OT Assistant Salary

Fayetteville vs Fort Smith: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Fayetteville, AR and Fort Smith, AR. All figures are 2026 estimates projected from BLS 2025 data.

Fayetteville, AR
$83,184
$39.99/hr
Fort Smith, AR
$82,927
$39.87/hr

Side-by-Side Comparison

MetricFayetteville, ARFort Smith, AR
Median Salary$83,184$82,927
Hourly Rate$39.99$39.87
Entry Level (P10)$57,779$67,824
25th Percentile$75,103$77,066
75th Percentile$99,777$83,245
Top Earner (P90)$114,499$102,584
Total Employed10040
Side-by-side bar chart comparing Fayetteville ($83,184) and Fort Smith ($82,927) occupational therapy assistant salaries.FayettevilleFort SmithMedian Salary$83,184$82,927Entry Level (P10)$57,779$67,824Top Earner (P90)$114,499$102,584US Median $74,332

Verdict

Fayetteville, AR offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Fort Smith.

The salary gap between Fayetteville and Fort Smith is $257 (0.31%). Fayetteville's median is +11.91% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fayetteville spans $56,720,Fort Smith spans $34,760. Fayetteville has a wider pay range, meaning more potential for high earners but also more variation.

Fayetteville
P10 (Entry)$57,779
P25$75,103
Median$83,184
P75$99,777
P90 (Top)$114,499
Fort Smith
P10 (Entry)$67,824
P25$77,066
Median$82,927
P75$83,245
P90 (Top)$102,584

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fort Smith ($96,552 effective) pays 6.03% more than Fayetteville ($91,058 effective).

Fayetteville
Nominal: $83,184
CoL Index: 91.353
Adjusted: $91,058
Fort Smith
Nominal: $82,927
CoL Index: 85.888
Adjusted: $96,552

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

Which City Is Right for You?

Choose Fayetteville if…

  • Higher median salary ($83,184/year)
  • Better top-earner potential ($114,499)
  • Larger job market (100 employed)
  • You prefer the Arkansas area and lifestyle

Choose Fort Smith if…

  • Better purchasing power (CoL-adjusted: $96,552)
  • You prefer the Arkansas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Fayetteville grew 15.4% from 2020 to 2025, compared to 16.5% growth in Fort Smith over the same period.

Fayetteville, AR

+15.4%

$70,110 (2020) → $80,910 (2025)

Fort Smith, AR

+16.5%

$69,240 (2019) → $80,660 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Fayetteville or Fort Smith?

Fayetteville has a higher median occupational therapy assistant salary at $83,184/year, compared to Fort Smith at $82,927/year — a difference of $257 (0.31%).

What is the hourly rate difference between Fayetteville and Fort Smith?

Fayetteville occupational therapy assistants earn $39.99/hr while Fort Smith hygienists earn $39.87/hr (2026 est.).

Should I relocate from Fayetteville to Fort Smith as a occupational therapy assistant?

Consider more than just salary when comparing Fayetteville and Fort Smith. Factor in cost of living (CoL-adjusted: Fayetteville = $91,058, Fort Smith = $96,552), job availability (100 vs 40 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Fayetteville vs Fort Smith?

Entry-level (10th percentile) occupational therapy assistants earn $57,779 in Fayetteville and $67,824 in Fort Smith. The Fort Smith 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