OT Assistant Salary

Birmingham vs Opelika: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Birmingham, AL and Opelika, AL. All figures are 2026 estimates projected from BLS 2025 data.

Birmingham, AL
$64,945
$31.22/hr
Opelika, AL
$63,107
$30.34/hr

Side-by-Side Comparison

MetricBirmingham, ALOpelika, AL
Median Salary$64,945$63,107
Hourly Rate$31.22$30.34
Entry Level (P10)$51,508$48,660
25th Percentile$62,519$55,979
75th Percentile$78,763$69,049
Top Earner (P90)$84,212$76,969
Total Employed1907
Side-by-side bar chart comparing Birmingham ($64,945) and Opelika ($63,107) occupational therapy assistant salaries.BirminghamOpelikaMedian Salary$64,945$63,107Entry Level (P10)$51,508$48,660Top Earner (P90)$84,212$76,969US Median $74,332

Verdict

Birmingham, AL offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Opelika.

The salary gap between Birmingham and Opelika is $1,838 (2.91%). Birmingham's median is -12.63% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Birmingham spans $32,704,Opelika spans $28,309. Birmingham has a wider pay range, meaning more potential for high earners but also more variation.

Birmingham
P10 (Entry)$51,508
P25$62,519
Median$64,945
P75$78,763
P90 (Top)$84,212
Opelika
P10 (Entry)$48,660
P25$55,979
Median$63,107
P75$69,049
P90 (Top)$76,969

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Opelika ($71,794 effective) pays 1.31% more than Birmingham ($70,867 effective).

Birmingham
Nominal: $64,945
CoL Index: 91.644
Adjusted: $70,867
Opelika
Nominal: $63,107
CoL Index: 87.9
Adjusted: $71,794

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Birmingham if…

  • Higher median salary ($64,945/year)
  • Better top-earner potential ($84,212)
  • Larger job market (190 employed)
  • You prefer the Alabama area and lifestyle

Choose Opelika if…

  • Better purchasing power (CoL-adjusted: $71,794)
  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Birmingham grew -1.8% from 2019 to 2025, compared to 24.7% growth in Opelika over the same period.

Birmingham, AL

+-1.8%

$64,330 (2019) → $63,170 (2025)

Opelika, AL

+24.7%

$49,241 (2024) → $61,382 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Birmingham or Opelika?

Birmingham has a higher median occupational therapy assistant salary at $64,945/year, compared to Opelika at $63,107/year — a difference of $1,838 (2.91%).

What is the hourly rate difference between Birmingham and Opelika?

Birmingham occupational therapy assistants earn $31.22/hr while Opelika hygienists earn $30.34/hr (2026 est.).

Should I relocate from Birmingham to Opelika as a occupational therapy assistant?

Consider more than just salary when comparing Birmingham and Opelika. Factor in cost of living (CoL-adjusted: Birmingham = $70,867, Opelika = $71,794), job availability (190 vs 7 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Birmingham vs Opelika?

Entry-level (10th percentile) occupational therapy assistants earn $51,508 in Birmingham and $48,660 in Opelika. The Birmingham area offers higher starting salaries.
JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov