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Occupational Therapy Salary Guide 2025

Curious about occupational therapist salaries in 2025? Discover trends, state-by-state pay, and strategies to boost your career.

Occupational Therapist 2025 Salary Guide
Written byThe Pickle Team
Published on08 Jan 2025

Let’s be honest - you didn’t decide to be an occupational therapist for the money. It’s probably because you have a passion for helping people become more confident and independent in their lives, improving their quality of life. This is a noble career, and seeking a higher salary doesn’t diminish the value of your passion and dedication to improving others' lives.

If you’re looking to grow in your occupational therapy career, earn more, or lead salary conversations with confidence, keep reading because we created this guide for you! 

How much money do occupational therapists make? 

The median annual pay for United States based Occupational Therapists is $96,3701, and the top 10% of occupational therapists earn more than $129,6301. However, this is not the full picture - there are a couple factors that influence pay like your specialty, location, years of experience and type of work setting. 

Let’s dive into how these factors influence compensation 💰

Highest Paying Occupational Therapy Settings1 

Occupational therapy is fulfilling work, but let’s not ignore financial well-being too! Are you being compensated fairly? 

According to American Occupational Therapy Association (AOTA), the professional organization that supports occupational therapists, occupational therapy assistants (OTAs) and occupational therapy students (SOTs), new graduates earn a median salary of $65,000 a year2. Glassdoor says the average salary range of occupational therapist across experience level is between $90,000 - $140,000 annually.

If you’re wondering why the salary range is so wide, the type of occupational therapy setting worked can affect pay. 

The occupational therapy industries with the highest annual salaries as of May 2023 are1

Highest paying OT settings

States with a $100k+ average salary1 

Another way to earn more money as an OT is to work in states with higher average salaries, that also has a low cost of living index. Cost of living compares how much basic expenses like housing, transportation, food, childcare and utilities cost in different locations2

States with highest pay for OTs 2025

In states like Texas and New Mexico, occupational therapists on average earn over $100k and have lower cost of living. 

States with high pay and low COL for OTs

Source: BLS 2023 and World Population Review

👀 TLDR: consider jobs in the states in green to earn more and spend less on basic needs 

Top Paying Occupational Therapy Specialties  

Occupational therapists can maximize their salary by choosing to specialize in a niche field that is also in demand. You can check out this blog by OT Potential for more information on certifications and costs, but here are 9 of the highest paying popular certifications occupational therapists earn and the nationwide average salaries6

Highest paid OT specialties
Top 5 States with the Most Projected Jobs 2022 - 2032

Occupational therapists can boost their salaries as they increase their experience, but where should they move to maximize their earning potential? 

Looking at the projected job growth16 over the next 10 years by state can highlight areas with a high demand for OTs, which often leads to more job opportunities and higher salaries. Here are the top 5 states with the highest projected job growth:

States with most project openings for OTs
How to Earn More

So far, we’ve talked about how type of setting, location, specialty, and demand for occupational therapists can influence salary, but there are actually a few more ways to earn more you can consider: 

✈️ Consider Travel OT

Ever considered being a travel OT? The average national salary is $98,873 a year, and it’s a great way to explore different settings and locations, while still having perks like housing, living stipends, bonuses, and more17! As sweet as this sounds, be sure to look over your contract for vacation days, sick days, benefits, and time it takes for background checks and processing time for state to state licenses. You may find more helpful information in this blog post

🚀 Work Per Diem Roles

So you already have a packed schedule but maybe you want to pick up a shift or two a week - consider per diem roles in occupational therapy! The pay actually may be higher than your full-time role because you won’t receive benefits like days off, insurance, etc18. PRN roles aren’t guaranteed shifts, and you might hear about shift openings at the last minute but it makes a nice part-time gig. 

📲 Join Telehealth OT

Telehealth occupational therapy integrates technology for virtual patient care. This can make occupational therapy more accessible to patients, can save money, and is a huge time-saver18. Though you might not have direct human contact in telehealth, telehealth has become very popular especially since COVID-19. You can read more about telehealth employers for OTs here!

Future Outlook

What trends can you expect in the occupational therapy field? Here’s what the data says: 

💰 Increased Demand for Occupational Therapists18

The high demand for occupational therapists is driving an increase in salaries. This profession has rapidly evolved in the past decade1 - in 2013, BLS reported there were 108,410 employed occupational therapists earning a median salary of $77,89020. In 2023, the employment number rose to 144,840 with a median salary of almost $96,79018

There’s an expected 16,800 employment increase for occupational therapists in the next ten years, about an 11%1 growth! 👀 

Percentile growth for OT salary
📈 Major Cities Pay More than Average for Occupational Therapists 20

If you’re a new grad or experienced occupational therapist interested in working in a city, check out our job posts in these metropolitan cities! They are consistently ranked21 for being the highest paying metropolitan cities paying over 6 figures on average 👀 

Of course, don’t forget to weigh cost of living and relocation costs  if you decide to move! 

Highest paying metros for OT pay

Salary transparency is important, we hope this guide makes the money conversations less daunting. 

 🔍 Good luck on the job hunt, you got this!! Find your match with Pickle.

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