MCC
Occupational Therapy Assistant

The definitive guide to becoming a Occupational Therapy Assistant. Explore salary data, accredited schools, and job opportunities.

Avg Salary

$68,340

/yr

Job Growth

6%

High

New Jobs

194,500

Workforce

0.0M

How Much Does a Occupational Therapy Assistant Make in United States in 2026

Comprehensive salary data for Occupational Therapy Assistants in United States. Analyze earnings by percentile, compare with national averages, and identify top-paying locations.

Earning Potential Curve

Salary growth potential for Occupational Therapy Assistant

The healthcare industry continues to face high demand for skilled professionals, and Occupational Therapy Assistants are no exception. As we look towards 2026, understanding the salary landscape is crucial for both new entrants and seasoned professionals. If you are considering a career path as a Occupational Therapy Assistant, you're likely asking: "How much does a Occupational Therapy Assistant actually make in United States?"

According to the latest available data, the average annual salary for a Occupational Therapy Assistant in United States is $68,340, which breaks down to approximately $32.86 per hour. However, this single figure doesn't tell the whole story. Your actual take-home pay can vary dramatically based on your experience level, the specific facility you work in, and even the city you call home.

For those just starting their journey, entry-level Occupational Therapy Assistant positions typically offer a starting base pay around $49,070 per year ($23.59/hr). While this is the starting point, the potential for growth is significant.

With a few years of experience under your belt, you can expect to move into the mid-tier earning bracket. Experienced Occupational Therapy Assistants often command salaries upwards of $77,340 annually, with the most highly skilled and specialized top 10% of earners making over $86,930 per year.

Geographically, opportunities abound. States like California currently lead the nation in compensation, offering some of the most competitive wages for Occupational Therapy Assistants. Whether you are looking to work in a bustling metropolitan hub like Fremont or a quieter rural setting, maximizing your earning potential starts with understanding these numbers.

Salary by State

Salary by State

RankStateMedian Salaryvs NationalJobs
1California$79,420+16%3K
2Texas$77,910+14%6K
3Arkansas$77,340+13%620
4Maryland$77,330+13%640
5Nevada$76,450+12%190
6Washington$76,010+11%660
7Arizona$75,020+10%930
8Virginia$73,870+8%1K
9Oregon$73,580+8%250
10South Carolina$72,970+7%780

Top 10 Paying Cities

What factors affect Occupational Therapy Assistant salary?

Geographic Location & Cost of Living: This is often the single biggest factor. A Occupational Therapy Assistant working in a high-cost-of-living area like San Francisco or New York City will naturally see a higher paycheck than one in a rural town, simply to match local living expenses.

Years of Experience: Healthcare values tenure. As you transition from a novice Occupational Therapy Assistant to a seasoned veteran, your efficiency and clinical judgment improve. Employers reward this reliability with steady pay increases, often seeing jumps of 20-30% over a decade.

Industry Setting: Not all healthcare facilities pay the same. Working in a general medical and surgical hospital often pays better than a private physician's office. Specialized outpatient care centers can sometimes offer even higher premiums due to the specialized nature of the work.

Shift Differentials: Healthcare is a 24/7 operation. Occupational Therapy Assistants who are willing to cover "unsocial" hours—nights, weekends, and holidays—often receive shift differential pay. This can add significantly to your annual gross income compared to a standard 9-to-5 shift.

Certifications & Specializations: Going beyond the basics pays off. Obtaining advanced certifications or specializing in areas like acute care or geriatrics can make you a more valuable asset to your employer, justifying a higher hourly wage.