LIVE MARKET·13,412 postings · last 180 days·Updated April 30, 2026

Occupational Therapist salary: $55.00/hr$2,200/wk$114,400/yr median.

Pay range $47.50$1,900$98,800$67.50/hr$2,700/wk$140,400/yr across the middle 50% of active Occupational Therapy Allied Health Professional postings nationwide.

2,601 unique employers · 2,719 cities · 104 states. Pay moved +0.0% over the last 30 days.

Show pay as
Median /hr/wk/yr
$55.00$2,200$114,400
P25–P75
$47.50$1,900$98,800$67.50$2,700$140,400
middle 50%
Postings
13,412
6.4%
Coverage
104 states
2,601 employers
01·PAY DISTRIBUTION·P10 → P90

How Occupational Therapist pay is distributed.

10% of postings pay under $42.50/hr$1,700/wk$88,400/yr. The top 10% pay above $77.50/hr$3,100/wk$161,200/yr.

P10
$42.50
P25
$47.50
P50
$55.00
P75
$67.50
P90
$77.50
P10
$42.50/hr$1,700/wk$88,400/yr
P25
$47.50/hr$1,900/wk$98,800/yr
P50 (median)
$55.00/hr$2,200/wk$114,400/yr
P75
$67.50/hr$2,700/wk$140,400/yr
P90
$77.50/hr$3,100/wk$161,200/yr
03·STATE BREAKDOWN·n=13,412

Occupational Therapist pay across every state with live data.

01Alabama AL67 postings
$47.50/hr
02Alaska AK133 postings
$74.03/hr
03Arizona AZ486 postings
$48.50/hr
04Arkansas AR36 postings
$47.50/hr
05California CA2,431 postings
$65.00/hr
06Colorado CO427 postings
$49.00/hr
07Connecticut CT110 postings
$52.50/hr
08Delaware DE32 postings
$47.25/hr
09District Of Columbia DC33 postings
$69.53/hr
10Florida FL667 postings
$48.50/hr
11Georgia GA222 postings
$52.00/hr
12Hawaii HI50 postings
$53.00/hr
13Idaho ID71 postings
$54.43/hr
14Illinois IL542 postings
$48.00/hr
15Indiana IN140 postings
$47.50/hr
16Iowa IA72 postings
$56.25/hr
17Kansas KS128 postings
$55.00/hr
18Kentucky KY64 postings
$48.50/hr
19Louisiana LA36 postings
$49.00/hr
20Maine ME34 postings
$42.50/hr
21Maryland MD294 postings
$53.50/hr
22Massachusetts MA397 postings
$51.50/hr
23Michigan MI142 postings
$52.25/hr
24Minnesota MN274 postings
$45.00/hr
25Mississippi MS21 postings
$47.50/hr
26Missouri MO150 postings
$52.25/hr
27Montana MT127 postings
$73.75/hr
28Nebraska NE51 postings
$64.00/hr
29Nevada NV84 postings
$54.50/hr
30New Hampshire NH49 postings
$45.50/hr
31New Jersey NJ411 postings
$60.00/hr
32New Mexico NM93 postings
$55.00/hr
33New York NY924 postings
$62.00/hr
34North Carolina NC179 postings
$47.50/hr
35North Dakota ND78 postings
$48.50/hr
36Ohio OH240 postings
$48.25/hr
37Oklahoma OK80 postings
$54.50/hr
38Oregon OR250 postings
$58.50/hr
39Pennsylvania PA282 postings
$52.50/hr
40Rhode Island RI52 postings
$46.00/hr
41South Carolina SC129 postings
$51.50/hr
42South Dakota SD87 postings
$63.00/hr
43Tennessee TN66 postings
$46.75/hr
44Texas TX487 postings
$57.50/hr
45Utah UT66 postings
$47.75/hr
46Vermont VT33 postings
$57.00/hr
47Virginia VA187 postings
$53.00/hr
48Washington WA523 postings
$55.00/hr
49West Virginia WV12 postings
$50.00/hr
50Wisconsin WI262 postings
$69.65/hr
51Wyoming WY20 postings
$48.25/hr

Showing all 51 states with live data. Bars scale to the highest-paying state.

04·TOP-PAYING CITIES·METROS WITH ACTIVE POSTINGS

The metros writing the biggest Occupational Therapist paychecks.

CityStateMedian /hr/wk/yrP25–P75Postings
juneauAK · ALASKA$107.05$4,282$222,664$102.14$4,086$212,451$111.78$4,471$232,50223
quincyCA · CALIFORNIA$88.86$3,554$184,829$85.60$3,424$178,048$91.92$3,677$191,19450
caUS · US$85.00$3,400$176,800$67.50$2,700$140,400$90.00$3,600$187,20021
thousand oaksCA · CALIFORNIA$84.75$3,390$176,280$60.63$2,425$126,110$95.00$3,800$197,60010
philadelphiaPA · PENNSYLVANIA$81.25$3,250$169,000$52.25$2,090$108,680$95.63$3,825$198,91040
05·EMPLOYER BREAKDOWN·TOP 20 BY PAY

Where the top of the market is paying for Occupational Therapist.

