Healthcare support
Occupational Therapy Assistants
- Median pay
- $72,300
- Outlook
- Much faster than average
Associate's degree
- Active Listening
- Service Orientation
- Social Perceptiveness
SOC 29-1125.00Bright outlook
Plan, direct, or coordinate medically-approved recreation programs for patients in hospitals, nursing homes, or other institutions.
Data verified Nov 2026 · CollegesRef 2026–27 edition
Source: BLS 2025 wages · 2025–35 projections
Annual pay range
14,930 people work in this occupation.
In short
Recreational therapists design and lead medically-approved recreation programs, such as sports, crafts, and trips, to help patients in healthcare facilities. The career offers a median annual pay of $61,960.
Written with AI from the BLS, O*NET and CareerOneStop data on this page. Every figure is checked against that data before it is published.
Plan, direct, or coordinate medically-approved recreation programs for patients in hospitals, nursing homes, or other institutions. Activities include sports, trips, dramatics, social activities, and crafts. May assess a patient condition and recommend appropriate recreational activity.
Most need a bachelor's degree and several years of related experience.
Recreational therapists plan, direct, and coordinate therapeutic activities for patients in hospitals, nursing homes, and other institutions. On a daily basis, these professionals assess patient conditions to recommend suitable activities, which can range from sports and social events to drama and crafts. The role relies heavily on assisting and caring for others, thinking creatively, and establishing strong interpersonal relationships. Therapists must communicate effectively with supervisors and peers, document patient information, and organize daily schedules.
Success in this field requires a strong social interest, as well as skills in active listening, service orientation, and social perceptiveness. Therapists use their knowledge of psychology, therapy, counseling, and customer service to instruct patients and solve complex problems. Key work styles for this career include empathy, cooperation, optimism, and sincerity. Practitioners must also demonstrate self-control, adaptability, and dependability while managing diverse patient needs.
To enter this career, individuals typically need a bachelor's degree. Most positions require considerable preparation, which includes a relevant college degree and several years of related work experience. Students preparing for this field commonly major in rehabilitation and therapeutic professions.
Depending on the employer and location, professionals may seek specific certifications. Examples of available credentials include the Certified Registered Therapeutic Riding Instructor from the Professional Association of Therapeutic Horsemanship International, or the Certified Riding Instructor designations (Level I or Level II) from the American Riding Instructors Association. Additionally, some states list a license for this work, so candidates should check local state guidelines to ensure they meet all regional practice requirements.
The median annual pay for recreational therapists is $61,960. Earnings can vary significantly based on experience and setting, with the lowest 10 percent of workers earning less than $40,990 and the highest 10 percent earning more than $100,420.
There are 14,930 people employed in this field. Between 2025 and 2035, employment is projected to grow by 4.8 percent, which is as fast as the average for all occupations. This growth is expected to result in approximately 1,400 job openings each year.
Interest code SIR. Compare it with yours
Activities Coordinator · Activities Therapist · Activity Therapist · Adventure Therapist · Certified Recreational Therapist · Certified Therapeutic Recreation Specialist (CTRS) · Creative Arts Therapist · Dance Therapist · Drama Therapist · Ecotherapist
Career pathway
Interests that fit the work, the career, majors that lead there and colleges whose graduates in those majors earn the most. Hover or focus a step to follow one path.
1Interests
2This career
3Majors
4Colleges
Interests
This career
Majors
Colleges
College Scorecard program outcomes
Programs that lead to this career, ranked by what their graduates earn four years after finishing. Earnings are for graduates who received federal aid.
Pittsburgh, PA · Rehabilitation and Therapeutic Professions · Bachelor's
Durham, NH · Rehabilitation and Therapeutic Professions · Bachelor's
Pittsburgh, PA · Rehabilitation and Therapeutic Professions · Bachelor's
Source: U.S. Department of Education College Scorecard field-of-study data, 2025. Programs with few graduates are not listed.
NCES CIP–SOC crosswalk
Related programs by four-digit CIP code. They are common routes in, not the only ones.
591 colleges offer it
CareerOneStop
What recreational therapists may need beyond a degree, where a license is required, and what the work pays in each state.
Core certifications employers recognise for this work.
Programs of study that prepare people for this work.
18 states list a license for this work. Open your state for the license and the agency that issues it.
Registered Pyschotherapist
State Board of Addiction Counselor Examiners, Division of Professions & Occupations, Department of Regulatory Agencies
Art Therapist
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
Art Therapist Temporary Permit
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
DANCE THERAPY
RECREATION THERAPY
Professional Art Therapist
Board of Licensure for Professional Art Therapists, Department of Professional Licensing
Professional Art Therapist Associate
Board of Licensure for Professional Art Therapists, Department of Professional Licensing
Art Therapist, School
Division of Educator Licensure, Louisiana Department of Education
Music Therapist, Working in Schools
Professional Art Therapist
Office of Licensure, Professional Licensure Division, MS State Dept. of Health
Licensed Creative Arts Therapist
State Board for Mental Health Practitioners, NYS Education Department
Licensed Recreational Therapist
Music Therapists
Licensed Professional Music Therapist
Therapeutic Recreation Specialist
Speech-language Therapist
Music Therapist
COUNSELOR, PROFESSIONAL
RECREATIONAL THERAPIST
Division of Occupational & Professional Licensing, Utah Department of Commerece
ART THERAPIST
Division of Professional Credential Processing, WI Department of Safety and Professional Services
DANCE THERAPIST
Division of Professional Credential Processing, WI Department of Safety and Professional Services
MUSIC THERAPIST
Division of Professional Credential Processing, WI Department of Safety and Professional Services
Data from CareerOneStop, sponsored by the U.S. Department of Labor (Employment and Training Administration, with the Minnesota Department of Employment and Economic Development). Retrieved November 9, 2026.
Your plan
Courses, majors, colleges, scholarships and a timeline for this career, built from your profile.
Written with AI from the BLS, O*NET and CareerOneStop data on this page. Every figure is checked against that data before it is published.
People in this profession are also called activities coordinators, adventure therapists, or certified therapeutic recreation specialists. Other common titles include creative arts therapists, dance therapists, drama therapists, and ecotherapists.
Students interested in this field typically major in rehabilitation and therapeutic professions. This academic pathway provides the necessary foundation in therapy, counseling, and psychology.
Licensing requirements vary by location, as some states list a license for this work while others do not. Prospective therapists should research the specific regulations in the state where they plan to practice.
Every figure on this page comes from these public datasets. Missing values are shown as not reported, never estimated.
Version 31.0
Version 2025-35 · Data year 2025
Version 2025 · Data year 2025
Version 2020 · Data year 2020
O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. CollegesRef has modified all or some of this information.
Data from CareerOneStop, sponsored by the U.S. Department of Labor (Employment and Training Administration, with the Minnesota Department of Employment and Economic Development). Retrieved November 9, 2026.
Page data updated November 5, 2026.