, or telehealth supervision components rather than direct therapy delivery.
How can I get hired as a occupational therapy assistant in Washington with little or no experience?
The most realistic entry path is applying for new-graduate positions at Washington's large health systems, which regularly onboard recent COTA graduates, including Providence Health and Services and MultiCare. School districts across the state also hire entry-level occupational therapy assistants for school-year positions, which offer structured onboarding. Candidates coming from roles like rehabilitation aide, therapy technician, or home health aide have a concrete advantage, and holding an active Washington Department of Health license on day one removes the most common hiring barrier for new grads.
Where can I find and apply to occupational therapy assistant jobs in Washington?
You can find and apply to occupational therapy assistant jobs in Washington on Migrate Mate, which lists current Washington openings across hospital systems, outpatient clinics, school districts, and long-term care facilities. Find roles that fit your experience and location and apply directly to each employer.
See All 72 Occupational Therapy Assistant Jobs in Washington
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