EmployerMedian /hr/wk/yrRangePostings
Ability Therapy, Inc.$110.00$4,400$228,800$110.00$4,400$228,800$115.00$4,600$239,2005
Adaptive Home Health$112.50$4,500$234,000$112.50$4,500$234,000$112.50$4,500$234,0009
Best Home Health & Hospice$125.00$5,000$260,000$125.00$5,000$260,000$125.00$5,000$260,00017
Boundless Home Health$112.50$4,500$234,000$112.50$4,500$234,000$112.50$4,500$234,00040
Chance To Advance$115.00$4,600$239,200$115.00$4,600$239,200$115.00$4,600$239,2005
Human Touch Home Healthcare$107.50$4,300$223,600$67.50$2,700$140,400$107.50$4,300$223,60020
Thrive By 5$175.00$7,000$364,000$175.00$7,000$364,000$175.00$7,000$364,0005
Tiny Steps Therapy, LLC$150.00$6,000$312,000$150.00$6,000$312,000$150.00$6,000$312,0006
Tiny Transformations$150.00$6,000$312,000$100.00$4,000$208,000$160.00$6,400$332,8006
White Glove Community Care$105.00$4,200$218,400$85.00$3,400$176,800$105.00$4,200$218,4008

Showing all 10 employers with live pay data.

06·SHIFT & CONTRACT MIX·PAY BY WORK PATTERN

How Occupational Therapist pay shifts by schedule and contract type.

Travel Contract pays the most at $72.05/hr$2,882/wk$149,864/yr median — 46% above Fulltime at $49.50/hr$1,980/wk$102,960/yr. Fulltime drives the volume with 5,199 active postings.

BY SHIFT
Not Specified
11,053 postings
$52.50/hr$2,100/wk$109,200/yr
Days
2,038 postings
$70.65/hr$2,826/wk$146,952/yr
Day
165 postings
$72.88/hr$2,915/wk$151,590/yr
AM
49 postings
$64.47/hr$2,579/wk$134,098/yr
Nights
30 postings
$76.88/hr$3,075/wk$159,910/yr
Flexible
28 postings
$72.65/hr$2,906/wk$151,112/yr
Rotating
26 postings
$74.93/hr$2,997/wk$155,854/yr
Swing
9 postings
$72.40/hr$2,896/wk$150,592/yr
Mids
4 postings
$51.50/hr$2,060/wk$107,120/yr
PM
3 postings
$62.20/hr$2,488/wk$129,376/yr
BY JOB TYPE
Fulltime
5,199 postings
$49.50/hr$1,980/wk$102,960/yr
Parttime
1,965 postings
$54.50/hr$2,180/wk$113,360/yr
Not Specified
1,904 postings
$56.00/hr$2,240/wk$116,480/yr
Per Diem
1,551 postings
$57.50/hr$2,300/wk$119,600/yr
Travel Contract
1,464 postings
$72.05/hr$2,882/wk$149,864/yr
PRN
715 postings
$52.50/hr$2,100/wk$109,200/yr
Contract
393 postings
$62.50/hr$2,500/wk$130,000/yr
Permanent
127 postings
$72.03/hr$2,881/wk$149,822/yr
Travel
29 postings
$62.50/hr$2,500/wk$130,000/yr
Staff
23 postings
$60.00/hr$2,400/wk$124,800/yr
Staff Position
17 postings
$64.47/hr$2,579/wk$134,098/yr
Temporary, Fulltime
10 postings
$54.25/hr$2,170/wk$112,840/yr
Temporary
6 postings
$57.35/hr$2,294/wk$119,288/yr
Local Contract
5 postings
$51.30/hr$2,052/wk$106,704/yr
08·HOW TO BECOME·CAREER PATHWAY

How to become a Occupational Therapist.

Occupational Therapists help patients develop, recover, or maintain daily living and work skills after injury, illness, or disability.

Education·Min: Master's (MOT/MSOT) · Preferred: Doctorate (OTD)

OTs complete a bachelor's degree, then a master's or doctoral OT program accredited by ACOTE. Programs include extensive fieldwork. After graduation, must pass NBCOT exam for licensure.

DegreeDurationNotes
Master of Occupational TherapyMOT/MSOT2-3 years post-bachelor'sEntry-level professional degree. Required minimum for OT licensure. Most common pathway.
Doctor of Occupational TherapyOTD3-4 years post-bachelor'sEntry-level doctorate becoming more common. May offer clinical advantages and leadership preparation.
Post-Professional OTDPPOTD1-2 years post-master'sAdvanced degree for practicing OTs with master's degrees seeking doctoral credentials.
Licenses & Exams·3 credentials
State OT LicenseOccupational Therapist LicenseRequired
Issued by: State Occupational Therapy Board

State license required in all 50 states. Requirements vary but typically include NBCOT certification.

