Skills-on-the-Hill-Arlington-VA-Washington-DC
Skills-on-the-Hill-Arlington-VA-Washington-DC

Certified Occupational Therapy Assistant – Washington, DC

FULL_TIME

1301 Pennsylvania Ave. SE Washington, DC 20003

Published on: February 19, 2026

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Helping all children and families climb to their fullest potential

Skills on the Hill is hiring for a Certified Occupational Therapy Assistant job in Washington, DC. We are a leading pediatric therapy practice serving families in Washington, D.C. and Arlington, VA. Our mission is to empower children and families through collaborative, play-based, evidence-driven care that helps every child reach their fullest potential.

As a Certified Occupational Therapy Assistant (COTA), you will work under the supervision of a licensed Occupational Therapist to deliver engaging, individualized therapy sessions that support children’s growth at home, in school, and in the community.

Compensation: $50,000 – $65,000

What You’ll Do

  • Implement individualized treatment plans developed by the supervising Occupational Therapist
  • Deliver engaging, play-based therapy sessions under OT supervision
  • Support treatment goals that promote success at home, school, and in the community
  • Observe, document, and communicate patient progress to supervising OTs and caregivers
  • Assist with selected assessments and data collection with demonstrated competency
  • Provide parent, caregiver, and teacher education under OT guidance
  • Collaborate with a multidisciplinary team to ensure coordinated, holistic care
  • Maintain timely and organized documentation in compliance with company and state regulations
  • Help maintain a safe, motivating, and positive therapy environment

Populations Served

Our COTAs support children with:

  • Sensory processing and motor planning challenges
  • Fine and visual motor delays
  • Feeding and oral-motor difficulties
  • Global developmental delays
  • Learning disabilities
  • Autism Spectrum Disorder
  • ADHD and self-regulation challenges
  • Executive functioning weaknesses
  • Neuromuscular or genetic conditions
  • Cerebral Palsy
  • Down Syndrome

Benefits:

  • Competitive pay (hourly or salaried, depending on schedule)
  • Paid time off and professional development opportunities
  • Health, dental, and vision insurance for full-time employees
  • Mentorship and supervision from experienced Occupational Therapists
  • Supportive, team-centered environment with a collaborative and playful culture

Have Questions About This Certified Occupational Therapy Assistant Job Opening in Washington, DC?

Reach Out To Kristen G Masci, CEO

Full Job Details & Application:

Education: associate degree

Qualifications:

  • Associate’s degree from an accredited Occupational Therapy Assistant program
  • Current NBCOT certification as a Certified Occupational Therapy Assistant (COTA)
  • Active DC and Virginia COTA license (or eligibility to obtain)
  • At least 1 year of pediatric experience preferred
  • Motivated new graduates are encouraged to apply
  • Experience supporting children with developmental delays, sensory processing differences, fine/visual motor challenges, and self-regulation difficulties preferred
  • CPR and First Aid certification (or willingness to obtain)
  • Negative TB test
  • Successful background check

Skills:

  • Knowledge of evidence-based pediatric therapy practices
  • Strong critical thinking and clinical reasoning skills
  • Excellent communication and collaboration abilities
  • Ability to follow established treatment plans under OT supervision
  • Strong organizational and documentation skills
  • Comfortable working within a multidisciplinary team
  • Proficiency with Microsoft Office, EMR systems, and iPads
  • Professionalism, discretion, and respect for confidentiality
  • Empathy, patience, creativity, and adaptability when working with children and families

Responsibilities:

  • Implement individualized treatment plans developed by the supervising Occupational Therapist
  • Deliver engaging, play-based therapy sessions under the supervision of a licensed OT
  • Support treatment goals that help children succeed at home, school, and in the community
  • Observe and document children’s progress and communicate updates to supervising OTs and caregivers
  • Assist in administering selected assessments and gathering data with demonstrated competency
  • Provide parent, caregiver, and teacher education under OT guidance
  • Collaborate with multidisciplinary team members to ensure cohesive, holistic care
  • Maintain timely, organized documentation in compliance with company and state regulations
  • Help maintain a safe, motivating, and positive therapy environment
  • Frequent standing, walking, bending, kneeling, and reaching during treatment sessions
  • Ability to lift, position, or support children during therapeutic activities