Gracent logo
Gracent
Southlake, Texas

Certified Occupational Therapist Assistant (COTA) - Pediatric, Clinic-Based

Occupational TherapistFull-Time

Listed compensation

$52K - $72.8K

The week · per this posting · weekdays assumed

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

Posted 3mo ago · Verified live

Job Description

  • Job Type: Full-time
  • Work Setting: In-person, Clinic
  • Location: Southlake, TX and Keller, TX

At Gracent Pediatric Therapy, we’re seeking a passionate Certified Occupational Therapist Assistant (COTA) to join our team. You’ll provide personalized, in-clinic therapy through evaluations and individualized treatment plans designed to meet each child’s unique needs.

With 80% of our clients receiving multiple services, this is a truly collaborative, interdisciplinary setting—complete with opportunities for co-treats alongside Speech-Language Pathologists and BCBAs.

Your work will empower children to reach their fullest potential and use new skills to thrive in daily life, while you continue to grow your clinical expertise in a supportive environment.

Why Choose Gracent Pediatric Therapy

  • Impactful Work: Transform the lives of children through evidence-based pediatric therapy services.
  • Clinical Mentorship: Receive ongoing support and guidance from experienced clinicians across our center

Interdisciplinary Collaboration: Partner daily with ABA, OT, and Speech professionals to provide holistic care.

Resourceful Environment: Access play-based resources and state-of-the-art facilities designed for pediatric therapy success.

Benefits

  • Clinical Ladder Program: Defined opportunities for advancement and promotion, with clear career pathways.
  • New Therapist Support: Extra mentorship and onboarding for new grads or early-career clinicians to ensure a smooth transition.
  • Health, Dental, and Vision Insurance: Comprehensive coverage for your health and wellness.
  • 401(k) with Company Match: Plan for your future with up to 4% company match.
  • Flexible Scheduling: Paid time off and flexible scheduling for full-time employees to support work-life balance.
  • Team Building: Monthly social events and a culture of collaboration and camaraderie.
  • Teladoc Subscription: Available day 1 for full- and part-time employees.
  • Committees and Involvement: Join teams like Experience, DEI, or Brand Ambassadors to shape our culture.

Requirements

  • Hold an Associate's degree from an accredited Occupational Therapy Assistant program.
  • Certification and registration as a COTA by the National Board for Certification in Occupational Therapy (NBCOT).
  • Possess current state licensure as an Occupational Therapy Assistant.

Demonstrate 1-2 years of experience in a clinical setting, with a preference for previous pediatric setting work.

Show a solid understanding of occupational therapy principles and practices, with a proven ability to implement therapy plans efficiently.

Exhibit outstanding communication and interpersonal skills, crucial for effective collaboration with both our therapy team and clients' families.

Display a genuine commitment to ongoing professional development, ensuring you remain informed about the cutting edge of occupational therapy practices.

Your role as a COTA

As Part of Our Interdisciplinary Team, You Will

Collaborate closely with our occupational therapist to execute tailored therapy plans for our diverse clientele.

  • Perform comprehensive client assessments to gauge their needs and monitor progress.
  • Aid clients in daily activities aimed at boosting their independence and overall well-being.

Diligently document all client progress and any notable changes in their condition, ensuring precise and timely reports.

Foster effective communication with the therapy team and clients' families to guarantee coordinated and comprehensive care.

Stay abreast of the latest occupational therapy practices and advancements, continuously seeking to enhance the quality of our services.

Next Steps with Gracent Pediatric

Joining a team is about more than the role—it’s about the people, the support, and the culture. Our interview process ensures you’ll understand who we are and how we’ll support your success. You’ll connect with multiple leaders, tour the center, and meet the incredible team you could soon be working with. We can’t wait to meet you!

  • Per hour
  • $25—$35 USD

Key Responsibilities

The COTA will execute tailored therapy plans and perform comprehensive assessments for pediatric clients in a collaborative, interdisciplinary clinic. Responsibilities include documenting client progress and coordinating care with families and other therapy professionals.

Qualifications

Education
Associate degree

Key Skills

Client AssessmentTreatment PlanningClinical DocumentationPatient CareCommunication Skills

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant (COTA) - Pediatric, Clinic-Based at Gracent a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc.

Pediatrics — Occupational Therapist Career Context

In Texas, the Pediatrics weighted monthly median benchmark on WeekdayDoc is ~$86k (50 salary observations; 271 listings), vs ~$90k nationally (479 salary observations; 1,463 listings). Monthly aggregates cover 2026-03-01 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 ~$35k midpoint carries the purchasing power of roughly $36k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas 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

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 7.2
Better work-life than 80% 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 Southlake

Typical 3-bedroom home value
$954k≈ 27.2× annual pay
Typical market rent
$5,894/mo≈ 202% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
103.1
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 · Dallas-Fort Worth-Arlington, TX metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Gracent logo

About Gracent

Medical Practices
Des Plaines, IL
201-500 employees

Benefits & Perks

Clinical Ladder Program
Health, dental, vision
401(k) with 4% match
Flexible scheduling
PTO
Teladoc subscription
Monthly social events