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Pediatric Occupational Therapists specialize in improving children's ability to perform daily activities. As of October 2025, the average salary stands at $82,293 annually, translating to about $40 per hour. Salaries can vary significantly based on location, experience, and specific work settings.
For instance, states like California and New York tend to offer higher salaries, often exceeding $90,000 per year. These regions also present a greater demand for skilled Pediatric Occupational Therapists. Conversely, salaries may be lower in states with less demand, but opportunities can still be found.
Entry-level positions may start at around $60,000, while seasoned professionals with extensive experience can command salaries upwards of $100,000. As you gain experience, it's essential to consider how your skills can lead to higher earning potential.
Explore job listings to find positions that fit your skills and desired salary range. With the increasing recognition of the importance of occupational therapy in pediatric care, job prospects remain strong across the country.
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Let Zippi find your next pediatric occupational therapist job
The average pediatric occupational therapist salary in Alaska, California, and Nevada are the highest in the U.S. The lowest average pediatric occupational therapist salary states are South Dakota, West Virginia, and Michigan.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | California | $106,319 | $51.11 |
| 2 | Washington | $95,269 | $45.80 |
| 3 | Colorado | $93,168 | $44.79 |
| 4 | Nevada | $102,841 | $49.44 |
| 5 | Texas | $88,177 | $42.39 |
| 6 | Alaska | $106,743 | $51.32 |
| 7 | Oregon | $94,961 | $45.65 |
| 8 | New Jersey | $90,704 | $43.61 |
| 9 | Hawaii | $94,273 | $45.32 |
| 10 | Idaho | $84,843 | $40.79 |
| 11 | Montana | $80,729 | $38.81 |
| 12 | Virginia | $89,261 | $42.91 |
| 13 | Louisiana | $88,942 | $42.76 |
| 14 | Oklahoma | $79,665 | $38.30 |
| 15 | Wisconsin | $79,550 | $38.25 |
| 16 | Arizona | $87,425 | $42.03 |
| 17 | Iowa | $74,987 | $36.05 |
| 18 | Maine | $76,332 | $36.70 |
| 19 | Rhode Island | $84,878 | $40.81 |
| 20 | Tennessee | $77,148 | $37.09 |
| 21 | Indiana | $74,289 | $35.72 |
| 22 | District of Columbia | $90,895 | $43.70 |
| 23 | New Hampshire | $80,329 | $38.62 |
| 24 | Ohio | $75,760 | $36.42 |
| 25 | Utah | $78,835 | $37.90 |
| 26 | Nebraska | $73,783 | $35.47 |
| 27 | Massachusetts | $85,062 | $40.90 |
| 28 | New York | $82,281 | $39.56 |
| 29 | Arkansas | $74,243 | $35.69 |
| 30 | Kansas | $72,190 | $34.71 |
| 31 | Wyoming | $76,441 | $36.75 |
| 32 | Maryland | $80,058 | $38.49 |
| 33 | Pennsylvania | $74,804 | $35.96 |
| 34 | South Carolina | $73,059 | $35.12 |
| 35 | North Dakota | $71,042 | $34.15 |
| 36 | New Mexico | $77,072 | $37.05 |
| 37 | Illinois | $73,138 | $35.16 |
| 38 | Minnesota | $75,775 | $36.43 |
| 39 | Connecticut | $79,039 | $38.00 |
| 40 | Georgia | $70,932 | $34.10 |
| 41 | Missouri | $71,069 | $34.17 |
| 42 | North Carolina | $72,364 | $34.79 |
| 43 | Delaware | $72,383 | $34.80 |
| 44 | South Dakota | $70,182 | $33.74 |
| 45 | Kentucky | $67,515 | $32.46 |
| 46 | West Virginia | $70,174 | $33.74 |
| 47 | Mississippi | $71,277 | $34.27 |
| 48 | Michigan | $68,209 | $32.79 |
| 49 | Florida | $71,569 | $34.41 |
| 50 | Vermont | $67,636 | $32.52 |
| 51 | Alabama | $64,575 | $31.05 |
The highest-paying cities for pediatric occupational therapists are Visalia, CA, Anchorage, AK, and Las Vegas, NV.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Visalia, CA | $109,452 | $52.62 |
| 2 | Anchorage, AK | $107,165 | $51.52 |
| 3 | Las Vegas, NV | $102,696 | $49.37 |
| 4 | Lynnwood, WA | $95,851 | $46.08 |
| 5 | Salem, OR | $95,048 | $45.70 |
| 6 | Wheat Ridge, CO | $93,240 | $44.83 |
| 7 | Teaneck, NJ | $91,000 | $43.75 |
| 8 | San Antonio, TX | $89,488 | $43.02 |
| 9 | Virginia Beach, VA | $89,360 | $42.96 |
| 10 | Phoenix, AZ | $87,597 | $42.11 |
| 11 | Salem, MA | $85,206 | $40.96 |
| 12 | New York, NY | $82,380 | $39.61 |
| 13 | Baltimore, MD | $80,200 | $38.56 |
| 14 | Oklahoma City, OK | $79,791 | $38.36 |
| 15 | Logan, UT | $78,450 | $37.72 |
| 16 | Toledo, OH | $75,921 | $36.50 |
| 17 | Rochester, MN | $75,223 | $36.16 |
| 18 | Dubuque, IA | $75,166 | $36.14 |
| 19 | Chicago, IL | $73,176 | $35.18 |
| 20 | Jacksonville, FL | $71,462 | $34.36 |