NBCOT CertificationNational Board for Certification in Occupational TherapyRequired
Exam: NBCOT OTR Exam · Issued by: NBCOT

National certification required for initial licensure. Must pass OTR exam.

BLSBasic Life SupportRequired
Issued by: American Heart Association

CPR certification required for most clinical positions.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
CHT
Certified Hand Therapist
Premier certification for hand and upper extremity therapy. Requires 4,000 hours of hand therapy experience.
HTCC+10-20%
BCPR
Board Certification in Physical Rehabilitation
Specialty certification for OTs in physical rehabilitation settings.
AOTA+5-10%
BCP
Board Certification in Pediatrics
Specialty certification validating pediatric OT expertise.
AOTA+5-10%
CAPS
Certified Aging in Place Specialist
Credential for OTs specializing in home modifications for aging adults.
NAHB+3-8%
SIPT Certified
Sensory Integration and Praxis Tests Certification
Required to administer SIPT. Valuable for pediatric sensory integration practice.
WPS+5-10%
Career Path·6 steps
  1. 0-3 years
    Staff Occupational Therapist

    Entry-level OT developing clinical skills. Often rotates through various settings or populations.

  2. 3-7 years
    Senior Occupational Therapist

    Experienced clinician with developing specialty expertise. May mentor fieldwork students.

  3. 5-10 years
    Specialty OT (Hand Therapy, Pediatrics, etc.)

    Expert-level practice in specialty area. Often board certified (CHT, BCP, etc.).

  4. 7-12 years
    Rehab Manager / OT Lead

    Supervises OT staff, coordinates services, manages productivity and quality metrics.

  5. 12+ years
    Director of Rehabilitation

    Oversees OT, PT, and SLP services. Strategic leadership role with budget responsibility.

  6. 10+ years
    OT Educator / Program Director

    Academic role teaching in OT programs. OTD or PhD often required.

Work Environment
Hospitals (acute care/inpatient rehab)Outpatient clinicsSkilled nursing facilitiesHome healthSchools (pediatric)Mental health facilitiesHand therapy clinics

Schedule. Typically Monday-Friday, 8-hour days in outpatient and schools. Acute care and SNFs may require weekend coverage. Home health offers flexible scheduling.

Physical demands. Moderate physical demands. Demonstrating activities, assisting with transfers, and positioning patients. Less physically demanding than PT but still active.

Job Outlook·Very Strong
12% (2022-2032)

OT is among the fastest-growing healthcare professions. Aging population and expanded pediatric services drive demand. Travel OT positions pay $1,800-2,500+/week.

FAQ — Becoming this role·4 questions
How long does it take to become an occupational therapist?

6-7 years after high school: 4-year bachelor's degree plus 2-3 year master's or 3-4 year doctoral OT program.

What's the difference between OT and PT?

OT focuses on helping patients perform daily activities (dressing, eating, working) through fine motor skills, cognitive strategies, and adaptive equipment. PT focuses on gross motor movement, strength, and mobility.

Is a doctorate required to be an OT?

No, a master's degree (MOT/MSOT) is still the minimum requirement. The OTD is becoming more common but is not mandated. Both lead to the same OTR credential.

What is the NBCOT exam pass rate?

The first-time NBCOT OTR exam pass rate is approximately 80-85% for graduates of accredited programs.

09·FREQUENTLY ASKED·OCCUPATIONAL THERAPIST

What clinicians ask about Occupational Therapist pay.

What is the average Occupational Therapist salary in 2026?

The median Occupational Therapist salary is $55.00/hr (approximately $114,400/yr) based on 13,412 active job postings.

What is the pay range for Occupational Therapist?

Hourly pay ranges from $47.50 at the 25th percentile to $67.50 at the 75th percentile, with the top 10% earning above $77.50/hr.

Which state pays Occupational Therapist roles the most?

Alabama currently leads with a median of $47.50/hr across 67 postings.

How many employers are hiring Occupational Therapists?

Our dataset shows 2,601 unique employers posting Occupational Therapist roles across 104 states.

Where does TrueRounds get Occupational Therapist salary data?

All salary figures are computed from active US healthcare job postings with listed pay ranges, collected over a rolling 180-day window and weighted by posting volume.

11·METHODOLOGY·HOW WE BUILD THESE NUMBERS

Active US healthcare postings. Weighted by volume. Refreshed daily.

Pay benchmarks are computed from active job postings with listed pay ranges, collected on a rolling 180-day window. Each role's percentiles are weighted by posting volume so a metro with two postings doesn't outweigh a metro with two hundred. Outliers (postings priced more than 4× the role median) are dropped to avoid contract-line distortion.

Use the data, then push back.

Bring these numbers into your next contract conversation. Recruiters know what the market pays — now you do too.