Average Occupational Therapist Salary by State & Nationally (2024)

  • Requirements
  • Occupational Therapist Salary Insights
  • Top Occupational Therapist Jobs
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  • Salary Tips
  • Occupational Therapist FAQs

Occupational therapists (OTs) can look forward to a positive job outlook and lucrative salaries. The U.S. Bureau of Labor Statistics (BLS) expects demand for OTs to grow by 14% between 2021 and 2031. While this expectation suggests plentiful opportunities for skilled OTs in the coming years, you should still ensure your clinical skills are up to par and your compensation is competitive compared to similar OT jobs. This guide provides detailed occupational therapist salary information to help maximize your earnings as you advance your career and positively impact your patients’ lives.

Becoming an Occupational Therapist

Occupational therapists are allied health professionals with graduate-level education and training. You must earn national board certification and a license in the state where you want to work. All 50 states, the District of Columbia, Guam and Puerto Rico require OTs to be licensed before providing occupational therapy services. Each state also has varyingscopes of practice for OTs.

To become an OT, you must:

  • Complete an accredited program in occupational therapy and earn a master’s degree or Doctorate of Occupational Therapy (OTD). An OTD is a clinical doctorate and differs from a research-based Ph.D.

  • Pass the National Board for Certification in Occupational Therapy (NBCOT) exam to earn your Occupational Therapist Registered certification.

  • Apply for a state license to practice. Some states require you to pass an additional exam to ensure you understand local regulations.

Average Occupational Therapist Salary

$54.20/hour

The average salary for a Occupational Therapist is $54.20 per hour. This is 6% higher than the therapy US average of $50.97.

Last updated on July 13, 2024. Based on active jobs on Vivian.com.

Salaries for Occupational Therapist compared to Therapist National Averages

$54.20/hour

6% higher than the therapy US average.

$50.97/hour

United States

Where do Occupational Therapists get paid the most?

StateAverage Hourly SalaryMax Hourly Salary
California$65$79
Idaho$62$62
Maryland$59$68
New York$55$61
Oregon$53$62
Virginia$53$67
Georgia$50$58
Pennsylvania$49$62
Texas$46$53
Washington$42$46
North Carolina$40$40
Michigan$24$37

What are the highest paying Employers and Agencies for Occupational Therapist jobs?

Average Hourly SalaryMax Hourly Salary
$200$200
Sutter Health$63$68
Community Health System$53$53
Inova Health System$53$53
Adventist Health$52$52
Stability Direct$51$53
St. Luke's Health System$50$50
AccentCare$49$49
Atrium Health Charlotte$49$49

Last updated on July 13, 2024. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

Average Occupational Therapist Salary by State & Nationally (1)

Occupational Therapist Career Guide

Use our exclusive Career Guides to research the education, qualifications, skills and responsibilities for a variety of healthcare disciplines and specialties employers are hiring now.

Go to the guide

Top Occupational Therapist Jobs

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Staff Position

Home Health Occupational Therapist

  • Saint Francis Health System
  • Tulsa, OK

$40+/hour

Apply now

Posted11 hours ago

View job details

Staff Position

Home Health Occupational Therapist

  • Alternate Solutions Health Network LLC
  • Kettering, OH

$55-82/per visit

Apply now

Posted11 hours ago

View job details

Staff Position

Home Health Occupational Therapist

  • Alternate Solutions Health Network LLC
  • Detroit, MI

$35-82/per visit

Apply now

Posted11 hours ago

View job details

Staff Position

Home Health Occupational Therapist

  • Alternate Solutions Health Network LLC
  • Zanesville, OH

$55-82/per visit

Apply now

Posted11 hours ago

View job details

Staff Position

Outpatient Occupational Therapist

  • Saint Francis Health System
  • Tulsa, OK

$40+/hour

Apply now

Posted14 hours ago

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How to Improve Your Occupational Therapist Salary

Work as a Per Diem OT

Some healthcare facilities hire OTs on an as-needed basis. You’re not always guaranteed work, but per diem positions pay a higher wage if you’re available to cover shifts.Per diem occupational therapist jobslisted on Vivian on January 11, 2023, were paying an average of $64 per hour and as high as $78 per hour.

You won’t receive benefits or paid time off in a per diem position, but it can be a great way to boost your income. OTs who work in schools can pick up per diem shifts during summers and holidays. You can even combine a per diem position with travel OT jobs, working when you return home from a travel assignment.

Earn Advanced Certification

Demonstrate your expertise and knowledge by earning advanced certification for niche patient populations. You can distinguish yourself for coveted OT jobs by adding further education and credentials to your resume, paving the way to more senior roles and higher pay.

The AOTA offers thefollowing advanced certification exams:

  • Board Certification in Pediatrics

  • Board Certification in Physical Rehabilitation

  • Board Certification in Gerontology

You may be eligible to test for these credentials if you’re a certified, licensed occupational therapist in good standing and have at least:

  • 3 years of experience as an occupational therapist

  • 3,000 hours of experience in the certification area in the last 5 years

  • 500 hours of experience delivering occupational therapy services to clients in the last 5 years

Consider Cost of Living

While you might be drawn to high-paying occupational therapist jobs in states such as Washington or New York, keep in mind that you’ll also be paying more out of pocket if it’s an expensive state in which to live. A large portion of your salary may go to housing, groceries, transportation and other basic living costs.

You may stretch your dollars further by factoring in the cost of living when considering a job, thus improving your salary in a roundabout way. For example, in Oklahoma, the average OT salary is $88,200 annually, per May 2021 BLS data. While this is just 1.4% lower than the nationwide average of $89,470.Oklahoma is one of the most affordable states to live in, with an overall cost of living 17.8% lower than the U.S. average, according to Sperling’s Best Places. Always run the numbers to see if a job with a lower average salary in a more affordable state actually leaves more money in your pocket in the long run.