A pediatric occupational therapist's salary ranges from $64,000 a year at the 10th percentile to $105,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $105,000 | $8,750 | $50 |
| 75th Percentile | $93,000 | $7,750 | $45 |
| Average | $82,293 | $6,858 | $40 |
| 25th Percentile | $72,000 | $6,000 | $35 |
| 10th Percentile | $64,000 | $5,333 | $31 |
The highest paying types of pediatric occupational therapists are registered occupational therapist, early intervention occupational therapist, and occupational therapist.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Music Therapy Internship | $36,844 | $3,070 | $17.71 | 111,846 |
| Therapist | $55,943 | $4,662 | $26.90 | 159,770 |
| Occupational Therapist | $75,707 | $6,309 | $36.40 | 78,315 |
Top companies hiring pediatric occupational therapists now:
Pediatric occupational therapist salaries at Providence Health & Services and Dignity Health are the highest-paying according to our most recent salary estimates. In addition, the average pediatric occupational therapist salary at companies like Mayo Clinic and Kaiser Permanente are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Providence Health & Services | $92,407 | $44.43 |
| 2 | Dignity Health | $89,951 | $43.25 |
| 3 | Mayo Clinic | $89,749 | $43.15 |
| 4 | Kaiser Permanente | $87,254 | $41.95 |
| 5 | Mercy Health | $86,254 | $41.47 |
| 6 | Blue Bird | $86,204 | $41.44 |
| 7 | Amazing Care Home Health Services | $85,237 | $40.98 |
| 8 | Careerstaff Unlimited - A Genesis Healthcare Company | $84,924 | $40.83 |
| 9 | FeldCare Connects | $84,755 | $40.75 |
| 10 | Legacy Health | $84,741 | $40.74 |
| 11 | PEDIATRIC DEVELOPMENT CENTER | $84,230 | $40.50 |
| 12 | Compass SLS and ILS | $84,175 | $40.47 |
| 13 | Holly Ridge Center | $84,039 | $40.40 |
| 14 | THERAPY SOLUTIONS | $83,910 | $40.34 |
| 15 | CHRISTUS Health | $83,816 | $40.30 |
| 16 | Circles of Care | $83,810 | $40.29 |
| 17 | St Luke's Hospital & Health Network Inc | $83,759 | $40.27 |
| 18 | Hca Hospital Services Of San Diego | $83,523 | $40.16 |
| 19 | Anderson Hospital | $83,326 | $40.06 |
| 20 | PT Solutions | $83,183 | $39.99 |
The average pediatric occupational therapist salary varies across industries:
| Rank | Industry | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Internet | $81,776 | $39.32 |
| 2 | Professional | $80,208 | $38.56 |
| 3 | Education | $76,869 | $36.96 |
| 4 | Health Care | $75,142 | $36.13 |
| 5 | Government | $72,303 | $34.76 |
The average pediatric occupational therapist salary has risen by $11,884 over the last ten years. In 2014, the average pediatric occupational therapist earned $70,409 annually, but today, they earn $82,293 a year. That works out to a 5% change in pay for pediatric occupational therapists over the last decade.
Compare pediatric occupational therapist salaries for cities or states with the national average over time.
Compare pediatric occupational therapist salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $82,300 | $39.56 | +1.5% |
| 2024 | $81,000 | $38.95 | +0.8% |
| 2023 | $80,400 | $38.64 | +1.3% |
| 2022 | $79,400 | $38.15 | +1.6% |
| 2021 | $78,100 | $37.56 | +2.1% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Virtua | Occupational Therapist, Pediatrics-(PER Diem) | Marlton, NJ | 06/30/2025 | $126,472 |
| Shirley Ryan Abilitylab | Inpatient Pediatric Occupational Therapist | Chicago, IL | 06/29/2025 | $69,850 |
| Veritas Global Consulting Group, LLC | Ot/Occupational Therapist-Outpatient Pediatrics | Chesapeake, VA | 06/29/2025 | $75,000 |
| Family of Kidz | Pediatric Occupational Therapist-Schoolage | White Plains, NY | 06/29/2025 | $64,000 |
| Dignity Health | Pediatric Occupational Therapist-Feeding Specialist | Santa Maria, CA | 06/28/2025 | $110,924 |
| Essentia Health | Occupational Therapist-Outpatient Pediatrics FTE) | Duluth, MN | 06/28/2025 | $72,168 |
| Kidscare Home Health | Pediatric Occupational Therapist | Idaho Falls, ID | 06/27/2025 | $85,000 |
| Advocate Health and Hospitals Corporation | Occupational Therapist (OP)-Pediatric-Outpatient | Park Ridge, IL | 06/26/2025 | $78,263 |
| Leaps & Bounds Pediatric Therapy | Pediatric Occupational Therapist | Norco, CA | 06/26/2025 | $79,040 |
| New York Therapy & Wellness | Pediatric Occupational Therapist-Home Care | New York, NY | 06/26/2025 | $85,000 |
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