Certified Occupational Therapy Assistant (Pediatrics)

Pediatric Occupational Therapist Assistant - Billings, MT

Setting: Outpatient (large sensory gym!)

Days: Monday-Thursday (Friday's optional)

Hours: Full-Time or Part-time Options

Shifts: 8hr/10hr (FT)

Patient Volume: 36 scheduled visits/week (FT)

Company Story:

Little Legends Therapy was founded with one mission in mind: to help every child discover their potential and shine in their own unique way. What began as a small practice with a big dream has grown into a team of passionate professionals dedicated to supporting children and their families through therapy services.

We believe that therapy should be more than just treatment—it should be fun, engaging, and empowering. Our therapists use play-based, evidence-driven approaches to create meaningful progress, helping children build skills for everyday life, school, and beyond.

At Little Legends, we know that every family’s journey is different. That’s why we work side by side with parents and caregivers, providing not only therapy but also education, encouragement, and hope. Each milestone, no matter how big or small, is celebrated as a victory worth cherishing.

Our name reflects what we believe about the children we serve: every child is already a legend in the making. With the right support, they can grow, thrive, and write their own legendary story.

Here’s why our team loves working here:

• Impact that matters – Watch children grow, gain confidence, and reach milestones while knowing your work is changing lives.
• Supportive culture – We value collaboration, open communication, and celebrating wins together. You’ll never feel like you’re doing this work alone.
• Work-life balance – Flexible scheduling and manageable caseloads allow you to focus on both your clients and your own well-being.
• Professional growth – We invest in your success with mentorship, continuing education support, and opportunities to expand your skills.
• Creative and fun environment – Therapy here isn’t cookie-cutter. We encourage play, creativity, and innovation in sessions.
• Family-first mindset – We care about our staff as whole people, not just employees. Your family and life outside work matter to us too.

Apply Today – Limited Openings!
We’re growing quickly and have only a few spots available on our team. Don’t miss your chance to make a difference—apply now!

About us:

Little legends Therapy is a private therapy practice in Billings, MT that is growing and looking to add members to build a strong pediatric team to serve our community. Little Legends Therapy believes in creating an environment where children can feel safe and build the skills they need to be successful in their daily occupations. We believe in a “bottom-up” approach, addressing the foundational components, filling in the holes to facilitate motivation, participation, confidence, and success in daily occupations. We are on the go and enjoy making therapy fun for everyone!

Full Job description:

At our clinic, we believe every child is full of potential. We are a team of therapists who are passionate about creating a supportive, playful, and encouraging environment where kids and families feel valued and cared for. We’re looking for a Pediatric Occupational Therapist Assistant who shares our heart for children and families and wants to grow alongside a collaborative, fun-loving team.

Responsibilities:

• Implement interventions based on provided evaluation, goals written, observations and interactions with patients and caregivers
• Provide direct occupational therapy interventions as outlined in the supervising OTR’s treatment plan.
• Engage children in therapeutic activities to improve fine motor skills, self-care, play, sensory regulation, coordination, and social interaction.
• Adapt activities and materials to meet the developmental and functional needs of each child.
• Document treatment sessions accurately and in a timely manner according to clinic policies and professional standards.
• Communicate regularly with the supervising OTR regarding client progress, challenges, and recommendations.
• Educate and support parents/caregivers with home program activities and strategies for generalization of skills.
• Collaborate with interdisciplinary team members, educators, and families to support child success.
• Participate in staff meetings, continuing education, and professional development activities.
• Supervise and educate fieldwork students and student observers
• Participate in team meetings and contribute to a positive, collaborative workplace culture.
• Minor administration and office duties

Qualifications:

• Associate’s Degree from an accredited Occupational Therapy Assistant program.
• Current certification as a Certified Occupational Therapy Assistant (COTA).
• Prior pediatric experience is strongly preferred; new graduates with pediatric fieldwork experience will be considered.
• Strong clinical reasoning, organizational, and communication skills.
• CPR certification within 30 days of hire (will reimburse course).
• Excellent communication, organizational, and documentation skills.
• Ability to work independently and within a team environment.
• Able to lift 50 pounds.
• Organizational and interpersonal skills.
• Able to lift 50 pounds.

Preferred Skills & Knowledge:

• Experience in sensory integration, feeding therapy, or handwriting interventions.
• Familiarity with conditions such as autism spectrum disorder, ADHD, developmental delays, and other pediatric diagnoses.

Job Type: Full-time

Pay: Up to $70,000.00 per year

Benefits:

• Continuing education credits
• Flexible schedule
• Health insurance
• License reimbursement
• Opportunities for advancement
• Paid time off
• Professional development assistance
• Retirement plan
• Travel reimbursement

Work Location: In person

Salary : $70,000