Certified Occupational Therapist Assistant

Occupational Therapy AssistantFull-Time

Listed compensation

$25-$35/hr

The week · per this posting · weekdays assumed

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

Posted 1h 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 therapyPatient engagementDocumentationClinical intervention

Occupational Therapist Career Context

In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$113k (234 salary observations; 533 listings), vs ~$97k nationally (5,202 salary observations; 27,817 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$62k midpoint carries the purchasing power of roughly $58k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Washington?
MeasureThis jobMarket
Washington vs national$113k median in Washington$97k nationally (+17%)234 state / 5,202 national salary observations
Cost-of-living adjusted pay~$58k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Washington227 active9,024 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedWashington Occupational Therapist listings: 15% state a sign-on bonus (median $10k) · 11% offer loan repayment263 active listings, Nov 2026
New Occupational Therapy listings3,032 in the last 30 days1,687 the 30 days before (+80%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$62k midpoint, that is roughly $2k–$4k a year versus a typical 4–7% state rate.

Top OTA Jobs

1 matches · ranked by pay
#1

Certified Occupational Therapist Assistant (COTA)

PACS · Concord, California

$48-$53/hr

Work-life snapshot

median 4.8this job 1.5
Below most Occupational Therapy Assistant listings for work-life

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

People's Injury Network Northwest logo

About People's Injury Network Northwest

Wellness and Fitness Services
Kent, Washington
51-200 employees

Benefits & Perks

401k Matching
Health Insurance
Dental Insurance
PTO
New Grad Mentoring & Onboarding
Professional Development Courses
Continuing Education (URI) + Dollars Allowance
Unlimited Use of MedBridge

Living in Tacoma

Typical 3-bedroom home value
$483k
Typical market rent
$1,773/mo
Residents’ average commute
29 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 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.