OT Assistant Salary

Spokane Valley vs Tacoma: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Spokane Valley, WA and Tacoma, WA. All figures are 2026 estimates projected from BLS 2025 data.

Spokane Valley, WA
$73,949
$35.55/hr
Tacoma, WA
$78,440
$37.71/hr

Side-by-Side Comparison

MetricSpokane Valley, WATacoma, WA
Median Salary$73,949$78,440
Hourly Rate$35.55$37.71
Entry Level (P10)$51,228$54,393
25th Percentile$61,642$65,738
75th Percentile$82,291$89,828
Top Earner (P90)$93,598$104,468
Total Employed2156
Side-by-side bar chart comparing Spokane Valley ($73,949) and Tacoma ($78,440) occupational therapy assistant salaries.Spokane ValleyTacomaMedian Salary$73,949$78,440Entry Level (P10)$51,228$54,393Top Earner (P90)$93,598$104,468US Median $74,332

Verdict

Tacoma, WA offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Spokane Valley.

The salary gap between Spokane Valley and Tacoma is $4,491 (6.07%). Tacoma's median is +5.53% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Spokane Valley spans $42,370,Tacoma spans $50,075. Tacoma has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Spokane Valley
P10 (Entry)$51,228
P25$61,642
Median$73,949
P75$82,291
P90 (Top)$93,598
Tacoma
P10 (Entry)$54,393
P25$65,738
Median$78,440
P75$89,828
P90 (Top)$104,468

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Tacoma ($73,035 effective) pays 6.07% more than Spokane Valley ($68,854 effective).

Spokane Valley
Nominal: $73,949
CoL Index: 107.4
Adjusted: $68,854
Tacoma
Nominal: $78,440
CoL Index: 107.4
Adjusted: $73,035

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

Which City Is Right for You?

Choose Spokane Valley if…

  • You prefer the Washington area and lifestyle

Choose Tacoma if…

  • Higher median salary ($78,440/year)
  • Better top-earner potential ($104,468)
  • Larger job market (56 employed)
  • Better purchasing power (CoL-adjusted: $73,035)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Spokane Valley grew -9.6% from 2024 to 2025, compared to -2.6% growth in Tacoma over the same period.

Spokane Valley, WA

+-9.6%

$79,604 (2024) → $71,928 (2025)

Tacoma, WA

+-2.6%

$78,319 (2024) → $76,296 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Spokane Valley or Tacoma?

Tacoma has a higher median occupational therapy assistant salary at $78,440/year, compared to Spokane Valley at $73,949/year — a difference of $4,491 (6.07%).

What is the hourly rate difference between Spokane Valley and Tacoma?

Spokane Valley occupational therapy assistants earn $35.55/hr while Tacoma hygienists earn $37.71/hr (2026 est.).

Should I relocate from Spokane Valley to Tacoma as a occupational therapy assistant?

Consider more than just salary when comparing Spokane Valley and Tacoma. Factor in cost of living (CoL-adjusted: Spokane Valley = $68,854, Tacoma = $73,035), job availability (21 vs 56 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Spokane Valley vs Tacoma?

Entry-level (10th percentile) occupational therapy assistants earn $51,228 in Spokane Valley and $54,393 in Tacoma. The Tacoma 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