OT Assistant Salary

Bristol vs Richmond: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Bristol, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Bristol, VA
$67,354
$32.39/hr
Richmond, VA
$78,917
$37.95/hr

Side-by-Side Comparison

MetricBristol, VARichmond, VA
Median Salary$67,354$78,917
Hourly Rate$32.39$37.95
Entry Level (P10)$51,062$51,405
25th Percentile$58,798$66,354
75th Percentile$72,248$82,371
Top Earner (P90)$79,040$96,055
Total Employed6210
Side-by-side bar chart comparing Bristol ($67,354) and Richmond ($78,917) occupational therapy assistant salaries.BristolRichmondMedian Salary$67,354$78,917Entry Level (P10)$51,062$51,405Top Earner (P90)$79,040$96,055US Median $74,332

Verdict

Richmond, VA offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Bristol.

The salary gap between Bristol and Richmond is $11,563 (17.17%). Richmond's median is +6.17% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bristol spans $27,978,Richmond spans $44,650. Richmond has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Bristol
P10 (Entry)$51,062
P25$58,798
Median$67,354
P75$72,248
P90 (Top)$79,040
Richmond
P10 (Entry)$51,405
P25$66,354
Median$78,917
P75$82,371
P90 (Top)$96,055

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($80,644 effective) pays 23.56% more than Bristol ($65,266 effective).

Bristol
Nominal: $67,354
CoL Index: 103.2
Adjusted: $65,266
Richmond
Nominal: $78,917
CoL Index: 97.858
Adjusted: $80,644

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

Which City Is Right for You?

Choose Bristol if…

  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Higher median salary ($78,917/year)
  • Better top-earner potential ($96,055)
  • Larger job market (210 employed)
  • Better purchasing power (CoL-adjusted: $80,644)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Bristol grew -2.9% from 2024 to 2025, compared to 8.9% growth in Richmond over the same period.

Bristol, VA

+-2.9%

$67,483 (2024) → $65,513 (2025)

Richmond, VA

+8.9%

$70,460 (2019) → $76,760 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Bristol or Richmond?

Richmond has a higher median occupational therapy assistant salary at $78,917/year, compared to Bristol at $67,354/year — a difference of $11,563 (17.17%).

What is the hourly rate difference between Bristol and Richmond?

Bristol occupational therapy assistants earn $32.39/hr while Richmond hygienists earn $37.95/hr (2026 est.).

Should I relocate from Bristol to Richmond as a occupational therapy assistant?

Consider more than just salary when comparing Bristol and Richmond. Factor in cost of living (CoL-adjusted: Bristol = $65,266, Richmond = $80,644), job availability (6 vs 210 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Bristol vs Richmond?

Entry-level (10th percentile) occupational therapy assistants earn $51,062 in Bristol and $51,405 in Richmond. The Richmond area offers higher starting salaries.

Related Comparisons

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