OT Assistant Salary

Johnson City vs Knoxville: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Johnson City, TN and Knoxville, TN. All figures are 2026 estimates projected from BLS 2025 data.

Johnson City, TN
$66,631
$32.04/hr
Knoxville, TN
$61,614
$29.62/hr

Side-by-Side Comparison

MetricJohnson City, TNKnoxville, TN
Median Salary$66,631$61,614
Hourly Rate$32.04$29.62
Entry Level (P10)$50,901$24,582
25th Percentile$60,349$24,582
75th Percentile$80,130$64,781
Top Earner (P90)$89,198$76,933
Total Employed40210
Side-by-side bar chart comparing Johnson City ($66,631) and Knoxville ($61,614) occupational therapy assistant salaries.Johnson CityKnoxvilleMedian Salary$66,631$61,614Entry Level (P10)$50,901$24,582Top Earner (P90)$89,198$76,933US Median $74,332

Verdict

Johnson City, TN offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Knoxville.

The salary gap between Johnson City and Knoxville is $5,017 (8.14%). Johnson City's median is -10.36% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Johnson City spans $38,297,Knoxville spans $52,351. Knoxville has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Johnson City
P10 (Entry)$50,901
P25$60,349
Median$66,631
P75$80,130
P90 (Top)$89,198
Knoxville
P10 (Entry)$24,582
P25$24,582
Median$61,614
P75$64,781
P90 (Top)$76,933

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Johnson City ($75,779 effective) pays 13.85% more than Knoxville ($66,560 effective).

Johnson City
Nominal: $66,631
CoL Index: 87.928
Adjusted: $75,779
Knoxville
Nominal: $61,614
CoL Index: 92.569
Adjusted: $66,560

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

Which City Is Right for You?

Choose Johnson City if…

  • Higher median salary ($66,631/year)
  • Better top-earner potential ($89,198)
  • Better purchasing power (CoL-adjusted: $75,779)
  • You prefer the Tennessee area and lifestyle

Choose Knoxville if…

  • Larger job market (210 employed)
  • You prefer the Tennessee area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Johnson City grew 3.3% from 2019 to 2025, compared to -2.0% growth in Knoxville over the same period.

Johnson City, TN

+3.3%

$62,710 (2019) → $64,810 (2025)

Knoxville, TN

+-2.0%

$61,140 (2019) → $59,930 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Johnson City or Knoxville?

Johnson City has a higher median occupational therapy assistant salary at $66,631/year, compared to Knoxville at $61,614/year — a difference of $5,017 (8.14%).

What is the hourly rate difference between Johnson City and Knoxville?

Johnson City occupational therapy assistants earn $32.04/hr while Knoxville hygienists earn $29.62/hr (2026 est.).

Should I relocate from Johnson City to Knoxville as a occupational therapy assistant?

Consider more than just salary when comparing Johnson City and Knoxville. Factor in cost of living (CoL-adjusted: Johnson City = $75,779, Knoxville = $66,560), job availability (40 vs 210 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Johnson City vs Knoxville?

Entry-level (10th percentile) occupational therapy assistants earn $50,901 in Johnson City and $24,582 in Knoxville. The Johnson City 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