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The average salary for Occupational Therapist Assistants in the United States is $51,377 per year, equating to approximately $25 per hour. This salary can fluctuate based on several factors, including geographic location, years of experience, and the specific healthcare setting in which one works.
For example, Occupational Therapist Assistants in states like California and Texas often earn higher salaries compared to their counterparts in other regions. Cities such as San Francisco and New York also rank among the highest-paying locations for this profession. With experience and specialization, many Occupational Therapist Assistants can increase their earnings significantly.
Furthermore, as the demand for healthcare services grows, the role of Occupational Therapist Assistants is becoming increasingly vital. Whether in hospitals, clinics, or community health settings, these professionals play a critical role in patient recovery and rehabilitation.
By staying informed about salary trends and opportunities, you can strategically navigate your career path in this fulfilling field, ensuring you are compensated fairly for your skills and expertise.
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The average occupational therapist assistants salary in Hawaii, Nevada, and Rhode Island are the highest in the U.S. The lowest average occupational therapist assistants salary states are Massachusetts, Maryland, and South Dakota.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Delaware | $56,186 | $27.01 |
| 2 | Idaho | $54,885 | $26.39 |
| 3 | Maine | $51,185 | $24.61 |
| 4 | Nevada | $59,087 | $28.41 |
| 5 | Montana | $51,797 | $24.90 |
| 6 | New Hampshire | $50,085 | $24.08 |
| 7 | Colorado | $53,202 | $25.58 |
| 8 | Kentucky | $50,683 | $24.37 |
| 9 | Rhode Island | $57,081 | $27.44 |
| 10 | California | $56,342 | $27.09 |
| 11 | South Carolina | $49,867 | $23.97 |
| 12 | Ohio | $51,513 | $24.77 |
| 13 | Kansas | $47,605 | $22.89 |
| 14 | West Virginia | $51,387 | $24.71 |
| 15 | New York | $54,318 | $26.11 |
| 16 | Nebraska | $46,508 | $22.36 |
| 17 | Washington | $50,654 | $24.35 |
| 18 | North Dakota | $46,218 | $22.22 |
| 19 | Hawaii | $60,966 | $29.31 |
| 20 | Oregon | $51,802 | $24.90 |
| 21 | Connecticut | $52,048 | $25.02 |
| 22 | Arkansas | $46,843 | $22.52 |
| 23 | Illinois | $47,711 | $22.94 |
| 24 | Missouri | $46,249 | $22.24 |
| 25 | Vermont | $48,746 | $23.44 |
| 26 | Arizona | $48,937 | $23.53 |
| 27 | District of Columbia | $55,103 | $26.49 |
| 28 | Alaska | $51,523 | $24.77 |
| 29 | Utah | $48,255 | $23.20 |
| 30 | Wisconsin | $45,160 | $21.71 |
| 31 | New Jersey | $46,125 | $22.18 |
| 32 | Indiana | $42,954 | $20.65 |
| 33 | Iowa | $43,434 | $20.88 |
| 34 | Michigan | $44,531 | $21.41 |
| 35 | North Carolina | $44,917 | $21.59 |
| 36 | New Mexico | $46,362 | $22.29 |
| 37 | Tennessee | $43,344 | $20.84 |
| 38 | Georgia | $43,024 | $20.68 |
| 39 | Oklahoma | $44,012 | $21.16 |
| 40 | Virginia | $46,042 | $22.14 |
| 41 | Mississippi | $45,440 | $21.85 |
| 42 | Pennsylvania | $41,743 | $20.07 |
| 43 | Maryland | $39,987 | $19.22 |
| 44 | Wyoming | $42,095 | $20.24 |
| 45 | Florida | $42,418 | $20.39 |
| 46 | Alabama | $39,005 | $18.75 |
| 47 | Texas | $36,662 | $17.63 |
| 48 | Minnesota | $41,278 | $19.85 |
| 49 | Massachusetts | $40,699 | $19.57 |
| 50 | South Dakota | $39,019 | $18.76 |
| 51 | Louisiana | $38,354 | $18.44 |
The highest-paying cities for occupational therapist assistants are Colorado Springs, CO, Mansfield, OH, and Portland, OR.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Colorado Springs, CO | $53,339 | $25.64 |
| 2 | Mansfield, OH | $51,685 | $24.85 |
| 3 | Portland, OR | $51,521 | $24.77 |
| 4 | Tacoma, WA | $50,982 | $24.51 |
| 5 | Myrtle Beach, SC | $49,836 | $23.96 |
| 6 | Saint George, UT | $49,657 | $23.87 |
| 7 | Phoenix, AZ | $49,049 | $23.58 |
| 8 | Downers Grove, IL | $47,724 | $22.94 |
| 9 | Hot Springs, AR | $46,741 | $22.47 |
| 10 | Albuquerque, NM | $46,455 | $22.33 |
| 11 | Kansas City, MO | $46,380 | $22.30 |
| 12 | Cedar Rapids, IA | $43,471 | $20.90 |
