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    Salary / COTA / Massachusetts

    COTA salary in Massachusetts

    What COTA roles are advertised at, and the Massachusetts factors that change the number.

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    How much does a COTA earn in Massachusetts?

    Federal wage data for Massachusetts puts the median for occupational therapy assistants at $75,040 a year, with the middle of the market between $42,120 and $82,180 and about 1,410 people employed in the state (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025). Academic-heavy market with strong clinical standards and correspondingly high expectations on supervision quality. Nationally, the COTA roles we recruit are advertised at roughly $28/hr – $42/hr; the national COTA salary guide sets out the entry, mid-career and senior figures behind that.

    COTA advertised pay by experience

    Entry
    $28/hr
    First role after certification
    Mid-career
    $34/hr
    Two to five years, full caseload
    Senior
    $42/hr
    Supervisory scope or specialist skill

    Official Massachusetts wage data

    Federal wage data for Massachusetts puts the median for occupational therapy assistants at $75,040 a year, with the middle of the market between $42,120 and $82,180 and about 1,410 people employed in the state (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025).

    Median
    $75,040
    Mean
    $68,340
    10th percentile
    $42,120
    90th percentile
    $82,180

    Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. State wage tables

    What changes a COTA offer in Massachusetts

    • Certified Occupational Therapy Assistant practice in Massachusetts is regulated by the state board for that therapy profession (speech-language pathology and audiology, occupational therapy or physical therapy, depending on the credential), not by the counseling boards. We do not publish MA-specific requirements for this credential, so confirm them with that board before you accept a start date.
    • Setting: Pediatric clinics, Schools, Skilled nursing price differently for the same credential.
    • Caseload cap and billable or productivity target, which decide whether a bonus is real.
    • Metro cost of living within the state; a city premium is not the same as a better offer.
    • Scarcity: Steady, with the sharpest need in skilled nursing and school contract work.

    How to read the MA figures

    The federal estimates above are the official Massachusetts picture for occupational therapy assistants, published annually and lagging the market by about a year. What we publish alongside them is what we actually see advertised on roles we recruit today. Use the federal median as a floor for negotiation and the advertised range as the live signal.

    BLS state occupational wage data

    Last reviewed August 2026.

    Live COTA roles in Massachusetts

    No live COTA roles in Massachusetts right now. Tell us your license status and target setting and we will contact you when the next Massachusetts search opens.

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    How to work as a COTA in Massachusetts

    1. 1

      Confirm the credential

      State licensure; NBCOT certification (COTA). This is the baseline every Massachusetts employer screens on before anything else.

    2. 2

      Check the MA requirement

      Certified Occupational Therapy Assistant practice in Massachusetts is regulated by the state board for that therapy profession (speech-language pathology and audiology, occupational therapy or physical therapy, depending on the credential), not by the counseling boards. We do not publish MA-specific requirements for this credential, so confirm them with that board before you accept a start date.

    3. 3

      Check the multi-state routes

      PSYPACT: not a member; Counseling Compact: enacted Compact participation changes, so confirm the current position with the Massachusetts board rather than a secondary source.

    4. 4

      Build board processing into your start date

      Processing time, not eligibility, is the usual cause of a delayed start. Agree a start date with the licensing timeline already in it.

    5. 5

      Match the credential to open work

      Compare the advertised range for COTA roles, roughly $28/hr – $42/hr, against the live Massachusetts vacancies on this page, or join the talent network to be contacted when the next Massachusetts search opens.

    Continue with COTA in Massachusetts

    COTA pay and licensure in Massachusetts: common questions

    Do you need a license to work as a COTA in Massachusetts?
    Certified Occupational Therapy Assistant practice in Massachusetts is regulated by the state board for that therapy profession (speech-language pathology and audiology, occupational therapy or physical therapy, depending on the credential), not by the counseling boards. We do not publish MA-specific requirements for this credential, so confirm them with that board before you accept a start date. Confirm the current position with the Massachusetts board before you accept a start date, as processing time is the usual cause of a delayed start.
    What is the average COTA salary in Massachusetts?
    Federal wage data for Massachusetts puts the median for occupational therapy assistants at $75,040 a year, with the middle of the market between $42,120 and $82,180 and about 1,410 people employed in the state (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025). Advertised pay on the COTA roles we recruit nationally sits at roughly $28/hr – $42/hr, and offers land inside that band according to setting, caseload and metro cost of living.
    Does COTA pay in Massachusetts differ from the rest of the US?
    We publish advertised pay on the roles we recruit, not a Massachusetts average. Across the US those COTA roles are advertised at roughly $28/hr – $42/hr, and where a Massachusetts offer lands inside that band is driven by setting, caseload and metro cost of living. For an official comparison, Massachusetts median pay for occupational therapy assistants is $75,040; treat that as a negotiating floor.
    Where are the COTA jobs in Massachusetts?
    Academic-heavy market with strong clinical standards and correspondingly high expectations on supervision quality. The live COTA vacancies we hold in Massachusetts are listed on this page; when nothing is open there today, the national COTA board carries every role we currently hold.
    Who employs COTAs in Massachusetts?
    The employers hiring this credential are pediatric clinics, schools, skilled nursing, home health. Which of those dominates in Massachusetts follows the local funding and provider mix rather than any national pattern, and it is the single biggest driver of what an offer looks like: the same COTA is priced differently by a center-based provider, a school district and a hospital system.
    What do employers look for when hiring a COTA in Massachusetts?
    First, the credential and the right to practise: state licensure; nbcot certification (cota). Certified Occupational Therapy Assistant practice in Massachusetts is regulated by the state board for that therapy profession (speech-language pathology and audiology, occupational therapy or physical therapy, depending on the credential), not by the counseling boards. We do not publish MA-specific requirements for this credential, so confirm them with that board before you accept a start date. After that, hiring managers screen on the specifics of the work — caseload size you have carried, the settings you have worked in, supervision responsibility, and documentation or payer experience. Availability matters too: a realistic start date that accounts for board processing usually beats a stronger resume that cannot start.
    What does the salary range on this page actually mean?
    Two different things, kept separate on purpose. $28/hr – $42/hr is what COTA roles we recruit are advertised at across the US — a live market signal, not a survey. The federal figures are official Massachusetts estimates for occupational therapy assistants: $75,040 median, with $42,120 at the 10th percentile and $82,180 at the 90th. They cover the whole occupation in the state, are published annually and lag the market by roughly a year, so read the median as a negotiating floor rather than a target. Neither number is an offer; where you land inside a range is set by setting, caseload and metro cost of living.

    COTA pay in other states

    A clinical director and a hiring lead shaking hands across a meeting-room table.

    Hiring COTAs in Massachusetts

    Pay is the last thing that fixes a stalled search

    Supervision access and productivity targets are the two questions every COTA candidate asks.

    Join the COTA talent networkHire a COTA in Massachusetts
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    • Behavioral health only
    • Recruiting across all 50 states
    • Pay published on every role
    • Recruitment partnerships, not job spam