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Occupational Therapy Assistant: how many are there, and how many are in private practice?

Occupational therapy assistants are trained and credentialed professionals who complete accredited education, supervised fieldwork, a nationally recognized entry-level examination, and applicable state requirements. This page shows the national number of active NPI records with Occupational Therapy Assistant as the primary NUCC taxonomy, along with state concentration, recent first-enumeration activity, and the share carrying an NPPES sole-proprietor flag.

National totals

Active NPI records41,797
Registered sole proprietors15,424 (36.9%)
NUCC taxonomy code224Z00000X
GroupingRespiratory, 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

StateActive NPIsSole proprietorsShare
Texas4,2841,57136.7%
Florida3,9621,91748.4%
New York2,7911,17542.1%
Ohio2,38269429.1%
Pennsylvania2,15373134.0%
California1,81173140.4%
Illinois1,53350633.0%
Wisconsin1,45139827.4%
North Carolina1,36450036.7%
Indiana1,09335032.0%
Arizona1,08839336.1%
Virginia1,08440036.9%
Arkansas1,07645442.2%
Missouri1,04834032.4%
Tennessee1,00831631.3%
Oklahoma93929030.9%
Michigan89732836.6%
Washington80723629.2%
South Carolina76026334.6%
Massachusetts75234145.3%
Kentucky72225635.5%
Colorado71625535.6%
Maryland67523635.0%
New Jersey66831146.6%
Kansas59418130.5%
Georgia58822638.4%
Connecticut45515433.8%
Minnesota40814335.0%
Oregon3948722.1%
Mississippi35522563.4%
West Virginia34413639.5%
New Mexico31711436.0%
Alabama28110437.0%
New Hampshire27310036.6%
Iowa2697728.6%
Maine2678331.1%
Nebraska2408033.3%
Delaware2399138.1%
Louisiana23712552.7%
Nevada2147635.5%
Rhode Island1696840.2%
Idaho1664828.9%
Utah1403625.7%
North Dakota1082926.9%
South Dakota1042322.1%
Montana932526.9%
Hawaii823542.7%
Wyoming711622.5%
Vermont552036.4%
Alaska48<11not reported
District of Columbia281139.3%

New NPI registrations by year

Year first enumeratedNPIs
20172,142
20183,267
20192,754
20201,745
20212,823
20222,486
20232,487
20242,002
20251,989
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

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

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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