National totals
| Active NPI records | 41,797 |
| Registered sole proprietors | 15,424 (36.9%) |
| NUCC taxonomy code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
What this specialty covers
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational
Reading the sole-proprietor share
For Occupational Therapy Assistant records, the sole-proprietor share is the percentage of active NPI records whose NPPES entry is flagged as a sole proprietor. It should not be read as the percentage of assistants who work in private practice or independently: the field is self-reported and can miss other ownership or employment arrangements, so it is an imperfect proxy.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Texas | 4,284 | 1,571 | 36.7% |
| Florida | 3,962 | 1,917 | 48.4% |
| New York | 2,791 | 1,175 | 42.1% |
| Ohio | 2,382 | 694 | 29.1% |
| Pennsylvania | 2,153 | 731 | 34.0% |
| California | 1,811 | 731 | 40.4% |
| Illinois | 1,533 | 506 | 33.0% |
| Wisconsin | 1,451 | 398 | 27.4% |
| North Carolina | 1,364 | 500 | 36.7% |
| Indiana | 1,093 | 350 | 32.0% |
| Arizona | 1,088 | 393 | 36.1% |
| Virginia | 1,084 | 400 | 36.9% |
| Arkansas | 1,076 | 454 | 42.2% |
| Missouri | 1,048 | 340 | 32.4% |
| Tennessee | 1,008 | 316 | 31.3% |
| Oklahoma | 939 | 290 | 30.9% |
| Michigan | 897 | 328 | 36.6% |
| Washington | 807 | 236 | 29.2% |
| South Carolina | 760 | 263 | 34.6% |
| Massachusetts | 752 | 341 | 45.3% |
| Kentucky | 722 | 256 | 35.5% |
| Colorado | 716 | 255 | 35.6% |
| Maryland | 675 | 236 | 35.0% |
| New Jersey | 668 | 311 | 46.6% |
| Kansas | 594 | 181 | 30.5% |
| Georgia | 588 | 226 | 38.4% |
| Connecticut | 455 | 154 | 33.8% |
| Minnesota | 408 | 143 | 35.0% |
| Oregon | 394 | 87 | 22.1% |
| Mississippi | 355 | 225 | 63.4% |
| West Virginia | 344 | 136 | 39.5% |
| New Mexico | 317 | 114 | 36.0% |
| Alabama | 281 | 104 | 37.0% |
| New Hampshire | 273 | 100 | 36.6% |
| Iowa | 269 | 77 | 28.6% |
| Maine | 267 | 83 | 31.1% |
| Nebraska | 240 | 80 | 33.3% |
| Delaware | 239 | 91 | 38.1% |
| Louisiana | 237 | 125 | 52.7% |
| Nevada | 214 | 76 | 35.5% |
| Rhode Island | 169 | 68 | 40.2% |
| Idaho | 166 | 48 | 28.9% |
| Utah | 140 | 36 | 25.7% |
| North Dakota | 108 | 29 | 26.9% |
| South Dakota | 104 | 23 | 22.1% |
| Montana | 93 | 25 | 26.9% |
| Hawaii | 82 | 35 | 42.7% |
| Wyoming | 71 | 16 | 22.5% |
| Vermont | 55 | 20 | 36.4% |
| Alaska | 48 | <11 | not reported |
| District of Columbia | 28 | 11 | 39.3% |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 2,142 |
| 2018 | 3,267 |
| 2019 | 2,754 |
| 2020 | 1,745 |
| 2021 | 2,823 |
| 2022 | 2,486 |
| 2023 | 2,487 |
| 2024 | 2,002 |
| 2025 | 1,989 |
| 2026 (partial year) | 32 |
Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.
Data notes
- The sole-proprietor field is self-reported by the provider in NPPES and is an imperfect proxy for private practice.
- A sole-proprietor count shown as <11 is suppressed: the true value is below 11, which could include zero.
- - NPI records are administrative records, not a complete census of people, jobs, or service locations.
- - Primary taxonomy and active status reflect NPPES data at the time of reporting and may be updated.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many occupational therapy assistants are there in the United States?
There are 41,797 active NPI records nationally with Occupational Therapy Assistant as the primary taxonomy. This is an NPI-based count, not necessarily a count of unique people or all practicing assistants.
How many occupational therapy assistants are in private practice?
NPPES flags 15,424 records, or 36.9%, as sole proprietors. That flag is self-reported and is an imperfect proxy for private practice, so the figure should not be treated as a direct private-practice count.
Which states have the most occupational therapy assistants?
The largest state counts are in Texas, Florida, New York, Ohio, and Pennsylvania.
How many occupational therapy assistant NPIs were first enumerated in recent years?
The records first enumerated in the most recent full years available include 2,002 in 2024, 1,989 in 2025, and 32 in 2026.
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