OT Assistant Salary

Houston vs Fort Worth: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Houston, TX and Fort Worth, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$83,626
$40.21/hr
Fort Worth, TX
$82,907
$39.86/hr

Side-by-Side Comparison

MetricHouston, TXFort Worth, TX
Median Salary$83,626$82,907
Hourly Rate$40.21$39.86
Entry Level (P10)$63,629$58,855
25th Percentile$77,190$70,468
75th Percentile$91,007$94,088
Top Earner (P90)$96,713$109,290
Total Employed900219
Side-by-side bar chart comparing Houston ($83,626) and Fort Worth ($82,907) occupational therapy assistant salaries.HoustonFort WorthMedian Salary$83,626$82,907Entry Level (P10)$63,629$58,855Top Earner (P90)$96,713$109,290US Median $74,332

Verdict

Houston, TX offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Fort Worth.

The salary gap between Houston and Fort Worth is $719 (0.87%). Houston's median is +12.50% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $33,084,Fort Worth spans $50,435. Fort Worth has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Houston
P10 (Entry)$63,629
P25$77,190
Median$83,626
P75$91,007
P90 (Top)$96,713
Fort Worth
P10 (Entry)$58,855
P25$70,468
Median$82,907
P75$94,088
P90 (Top)$109,290

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fort Worth ($86,361 effective) pays 1.86% more than Houston ($84,788 effective).

Houston
Nominal: $83,626
CoL Index: 98.629
Adjusted: $84,788
Fort Worth
Nominal: $82,907
CoL Index: 96
Adjusted: $86,361

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

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($83,626/year)
  • Larger job market (900 employed)
  • You prefer the Texas area and lifestyle

Choose Fort Worth if…

  • Better top-earner potential ($109,290)
  • Better purchasing power (CoL-adjusted: $86,361)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Houston grew 11.4% from 2019 to 2025, compared to 3.0% growth in Fort Worth over the same period.

Houston, TX

+11.4%

$73,010 (2019) → $81,340 (2025)

Fort Worth, TX

+3.0%

$78,283 (2024) → $80,641 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Houston or Fort Worth?

Houston has a higher median occupational therapy assistant salary at $83,626/year, compared to Fort Worth at $82,907/year — a difference of $719 (0.87%).

What is the hourly rate difference between Houston and Fort Worth?

Houston occupational therapy assistants earn $40.21/hr while Fort Worth hygienists earn $39.86/hr (2026 est.).

Should I relocate from Houston to Fort Worth as a occupational therapy assistant?

Consider more than just salary when comparing Houston and Fort Worth. Factor in cost of living (CoL-adjusted: Houston = $84,788, Fort Worth = $86,361), job availability (900 vs 219 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Houston vs Fort Worth?

Entry-level (10th percentile) occupational therapy assistants earn $63,629 in Houston and $58,855 in Fort Worth. The Houston 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