Certified Occupational Therapy Assistant (COTA) — Pediatric Therapy — Southlake + Keller, TX

Compensation

• $25–$35 per billable hour ·
• Job
• Type: Full-time ·
• Work
• Setting: In-person, clinic ·
• Split between
• Southlake,
• TX and
• Keller,
• TX
• Let's be real: not all therapy companies are created equal. Some places treat a COTA like an extra set of hands — a schedule to fill, not a clinician to grow.
• At
• Gracent
• Pediatric
• Therapy, you get something different: a real seat on an interdisciplinary team. The OT you work with actually plans with you. The SLP down the hall knows your kids. And the "just playing" you do all day? Everyone here knows that's the work, carefully designed moments that build a child's independence one skill at a time.
• We're the kind of company where: You're a clinician, not a cog. You carry out thoughtful, individualized OT plans, and your observations actually shape them. True interdisciplinary care is the norm — OTs, SLPs, BCBAs, and PTs working the same kids, often co-treating, so care reflects the whole child. You'll feel good wearing the swag, because it represents a place that backs its clinicians with real resources and a play-based, purpose-built space. Flexible scheduling that's actually flexible. Full-time, part-time, reduced schedule — we work with what fits your life. Doctor's appointment? Don't take PTO, just work around it. No one here is missing their kid's school events, their own appointments, or a life outside of work. Growth isn't a buzzword, it's a path. Our Clinical Ladder Program maps real advancement, and new grads get extra mentorship and onboarding to land well. What we hear from clinicians who join us is the same whether they're a year out of school or fifteen: "This feels closer to the role I originally wanted." That's what happens when your work is trusted, and the people around you have your back.
• Who will love this role:
• A sensory detective: You read a child's sensory world like a map and know which input will unlock a hard moment.
• A fine-motor coach: Pencil grips, scissor skills, that first independent shoe-tie, the small wins are your favorite kind.
• A daily-living champion: You light up helping a kid master the everyday things, dressing, mealtime, self-regulation — that change a family's whole day.
• A co-treat believer: You don't just tolerate working with SLPs and BCBAs, you actively want the insights only cross-discipline care surfaces.
• A family translator: You turn OT concepts into simple, doable guidance parents can actually use at home.
• A little bit playful: You know therapy works best when it's fun, and you're not afraid to get on the floor, use silly voices, or celebrate tiny wins like they're championship moments.
• What you'll actually be doing: Carry out individualized treatment plans alongside your supervising occupational therapist, running engaging, play-based sessions for a diverse caseload. Help assess each child's needs and track progress with careful, timely data, flagging meaningful changes to your OT. Build kids' independence in daily activities, fine motor, self-care, self-regulation, and school-readiness skills. Co-treat and coordinate with SLPs, BCBAs, and PTs on shared kids — real teamwork, not the occasional meeting. Keep documentation accurate and on time. Partner with families so progress carries over at home.
• What you'll work with: Pediatric OT tools — sensory-integration equipment, fine-motor and handwriting programs, ADL / self-care goals, and play-based materials Co-treat structures with SLP, ABA, and PT A purpose-built, sensory-considerate pediatric clinic space
• What you bring: An Associate's degree from an accredited Occupational Therapy Assistant program. COTA certification and registration through the National Board for Certification in Occupational Therapy (NBCOT). A current Texas Occupational Therapy Assistant license in good standing. 1–2 years in a clinical setting, pediatric experience preferred. A solid grasp of OT principles and a track record of implementing treatment plans well. Strong communication and people skills — you'll work closely with both the therapy team and families. A genuine commitment to growing your clinical skills. What it pays. What it includes. $25–$35 per billable hour, based on experience. Medical, dental, and vision insurance. 401(k) with company match (up to 4%). Paid time off and genuinely flexible scheduling for full-time employees. A Clinical Ladder Program with defined advancement, plus extra support and onboarding for new grads and early-career clinicians. Teladoc subscription from day one, for full- and part-time employees. Monthly social events and a culture of real collaboration — plus committees like Experience, DEI, and Brand Ambassadors where you can help shape it. Pressure test us. We know clinical mentorship, real work-life balance, a manageable day, and a clear path to grow are what you'll actually decide on. If anything in this post sounds too good — or doesn't match what you're hearing elsewhere — ask us in the interview. We're genuinely open to talking it through. Joining a team is about more than the role — it's the people, the support, and the culture.
• Our interview process is built so you'll see exactly who we are: you'll connect with multiple leaders, tour the center, and meet the team you could soon be working with. We can't wait to meet you. Gracent Pediatric Therapy is an equal opportunity employer. We believe diverse clinical teams build better programs for the diverse kids and families we serve. We hire, develop, and promote regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic. Per hour $25—$35 USD