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Occupational Therapist FAQs

What professional certifications can potentially increase my salary as a Occupational Therapy Assistant?

Earning your Certified Occupational Therapist Assistant (COTA) often increases your salary potential as a occupational therapy assistant or makes you eligible for another position with greater responsibilities, which also might include a bump in wages.

Can having a Certified Occupational Therapist Assistant (COTA) boost my salary as a Occupational Therapy Assistant?

Yes, having a Certified Occupational Therapist Assistant (COTA) or any relevant professional certification has the potential to boost your salary as a occupational therapy assistant.

Where can I learn more about working as a Occupational Therapist?

Take a look at Vivian's Occupational Therapist Career Guide for more information, including required education, responsibilities, pros and cons and more.

Average Occupational Therapist Salary by State & Nationally (2024)

FAQs

Average Occupational Therapist Salary by State & Nationally? ›

Physical rehabilitation is one of the highest paying OT jobs. OTs that specialize in this area can design rehab strategies that are unique to the patient and focus on occupational engagement. To specialize in physical rehabilitation, earn the Board Certification in Physical Rehabilitation (BCPR).

What state pays OTs the most? ›

California

What is the highest paying field in occupational therapy? ›

Physical rehabilitation is one of the highest paying OT jobs. OTs that specialize in this area can design rehab strategies that are unique to the patient and focus on occupational engagement. To specialize in physical rehabilitation, earn the Board Certification in Physical Rehabilitation (BCPR).

How to make 6 figures as an occupational therapist? ›

  1. Work in a SNF or Home Health. These are some of the highest paid settings for occupational therapists. ...
  2. Work in an environment that offers bonuses/incentives. ...
  3. Work in a place that offers overtime pay. ...
  4. Work weekends. ...
  5. Sign up to do travel therapy. ...
  6. Move to a rural location. ...
  7. Avoid salaried positions. ...
  8. Specialize.

Is occupational therapy saturated? ›

Unfortunately, many cities are saturated with OTs, and other locations simply don't have that many OT jobs.

What is the best state to live in as an occupational therapist? ›

The best state to live in as an occupational therapist is Texas, with an average salary of $99,273 per year and opportunities for even higher pay in cities like Houston and Austin. Jan 26, 2023.

What is the highest paid OT role? ›

High Paying Occupational Therapy Jobs
  • Vision Therapist. ...
  • Occupational Therapy Assistant. ...
  • Vocational Rehabilitation Counselor. ...
  • Vocational Rehabilitation Specialist. ...
  • Low Vision Therapist. ...
  • Acute Care Inpatient and Outpatient Occupational Therapist. ...
  • Vocational Rehabilitation Consultant. ...
  • Occupational Therapy Aide.

How to make extra money as an OT? ›

Best side hustles for occupational therapists
  1. Pick up PRN shifts. Check with local facilities (e.g. schools, skilled nursing facilities, private clinics, home health agencies, etc.) ...
  2. Join the telehealth movement. ...
  3. Become an occupational therapy consultant. ...
  4. Provide home safety services. ...
  5. Become an OT educator.
Jan 11, 2024

Can Cota make 6 figures? ›

$75,000 is the 75th percentile. Salaries above this are outliers. $84,873 is the 90th percentile. Salaries above this are outliers.

How profitable is it to be an occupational therapist? ›

How Much Does an Occupational Therapist Make? Occupational Therapists made a median salary of $93,180 in 2022. The best-paid 25% made $104,730 that year, while the lowest-paid 25% made $77,700.

Is OT a low stress job? ›

The field has a high growth rate, relatively low stress and an outstanding work-life balance.

Which is better ABA or OT? ›

Behaviors vs. skills: ABA focuses on meaningful behaviors, while OT addresses skills needed to function in everyday life. ABA uses a more systematic and evaluative model to identify socially meaningful behaviors for your child. In contrast, OT focuses on helping children develop specific skills.

What are the cons of being an OT? ›

Here are 6 of the most common obstacles that OTs face on a daily:
  • 1 – The Medical Field is Emotionally Stressful. ...
  • 2 – Occupational Therapy is a Physically Demanding Job. ...
  • 3 – Institutional Barriers May Prevent Desired Results. ...
  • 4 – Long Work Hours Are Common. ...
  • 5 – Learning New Techniques and Technology.

In what state do occupational therapy assistants make the most money? ›

Below are the top five states where OTAs get paid the most:
  • Nevada. Average Hourly Wage: $37.55. Average Annual Salary: $78,100.
  • California: Average Hourly Wage: $36.10. Average Annual Salary: $75,080.
  • Hawaii: Average Hourly Wage: $35.25. ...
  • New Jersey: Average Hourly Wage: $35.03. ...
  • Delaware: Average Hourly Wage: $34.58.
Jan 4, 2023

What is the highest paying state for therapists? ›

Best-Paying States for Mental Health Counselors

The states and districts that pay Mental Health Counselors the highest mean salary are New Jersey ($92,850), California ($81,720), New York ($79,700), Connecticut ($79,080), and District of Columbia ($72,990).

Where is the best place to work as an OT? ›

Best cities for occupational therapists
  • Henderson, NV.
  • Stockton, CA.
  • Fresno, CA.
  • North Las Vegas, NV.
  • Bakersfield, CA.
  • Anchorage, AK.
  • Las Vegas, NV.
  • Oakland, CA.

Where is occupational therapy the most in demand? ›

Check out this map here to see where occupational therapy jobs are in the highest demand as of May 2017 (no surprise, California and Texas hold the two highest spots for demand).

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