| 13 | Indianapolis, IN | $42,941 | $20.64 |
| 14 | Bradenton, FL | $42,532 | $20.45 |
| 15 | El Paso, TX | $37,945 | $18.24 |
An occupational therapist assistants's salary ranges from $38,000 a year at the 10th percentile to $68,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $68,000 | $5,667 | $33 |
| 75th Percentile | $59,000 | $4,917 | $28 |
| Average | $51,377 | $4,281 | $25 |
| 25th Percentile | $44,000 | $3,667 | $21 |
| 10th Percentile | $38,000 | $3,167 | $18 |
The highest paying types of occupational therapist assistants are occupational therapist, staff occupational therapist, and therapist.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Therapist | $55,943 | $4,662 | $26.90 | 159,770 |
| Occupational Therapy Aide | $31,070 | $2,589 | $14.94 | 68,832 |
| Occupational Therapist | $75,707 | $6,309 | $36.40 | 78,315 |
Top companies hiring occupational therapist assistants now:
Occupational therapist assistants salaries at George C. Grape Community Hospital and Lancaster General Health are the highest-paying according to our most recent salary estimates. In addition, the average occupational therapist assistants salary at companies like Transitions Healthcare and PruittHealth are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | George C. Grape Community Hospital | $58,506 | $28.13 |
| 2 | Lancaster General Health | $58,128 | $27.95 |
| 3 | Transitions Healthcare | $56,770 | $27.29 |
| 4 | PruittHealth | $56,165 | $27.00 |
| 5 | Colorado Canyons Hospital & Medical Center | $55,248 | $26.56 |
| 6 | Tenet Healthcare | $55,067 | $26.47 |
| 7 | Intermountain Healthcare | $54,953 | $26.42 |
| 8 | OSF HealthCare | $54,767 | $26.33 |
| 9 | Total Education Solutions Inc. | $54,639 | $26.27 |
| 10 | Southern Healthcare | $54,569 | $26.24 |
| 11 | Renewal Rehab | $54,544 | $26.22 |
| 12 | Alamogordo Public Schools | $54,446 | $26.18 |
| 13 | Therapy Source | $53,953 | $25.94 |
| 14 | Concept Rehab | $53,850 | $25.89 |
| 15 | Aegis Therapies | $53,718 | $25.83 |
| 16 | Medical Facilities of America | $53,623 | $25.78 |
| 17 | McLaren Health Care | $53,447 | $25.70 |
| 18 | Encompass Health | $53,419 | $25.68 |
| 19 | Key Rehabilitation | $53,352 | $25.65 |
| 20 | Legacy Healthcare | $53,113 | $25.54 |
The average occupational therapist assistants salary has risen by $8,897 over the last ten years. In 2014, the average occupational therapist assistants earned $42,480 annually, but today, they earn $51,377 a year. That works out to a 7% change in pay for occupational therapist assistants over the last decade.
Compare occupational therapist assistants salaries for cities or states with the national average over time.
Compare occupational therapist assistants salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2026 | $51,400 | $24.70 | +2.3% |
| 2025 | $50,200 | $24.14 | +2.1% |
| 2024 | $49,200 | $23.63 | +1.5% |
| 2023 | $48,400 | $23.28 | +0.5% |
| 2022 | $48,200 | $23.16 | +1.9% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Jet Health Inc. | Occupational Therapist Assistant-Cota | Nome, TX | 06/30/2025 | $60,523 |
| Encompass Health | Occupational Therapist Assistant Career Opportunity | Escondido, CA | 06/29/2025 | $93,915 |
| Medadventures | Occupational Therapist Assistant | Fredericksburg, TX | 06/29/2025 | $73,045 |
| Medadventures | Occupational Therapist Assistant | South Bend, IN | 06/29/2025 | $73,045 |
| Centerwell Home Health | Occupational Therapist Assistant, Home Health | Brunswick, GA | 06/28/2025 | $58,400 |
| Jet Health Inc. | Occupational Therapist Assistant-Cota | Albuquerque, NM | 06/28/2025 | $60,523 |
| Encompass Health Corp | Occupational Therapist Assistant | Fort Myers, FL | 06/27/2025 | $56,222 |
| PACS | Occupational Therapist Assistant, Cota-PRN | Pleasant Hill, CA | 06/27/2025 | $100,176 |
| Connected Health Care, LLC | Travel/Contract Rehabilitation Occupational Therapist Assistant ! | Lawton, OK | 06/27/2025 | $86,089 |
| Humana Inc. | Occupational Therapist Assistant Home Health | West Monroe, LA | 06/26/2025 | $58,400 |
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