OT Assistant Salary

Grand Rapids vs Royal Oak: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Grand Rapids, MI and Royal Oak, MI. All figures are 2026 estimates projected from BLS 2025 data.

Grand Rapids, MI
$69,181
$33.26/hr
Royal Oak, MI
$68,428
$32.90/hr

Side-by-Side Comparison

MetricGrand Rapids, MIRoyal Oak, MI
Median Salary$69,181$68,428
Hourly Rate$33.26$32.90
Entry Level (P10)$53,492$51,400
25th Percentile$61,501$59,945
75th Percentile$69,181$76,185
Top Earner (P90)$81,539$86,313
Total Employed37012
Side-by-side bar chart comparing Grand Rapids ($69,181) and Royal Oak ($68,428) occupational therapy assistant salaries.Grand RapidsRoyal OakMedian Salary$69,181$68,428Entry Level (P10)$53,492$51,400Top Earner (P90)$81,539$86,313US Median $74,332

Verdict

Grand Rapids, MI offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Royal Oak.

The salary gap between Grand Rapids and Royal Oak is $753 (1.10%). Grand Rapids's median is -6.93% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Grand Rapids spans $28,047,Royal Oak spans $34,913. Royal Oak has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Grand Rapids
P10 (Entry)$53,492
P25$61,501
Median$69,181
P75$69,181
P90 (Top)$81,539
Royal Oak
P10 (Entry)$51,400
P25$59,945
Median$68,428
P75$76,185
P90 (Top)$86,313

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Royal Oak ($73,421 effective) pays 1.40% more than Grand Rapids ($72,406 effective).

Grand Rapids
Nominal: $69,181
CoL Index: 95.546
Adjusted: $72,406
Royal Oak
Nominal: $68,428
CoL Index: 93.2
Adjusted: $73,421

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

Which City Is Right for You?

Choose Grand Rapids if…

  • Higher median salary ($69,181/year)
  • Larger job market (370 employed)
  • You prefer the Michigan area and lifestyle

Choose Royal Oak if…

  • Better top-earner potential ($86,313)
  • Better purchasing power (CoL-adjusted: $73,421)
  • You prefer the Michigan area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Grand Rapids grew 32.2% from 2019 to 2025, compared to 13.0% growth in Royal Oak over the same period.

Grand Rapids, MI

+32.2%

$50,890 (2019) → $67,290 (2025)

Royal Oak, MI

+13.0%

$58,917 (2024) → $66,558 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Grand Rapids or Royal Oak?

Grand Rapids has a higher median occupational therapy assistant salary at $69,181/year, compared to Royal Oak at $68,428/year — a difference of $753 (1.10%).

What is the hourly rate difference between Grand Rapids and Royal Oak?

Grand Rapids occupational therapy assistants earn $33.26/hr while Royal Oak hygienists earn $32.90/hr (2026 est.).

Should I relocate from Grand Rapids to Royal Oak as a occupational therapy assistant?

Consider more than just salary when comparing Grand Rapids and Royal Oak. Factor in cost of living (CoL-adjusted: Grand Rapids = $72,406, Royal Oak = $73,421), job availability (370 vs 12 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Grand Rapids vs Royal Oak?

Entry-level (10th percentile) occupational therapy assistants earn $53,492 in Grand Rapids and $51,400 in Royal Oak. The Grand Rapids 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