If you are contemplating a career in occupational therapy or already working as an occupational therapist, salary is an important consideration when mapping out your job. Compensation levels are different across states based on variables such as demand for occupational therapists, cost of living, and funding for healthcare. Knowing the highest paying states for occupational therapists can assist you in making informed choices regarding where to practice and optimizing your remuneration.
Additionally, specialization, work setting, and years of experience can significantly impact earning potential. Understanding these variables can help occupational therapists strategically plan their careers for long-term financial and professional growth. Exploring job opportunities in high-demand states can provide excellent stability and career advancement prospects.
In this blog, we will investigate the highest paying states for occupational therapists, the most critical factors affecting occupational therapist salary, the occupational therapist job market, and how to improve your career prospects that can affect your salary. So, let’s get started.
Let us start with the occupational therapist’s salary. How much you earn depends on experience, education, and—big time—where you are employed. The typical OT salary by state also differs depending on where in the U.S. you live, with some states paying significantly more than others. The occupational therapist’s career outlook is also related—high demand tends to equal more excellent compensation. Keeping these fundamentals in mind can assist with planning a career that pays.
Where occupational therapists earn the most: Top five States
Ready to see where your OT skills could be helpful? Based on recent trends, here are the states with the highest pay for occupational therapists.
State 1: California
Where do OTs make the most money? The answer has to be California. It leads our list of OT salaries by state, averaging $100,000 yearly. The state’s huge healthcare system and strong demand for occupational therapists —especially in cities like Los Angeles.
State 2: Nevada
Nevada offers around $95,000 annually. With a growing population and tourism boom, the demand for occupational therapists is solid.
State 3: New Jersey
New Jersey’s average OT salary by state hits $92,000. This state has a hot occupational therapist job market that is close to New York and packed with people. Rehab services here keep OT pay competitive.
State 4: Texas
Texas pays $90,000 annually, among the highest-paying states for occupational therapists. Big cities like Houston fuel demand, making it a great place to seek an OT job.
State 5: Maryland
Maryland rounds it out with $88,000 annually. Its occupational therapist career outlook shines thanks to top medical hubs near D.C. If you want steady, high pay, this state delivers.
OT salary by states in 2025 in the USA

What makes these the highest-paying states for occupational therapists?
It is about demand and opportunity. States with aging populations or significant healthcare needs—like California—see a massive demand for occupational therapists. Urban areas with higher costs of living also pay more.
Plus, the occupational therapist job market varies—where OTs are scarce, salaries soar. If you are wondering where OTs make the most money, it is where they need to meet a strong economy. Additionally, states that invest heavily in healthcare infrastructure and rehabilitation services often offer more competitive salaries to attract skilled professionals.
What determines your paycheck?
The occupational therapist’s salary varies significantly from state to state for several important reasons:
- Cost of living –Higher-cost states offer more excellent pay for housing, transportation, and taxes.
- Occupational therapist demand – Where there is a shortage, higher wages attract and retain specialists.
- State reimbursement & funding – States with better healthcare funding tend to have more substantial pay structures.
- Work environments & specializations – Hospitals and private clinics pay more than schools or home healthcare agencies.
- Experience & credentials – More experience and certifications mean higher earning potential.
The career outlook for occupational therapists
Looking forward, the occupational therapist job prospect is excellent. Work is projected to increase 12% in the next ten years—higher than most occupations. Choosing one of the best-paying states for occupational therapists might just line your pockets and secure your job.
Just think about excelling in Nevada or Maryland, where your expertise is valued and rewarded handsomely. It is a win-win: good for your wallet and your passion.

Switching careers to occupational therapy as a healthcare practitioner
Do you work as a nurse, physical therapist assistant, or other healthcare provider longing for a change? Becoming an OT may be your best bet! Your experience in patient care is already an excellent foundation.
You will require a master’s degree in occupational therapy and a license, but accelerated degree programs are available for professionals like you. When qualified, aim for the highest-paying states for occupational therapists to maximize your salary.
With the growing demand for occupational therapists, transitioning into this field can offer long-term job security and professional growth. Many healthcare facilities offer tuition reimbursement or financial aid for professionals looking to upskill. By making the switch, you can expand your impact on patient care while enjoying a rewarding and fulfilling career.
Advance your healthcare career with MedCadre
Finding the right healthcare job can often feel overwhelming. Many professionals face hiring delays, lack of job transparency, and difficulty securing the proper position quickly. The frustration of navigating multiple job boards, dealing with complicated application procedures, and waiting weeks—sometimes months—for credentialing can hold back career growth. Additionally, many job seekers struggle to find roles that match their skills, experience, and career goals.
MedCadre simplifies the job search by connecting healthcare professionals directly with top facilities through a transparent and efficient hiring platform. Our AI-powered system speeds up the credentialing process by 30%, ensuring you can start your assignment on schedule without unnecessary delays.
Whether you are looking for a full-time, part-time, or contract role, MedCadre provides access to a wide range of job opportunities across the U.S. With precise job details, competitive salaries, and a hassle-free hiring process, you can focus on advancing your career instead of dealing with complexities. Explore opportunities with MedCadre and take control of your career path.
At MedCadre, we are committed to supporting healthcare professionals at every stage of their journey. Learn more about our mission and vision and how we strive to create a seamless experience for job seekers.
Are you searching for an occupational therapist job in your location? Do you want to get started immediately? Submit your resume and let MedCadre match you with the best opportunities in the healthcare industry.
FAQs
Who is an occupational therapist (OT)?
An Occupational Therapist (OT) is a healthcare professional who helps individuals regain, develop, or maintain the skills necessary for daily life and work. They assist patients of all ages who face challenges due to injuries, disabilities, or illnesses, ensuring they can perform everyday tasks independently and improve their quality of life.
Can occupational therapists specialize in a specific field?
Occupational therapists can specialize in pediatrics, geriatrics, hand therapy, neurorehabilitation, mental health, and industrial rehabilitation. Specializing can increase job opportunities and salary potential.
Can I work as an occupational therapist in multiple states?
Yes, but you must be licensed in each state where you plan to work. Some states offer reciprocity agreements, and the OT Compact (in progress) will allow easier multi-state practice in the future
Can I apply to multiple jobs at once on MedCadre?
Absolutely! MedCadre allows you to easily apply to multiple job listings, helping you maximize your chances of landing the right role.
How does MedCadre ensure job listings are legitimate?
MedCadre only partners with verified healthcare facilities, ensuring that all job postings are from reputable employers offering real opportunities.