Occupational Therapist Assistant / COTA
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, the work setting, call expectations and time off.
Job Description
Our Company
Rehab Without Walls Neuro Rehabilitation
Overview
Join Rehab Without Walls as an experienced COTA / Certified Occupational Therapist Assistant in San Antonio, TX.
Who We're Looking For
- Experienced COTA/OTA to provide individualized and functional therapy in real-world settings
- Neurorehabilitation experience (stroke, TBI, SCI) focused on meaningful outcomes
Values schedule flexibility, clinical autonomy, work-life balance, and being part of a collaborative, high-performing rehab team
What You’ll Receive
- Flexible Schedule Created by You (no weekends)
- Paid per hour (not PPV model)
- Drive Time paid at clinical rate & mileage reimbursement
- Co-treat & collaborative with rehab team
- Supportive Leadership
- Growth opportunities
Responsibilities
Assisting the Occupational Therapist in the implementation of vocational and educational activities designed to restore and reinforce individuals' task performance and promote their overall health and self-sufficiency
Designing and adapting equipment for working and living environments, including fabricating assistive devices to improve participation in the program and/or community
Conducting community reintegration activities to assist individuals with their occupational therapy needs during physical activity
Providing training to individuals and any others involved in their rehabilitation, and documenting results of the training
Supporting individuals' plan of treatment by documenting and reporting status changes to the rehabilitation specialist, clinical coordinator, attending physician, and other treatment team members as appropriate
Other duties as assigned
Qualifications
- Degree from a certified occupational therapy assistant training program
- Current Occupational Therapist Assistant certification
- Knowledge of complex neurologic injury and neuro-rehabilitation techniques
- Minimum of 2 years of clinical experience assisting in the assessment and management of traumatic brain injury or related neurological conditions
- Current CPR certification
- Knowledge of complex neurologic injury and orthopedic rehabilitation techniques
About Our Line of Business
Rehab Without Walls, an affiliate of BrightSpring Health Services, is a revolutionary neurorehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care.
It is designed to significantly help people who have primarily experienced a brain injury, spinal cord injury, or stroke/CVA through accident or illness regain functional capabilities.
By providing care in the home, community, workplace, or school, Rehab Without Walls promotes greater health through the recovery process, all with industry-leading outcomes that dramatically improve functional skills and independence for patients. For more information, please visit rehabwithoutwalls.com. Follow us on Facebook and LinkedIn.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Occupational Therapist Career Context
In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$93k (201 salary observations; 2,838 listings), vs ~$96k nationally (4,943 salary observations; 28,957 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.3 / 10 · above average in occupational therapy assistant | ranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10 |
| Listed pay | not listed | Occupational Therapy median $78k (middle half $64k–$90k)10 comparable listings, Nov 2026 |
| Texas vs national | $93k median in Texas | $96k nationally (−3%)201 state / 4,943 national salary observations |
| Cost of living | Texas index 97.1 | US average = 100BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Texas | 933 active | 9,068 nationallylive on WeekdayDoc, Nov 2026 |
| Sign-on & loan repayment | not stated | Texas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,166 in the last 30 days | 1,639 the 30 days before (+93%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +2.6% vs prior quarter | —through Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Occupational Therapist Assistant / COTA at Rehab Without Walls Neuro Rehabilitation a 6.3 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc. Contributing factors include no weekend requirements.
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
