How Much Do Occupational Therapists Make

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How Much Do Occupational Therapists Make

Occupational therapy is a rewarding career that blends healthcare and human services to help individuals achieve independence in their daily lives. If you’re considering a career in this field, one of the first questions that likely comes to mind is, “How much do occupational therapists make?” Let’s dive into the details, exploring the factors that influence salaries, regional variations, and what you can expect as an occupational therapist in the United States.

According to the U.S. Bureau of Labor Statistics (BLS), as of May 2021, the median annual wage for occupational therapists was approximately $86,280. However, this figure can vary significantly based on several factors, including experience, education, location, and the specific industry in which an occupational therapist works.



Experience plays a crucial role in determining an occupational therapist’s salary. Entry-level occupational therapists, who are just starting their careers, can expect to earn less than their more experienced counterparts. According to PayScale, entry-level occupational therapists with less than one year of experience typically earn around $65,000 per year. As they gain more experience and develop their skills, their earning potential increases. Occupational therapists with 5-9 years of experience can expect to earn an average of $80,000 annually, while those with over 20 years of experience can command salaries exceeding $100,000.

Education is another key factor that influences salary. While a master’s degree is the minimum requirement to become an occupational therapist, those who pursue additional certifications or a doctoral degree may have higher earning potential. Specialized certifications in areas such as hand therapy, pediatrics, or gerontology can also lead to higher salaries. For instance, an occupational therapist with a certification in hand therapy might earn a higher salary due to the specialized nature of their skills.

Geographic location significantly impacts how much occupational therapists make. States with a higher cost of living tend to offer higher salaries to compensate for the increased expenses. For example, occupational therapists in California, particularly in metropolitan areas like San Francisco and Los Angeles, can expect to earn higher salaries compared to those in states with a lower cost of living. According to the BLS, as of May 2021, the top-paying states for occupational therapists were Nevada, California, Arizona, New Jersey, and Texas, with average annual wages ranging from $97,000 to $105,000.

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In addition to state-level variations, salaries can also differ within states based on urban versus rural settings. Occupational therapists working in urban areas often earn more than those in rural areas due to the higher demand for healthcare services and the higher cost of living in cities. For instance, an occupational therapist working in New York City is likely to earn more than one working in a rural area of upstate New York.



The industry in which an occupational therapist works also affects their salary. Occupational therapists can be found in a variety of settings, including hospitals, schools, nursing care facilities, and home healthcare services. According to the BLS, as of May 2021, occupational therapists working in nursing care facilities had the highest median annual wage at approximately $92,260. Those employed in home healthcare services and hospitals also earned above-average salaries, with median annual wages of $91,830 and $87,430, respectively. On the other hand, occupational therapists working in educational services, such as schools, typically earned lower salaries, with a median annual wage of $75,810.

It’s also worth noting that benefits and bonuses can contribute to an occupational therapist’s overall compensation package. Many employers offer benefits such as health insurance, retirement plans, and paid time off, which can add significant value to the total compensation. Additionally, some employers may offer bonuses based on performance or tenure, further enhancing an occupational therapist’s earnings.

While salary is an important consideration, it’s also essential to recognize the intrinsic rewards of a career in occupational therapy. Occupational therapists have the unique opportunity to make a meaningful difference in the lives of their clients, helping them regain independence and improve their quality of life. This sense of fulfillment and purpose can be just as valuable as financial compensation.



In conclusion, the salary of an occupational therapist in the United States can vary widely based on factors such as experience, education, location, and industry. While the median annual wage is approximately $86,280, those with more experience, specialized certifications, or who work in high-demand areas can earn significantly more. As with any career, it’s important to consider both the financial and personal rewards when deciding if occupational therapy is the right path for you. Whether you’re drawn to the field for its potential earnings or the opportunity to make a positive impact, a career in occupational therapy can be both financially and personally fulfilling.

Dave Pennells

By Dave Pennells

Dave Pennells, MS, has contributed his expertise as a career consultant and training specialist across various fields for over 15 years. At City University of Seattle, he offers personal career counseling and conducts workshops focused on practical job search techniques, resume creation, and interview skills. With a Master of Science in Counseling, Pennells specializes in career consulting, conducting career assessments, guiding career transitions, and providing outplacement services. Her professional experience spans multiple sectors, including banking, retail, airlines, non-profit organizations, and the aerospace industry. Additionally, since 2001, he has been actively involved with the Career Development Association of Australia.