To become an occupational therapy assistant: (1) complete an ACOTE-accredited OTA associate or bachelor’s program, (2) finish at least 16 weeks of full-time Level II fieldwork, (3) pass the NBCOT COTA exam, and (4) get licensed in your state. It usually takes about two years, and OTAs earn a median $72,300 (BLS, May 2025).
Step 1: Choose an accredited OTA program
ACOTE lists 207 associate-degree and 19 bachelor’s-degree OTA programs. Many community college programs admit one cohort a year and have prerequisite courses such as anatomy and physiology. Find OTA programs by state.
Step 2: Complete coursework and fieldwork
Programs combine classroom and lab courses with Level I fieldwork and at least 16 weeks of full-time Level II fieldwork in clinical settings.
Step 3: Pass the NBCOT COTA exam
Graduates of accredited programs take the NBCOT exam to earn the COTA credential. In 2025, the median OTA program reported 88% of new graduates passing (NBCOT school data, 194 programs).
Step 4: Get your state license
Apply to your state’s OT board. Licensing in every state.
Pay and job outlook
OTAs earn a median $72,300; employment is projected to grow 21% from 2025 to 2035 (BLS). OTA salary by state · job outlook.