Milestones Play Gym & Pediatric Therapy, LLC Certified Occupational Therapy Assistant Fredericksburg, VA · Contractor Company website

Apply for Certified Occupational Therapy Assistant

Milestones Play Gym & Pediatric Therapy, LLC is a pediatric therapy and enrichment center built on our proprietary Milestones Method™, a developmental continuum that integrates individual therapy, Integrated Therapy™, and therapist-led enrichment groups. We specialize in child-led, play-based therapy within a dynamic, movement-rich environment designed to support regulation, engagement, and meaningful skill development. Our model blends occupational, speech, music, and yoga therapy with real-world play experiences, allowing children to build functional skills in natural, motivating contexts. What sets Milestones apart is our collaborative, interdisciplinary approach and our focus on creating an inclusive, supportive space for both children and their families.

The Certified Occupational Therapy Assistant (COTA) provides pediatric occupational therapy services under the supervision of an Occupational Therapist within a play-based, child-led environment at Milestones Play Gym & Pediatric Therapy.

Responsibilities

• Implement treatment plans developed by the supervising Occupational Therapist

• Provide 1:1 and small group therapy sessions

• Support development of sensory processing, regulation, fine motor, motor planning, and functional skills

• Facilitate engagement within dynamic, movement-based therapy spaces, including Integrated Therapy™ environments

• Monitor and document client progress

• Communicate session updates and basic strategies to caregivers

• Prepare materials and maintain an organized, safe therapy environment

• Collaborate with the interdisciplinary team to support consistent care

Qualifications

• Associate’s degree from an accredited Occupational Therapy Assistant program

• Active state licensure and NBCOT certification

• Pediatric experience preferred

• Experience with autism and sensory-based therapy strongly preferred

• Ability to work in a fast-paced, play-based, and less structured environment

• Strong communication, organization, and teamwork skills

Compensation & Growth Opportunity

Compensation is structured at $30 per session (1099 contractor), with estimated hourly equivalent earnings of approximately $25–$40/hour depending on schedule consistency and caseload.

Opportunities are available to increase earnings through expanded scheduling, participation in group programming, and clinic growth.

This position offers the opportunity to build toward a consistent schedule, with potential transition into part-time or full-time (W2) employment based on performance, caseload development, and clinic needs.