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Upstream Rehabilitation
Tacoma, Washington

Certified Occupational Therapist Assistant

Occupational TherapistFull-Time

Listed compensation

$25 - $35/hr

Listing transparency2 of 6 stated

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

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 1mo ago · Verified live

Job Description

Occupational Therapy Assistant – Outpatient Ortho

Build Your Outpatient Occupational Therapy Assistant Career with us!

Tacoma, WA

Upstream Rehabilitation, an industry-leading family of world-class brands, Peoples injury Network Northwest (PINN) is actively seeking exceptional occupational therapists assistant who are determined and committed to consistently providing patients with industry leading clinical care.

We proudly serve our communities with clinically superior occupational therapy services focusing on evidence based interventions and remarkable customer service experiences.

Our Upstream Family boasts the most advanced certified clinicians in the industry fueled by generous continuing education offerings and leadership committed to continued growth and development.

Requirements

  • Current or pending state licensure in Washington State
  • Competitive Wages $25.00-$35.00
  • Graduate from an accredited Occupational Therapy Program
  • Drive to pursue personal and professional goals

Responsibilities

  • Specialized evaluations and evidence-based treatment based on each patients’ specific needs
  • Engagement with patients, with clinical teammates and within your organization
  • Setting and achieving personal and professional goals
  • Understand and live the company’s mission, vision, values and operational standards

Company Perks

  • Excellent benefits package, including 401k matching, health, dental, PTO & more!
  • New Grad mentoring & onboarding
  • Professional Development courses
  • Partnership
  • Continuing Education (URI) + dollars allowance + unlimited use of Med Bridge
  • Investment from a company that wants you to succeed and thrive

Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient evaluationOrthopedic therapyClinical documentation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant at Upstream Rehabilitation a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 15% of all Occupational Therapy occupational therapist listings evaluated on our platform.

Occupational Therapist Career Context

In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$115k (78 salary observations; 154 listings), vs ~$96k nationally (1,891 salary observations; 7,747 listings). Monthly aggregates cover 2026-01-01 through 2026-09-01; these are not the modal's selected comparable-job medians.

Occupational Therapy pay on WeekdayDoc is up 3.8% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$35k midpoint carries the purchasing power of roughly $33k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$35k midpoint, that is roughly $1k–$2k a year versus a typical 4–7% state rate.

Top Ota Jobs

8 matches · ranked by pay

Salary Distribution6 jobs

1
$75k
1
$85k
3
$90k-100k
1
$108k

Annual compensation range

Work-Life Balance Distribution8 jobs · 7 employers

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

Higher = better work-life balance

#1

Occupational Therapist Assistant - COTA

Rehab Without Walls Neuro Rehabilitation · Sacramento, California

$47-$52/hr
#2

Certified Occupational Therapist Assistant COTA

Eleutheria · Tacoma, Washington

$35-$45/hr
#3

CERT OCCUPATIONAL THERAPIST ASSISTANT

$38-$45/hr
#4

Occupational Therapist Assistant (COTA)

$44.00 /Hr
+ 6 more · ranked by pay

Work-life snapshot

7.2/ 10
Listing-based score

Living in Tacoma

Typical 3-bedroom home value
$488k
Typical market rent
$1,740/mo
Residents’ average commute
29 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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

Upstream Rehabilitation logo

About Upstream Rehabilitation

Hospitals and Health Care
1,001-5,000 employees

Benefits & Perks

401k matching
Health insurance
Dental
PTO
New Grad mentoring & onboarding
Professional Development courses
Continuing Education (URI) + dollars allowance + unlimited use of Med Bridge