All Things COTA: Understanding the Role of a Certified Occupational Therapy Assistant

Sep 28, 2026 | Occupational Therapy, Speech Therapy

Putting the objects into bowls while hanging. Preschool child with teacher during developmental activities in a playroom.

Occupational Therapy can help children build the skills they need for everyday routines, play, learning, and independence. Certified Occupational Therapy Assistants, or COTAs, are an important part of helping children practice those skills in a supportive way.

At Integrity Learning Center, COTAs work with Occupational Therapists and other team members to help each child grow, gain confidence, and participate more fully in daily activities.

What Is a COTA?

A COTA works under the supervision of a licensed Occupational Therapist, also called an OTR/L. The therapist creates the plan, and the COTA helps your child work on those goals through fun, meaningful activities.

During therapy, a COTA may help your child build skills such as:

  • Using their hands for tasks like coloring, cutting, feeding, or dressing
  • Building hand strength, coordination, and handwriting readiness
  • Managing sensory needs and learning ways to stay calm and focused
  • Practicing self-care skills and daily routines
  • Playing, paying attention, planning movements, and joining activities

These skills are often practiced through play because children learn best when activities feel safe, engaging, and meaningful.

What Happens During a Pediatric Therapy Session?

Each session is based on your child’s therapy plan and goals. A COTA may use crafts, movement activities, games, sensory play, prewriting practice, or self-care routines to help your child make progress.

COTA and OTR/L: What’s the Difference?

COTAs and Occupational Therapists are both important members of your child’s therapy team, but they have different roles.

The Occupational Therapist evaluates your child, creates the therapy plan, sets goals, and supervises care. The COTA helps carry out that plan during therapy sessions and supports your child as they practice new skills.

COTAs in Outpatient Pediatrics

Outpatient pediatric Occupational Therapy can help children build skills they use at home, at school, and in the community. A COTA may help your child work on fine motor skills, sensory processing, coordination, self-care, handwriting, and visual-motor skills.

Although therapy may look like play, each activity is chosen with a purpose and connects back to your child’s goals. For families looking for pediatric Occupational Therapy in Danville, a COTA can be a helpful and encouraging part of your child’s therapy team at Integrity Learning Center.

COTAs may also work alongside other pediatric professionals, including Applied Behavior Analysis, or ABA, team members. When OT and ABA services are offered in the same setting, the team can work together to help support consistency across your child’s routines and therapy experiences.

Choosing Pediatric Therapy in Danville

If your child needs extra support with daily routines, movement, play, sensory needs, or school-related skills, pediatric therapy may help. Integrity Learning Center in Danville offers a supportive place where children can work toward their goals with a caring team.

All Things COTA at Integrity Learning Center

COTAs bring patience, creativity, and a child-centered approach to helping children learn and grow. At Integrity Learning Center, our team is proud to support children and families through collaborative pediatric therapy.

If you’re looking for pediatric Occupational Therapy services in Danville, Indiana. Integrity Learning Center is here to help your child build skills, confidence, and independence.

Ready to take the next step to receive OT in Danville? Contact Integrity Learning Center to learn more or complete the Integrity Behavioral Solutions, LLC – Form.

Author: Adrienne Enslin Certified Occupational Therapy Assistant