Average Occupational Therapy Assistants Salary in the United States
The national median salary for Occupational Therapy Assistants is $72,300 per year. The middle 50% earn between $61,710 and $79,160, with 51,290 workers employed nationally.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics survey, May 2025 estimates . Data covers 50 states and 217 metro areas.
Pay distribution
Here is how Occupational Therapy Assistants pay is distributed across workers nationally. The 10th percentile typically reflects entry-level or early-career pay, the median is the midpoint, and the 90th percentile represents the top earners in the field.
- 10th
- $51,490
- 25th
- $61,710
- Median
- $72,300
- 75th
- $79,160
- 90th
- $89,780
All values are percentiles of annual wages.
Pay is well above the national median for all US workers. This is an upper-income occupation.
Pay is tightly clustered around the median. Most occupational therapy assistants earn within a narrow band, with less variation than many other occupations. That is often a sign of standardized roles or union and public-sector pay scales.
Job outlook
BLS projects employment for occupational therapy assistants from 2024 to 2034. Occupational Therapy Assistants are projected to grow much faster than average, more than double the roughly 4% growth rate for all US occupations. Demand is strong and outpacing most of the labor market.
- Projected growth
- +19.2%
- 9,500 net jobs over the projection period.
- Annual openings
- 7,200
- Includes growth plus replacements for workers who leave. Annual openings reflect typical replacement demand alongside any growth.
- Typical entry education
- Associate's degree
Where Occupational Therapy Assistants earn the most
Location matters for pay. The top-paying state is noticeably above the national median, so relocating to a higher-paying market can meaningfully boost earnings. Right now, the top-paying state is Maryland at $82,010, about 13.4% above the national median. At the metro level, San Francisco-Oakland-Fremont, CA leads with a median of $97,860.
Top-paying states
| State | Median salary | Employment |
|---|---|---|
| Maryland | $82,010 | 710 |
| California | $81,770 | 3,840 |
| Texas | $81,500 | 5,610 |
| Nevada | $79,510 | 220 |
| Arkansas | $78,940 | 730 |
| Delaware | $78,640 | 220 |
| Washington | $77,590 | 720 |
| New Mexico | $77,020 | 300 |
Top-paying metros
| Metro area | Median salary | Employment |
|---|---|---|
| San Francisco-Oakland-Fremont, CA | $97,860 | 290 |
| Modesto, CA | $96,210 | 30 |
| San Jose-Sunnyvale-Santa Clara, CA | $95,370 | 160 |
| Bakersfield-Delano, CA | $95,190 | 40 |
| Sacramento-Roseville-Folsom, CA | $95,180 | 170 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $88,250 | 420 |
| Santa Maria-Santa Barbara, CA | $86,440 | 40 |
| Spartanburg, SC | $86,040 | 80 |
Compare two locations side by side
Pick two states or metros to see occupational therapy assistants pay in each, along with a cost-of-living adjusted view.
Salary trend and related occupations
Between 2019 and 2025, the national median salary for Occupational Therapy Assistants rose from $61,510 to $72,300, a gain of +17.5% in nominal dollars.
Over the same period, US consumer prices rose by +25.9%. Just to keep pace with inflation, the 2019 median of $61,510 would need to be worth $77,458 in 2025 dollars.
The actual 2025 median of $72,300 is −$5,158 below that inflation-adjusted benchmark, a real change of -6.7% in purchasing power.
Adjusted for inflation, pay has lost ground. Nominal growth of 17.5% has not kept up with rising prices.
- Nominal change
- +17.5%
- 2019–2025
- Cumulative inflation
- +25.9%
- US CPI, 2019–2025
- Real change
- -6.7%
- After adjusting for inflation
Median salary over time
Occupational Therapy Assistants median pay by year, going back through the available BLS releases.
- 2025
- $72,300
- 2024
- $68,340
- 2023
- $67,010
- 2022
- $64,250
- 2021
- $61,730
- 2020
- $62,940
- 2019
- $61,510
BLS did not publish a median for 2000–2018, so those years are omitted.
Related occupations
Other occupations in the same field, with median pay for comparison.
- Physical Therapist Assistants
- $68,380
- Occupational Therapy Aides
- $39,160
- Physical Therapist Aides
- $35,240
- Massage Therapists
- $58,450
- Dental Assistants
- $48,070
- Medical Equipment Preparers
- $47,700
- Medical Assistants
- $45,690
Common salary questions for Occupational Therapy Assistants
What does the median salary mean? +
The median is the midpoint of all wages. Half of Occupational Therapy Assistants workers earn more and half earn less. It is a better measure of typical pay than the average, which can be skewed by very high or very low earners.
Why does pay vary so much by location? +
Local labor markets, cost of living, industry concentration, and employer competition all affect wages. High-cost metros like San Francisco and New York often pay more in nominal terms, though some of that premium is offset by higher living costs.
How current is this salary data? +
This page uses the May 2025 BLS Occupational Employment and Wage Statistics release. BLS publishes OEWS data once per year, typically in the spring for the previous May reference period.
What do the percentile ranges tell me? +
The 10th and 90th percentiles show the full pay band. The 25th to 75th percentile range, the middle 50%, is where most workers fall. A wide spread usually means experience, specialization, or location matter a lot for this occupation.