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Ortholonestar
Tomball, Texas

Occupational Therapist Assistant- Advanced Orthopaedics & Sports Medicine

Occupational TherapistFull-Time

Listed compensation

$24 - $32/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 7mo ago

Job Description

Job DetailsLevel: ExperiencedJob Location: Tomball, TX 77377Salary Range: $24.00 - $32.00 HourlySeeking a dedicated, patient-focused Occupational Therapy Assistant (OTA) to work under the direction and supervision of a licensed Occupational Therapist (OT), specializing in upper extremity rehabilitation.

This role supports patients in restoring functional skills, improving mobility, and managing pain following injury, surgery, or other conditions affecting the arm, wrist, or hand. Enjoy a collaborative, team-oriented environment with a manageable caseload.

Key Responsibilities

Implement treatment plans as directed by the supervising Occupational Therapist, focusing on upper extremity rehabilitation within OTA scope of practice under Texas law. Provide therapeutic activities, exercises, manual therapy techniques, and modalities as delegated.

Assist with splinting activities, including fitting and adjustments, under OT supervision. Educate patients and caregivers on home exercise programs, joint protection, ergonomics, and functional adaptations. Monitor and document patient progress, communicating changes to the supervising OT for plan adjustments.

Maintain accurate, timely, and compliant documentation according to clinic policies and payer guidelines. Assist in overseeing occupational therapy technicians and students as delegated by the supervising OT. Participate in clinic operations, equipment maintenance, and community engagement activities.

Qualifications

Required Skills & Competencies Strong clinical reasoning and problem-solving abilities. Excellent interpersonal and communication skills for effective patient and team interactions. Proficiency in therapeutic exercise, manual therapy, splinting, and use of occupational therapy equipment.

Ability to adapt treatment plans based on patient progress and feedback. Strong organizational skills for accurate documentation and time management. Commitment to evidence-based practice, lifelong learning, and upholding OrthoLoneStar’s values and guiding behaviors.

Qualifications Education

Associate degree from an ACOTE-accredited Occupational Therapy Assistant program. Experience: One to two years of outpatient orthopedic or hand therapy experience preferred.

Language Ability: Ability to read, analyze, and interpret medical records, therapy protocols, and scientific literature; respond to inquiries from patients, insurance agencies, and regulatory bodies. Math Ability: Proficiency in applying measurements, percentages, and ratios to patient care activities.

Reasoning Ability: Ability to identify patient needs, report findings, and follow through on delegated care within scope. Computer Skills: Proficiency with Microsoft Office Suite and basic EMR/PM software.

Licensure: Current Occupational Therapy Assistant license in Texas, displayed in accordance with the Texas Occupational Therapy Practice Act. Supervisory Responsibilities: May oversee Occupational Therapy Technicians and students as delegated by the supervising OT.

Working Conditions & Physical Demands Noise Level: Moderate. Travel: Primarily works at one clinic but may occasionally travel between locations to provide patient care; travel is not reimbursed.

Physical Requirements: Regularly required to sit, talk, and hear; frequently stand, walk, use hands, bend, stoop, lift up to 50 lbs (frequently) and 70 lbs (occasionally), climb, balance, kneel, crouch, or crawl.

Vision Requirements: Close vision, peripheral vision, and ability to adjust focus; ability to spend 4–5 hours daily in front of a computer

Key Responsibilities

The Occupational Therapist Assistant will implement treatment plans directed by the supervising Occupational Therapist, focusing on upper extremity rehabilitation through therapeutic activities, exercises, and modalities. This role also involves educating patients, assisting with splinting, and documenting patient progress according to clinic policies.

Requirements

Candidates must possess an Associate degree from an ACOTE-accredited OTA program and hold a current Occupational Therapy Assistant license in Texas. Preferred experience includes one to two years in outpatient orthopedics or hand therapy, along with strong clinical reasoning and proficiency in relevant therapy techniques.

Key Skills

Interpersonal Skills

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$95k (186 salary observations; 2,330 listings), vs ~$97k nationally (4,521 salary observations; 25,570 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$58k midpoint carries the purchasing power of roughly $60k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapy pay on WeekdayDoc is up 3.7% vs. the prior quarter (through Sep 2026).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$58k midpoint, that is roughly $2k–$4k a year versus a typical 4–7% state rate.

Top OTA Jobs

6 matches · ranked by pay

Work-Life Balance Distribution6 jobs

0
1-2
0
3-4
1
5-6
5
7-8
0
9-10

Higher = better work-life balance

#1

Occupational Therapist Assistant (COTA)- $50 rate per visit W/Retention of 1,500

BrightStar Care - Rio Grande Valley, TX · Edinburg, Texas

$50/visit
#2

COTA / Certified Occupational Therapist Assistant - Home Health

Adoration Health · Richmond, Virginia

$35-$40/hr
#3

Occupational Therapist Assistant

$24-$38/hr
#4

Certified Occupational Therapist Assistant (COTA)

$33-$38/hr
+ 4 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy Assistant listings

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

Living in Tomball

Typical 3-bedroom home value
$298k
Typical market rent
$1,820/mo
Residents’ average commute
33 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.