OT Assistant Salary

Entry-Level Occupational Therapy Assistant Salary in Springfield, MO: $52,042 (2026)

Quick Answer:New occupational therapy assistants entering the Springfield, MO job market in 2026 can expect a starting salary around $52,042 (BLS 10th-percentile benchmark for SOC 31-2011, projected from 2025 OEWS data). Stripping out Springfield's local price level (BEA RPP 88.611% below national), a first-year paycheck buys what $58,748 would in average-cost America. Most reach the city median ($63,084) within a few years of clinical practice.

$52,042
Starting Salary
$25.02/hr
Starting Hourly
$52,042
Entry Level
$63,084
Career Median Target

Official BLS data · View source

Occupational Therapy Assistant Entry Level Salary in Springfield, MO — 2026 est., based on 2025 BLS
Springfield, MO occupational therapy assistant entry level salary overview (2026 est., based on 2025 BLS)

For those entering the field as an occupational therapy assistant in Springfield, Missouri, the starting annual salary is projected at $52,042 in 2026. While this may seem modest compared to the median salary of $63,084 for the area, it's important to recognize the potential for salary growth within the first few years of employment. New graduates can anticipate a progression to the 25th percentile at $60,637 and eventually towards the median as they gain experience and skills. Given the projected 2.81% annual growth rate, Springfield maintains a relatively stable market for entry-level positions, making it a reasonable place to launch a career for those just starting out in the field.

Career Earnings Timeline in Springfield

Year 0-2

New Graduate

$52,042/yr
Year 2-5

Early Career

$60,637/yr
Year 5-10

Mid Career

$63,084/yr
Year 10+

Experienced

$74,856/yr

Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.

2026 Salary Percentile Distribution in Springfield

Vertical bar chart of 10th through 90th percentile salaries for occupational therapy assistants in Springfield. The median salary is $63,084, compared to the national median of $74,332.$46.8K$56.9K$67.0K$77.1K$87.1K$52.0K10th Pctl$60.6K25th Pctl$63.1KMedian$74.9K75th Pctl$83.0K90th PctlUS Median$74.3K

Entry-level occupational therapy assistants in Springfield, MO typically start between $52,042 and $60,637 per year (2026 est.). The full salary range spans $30,957 from the 10th to 90th percentile, with the local median at $63,08415.13% below the national median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of occupational therapy assistant pay in the Springfield metro area.

Return on Investment

$18,000
Avg MO Program Cost
$52,042
Starting Salary
34.59%
Cost-to-Salary Ratio
<1 yr
Payback Estimate

The average occupational therapy program cost in Missouri of $18,000 represents just 34.59% of the starting occupational therapy assistant pay ($52,042/year) in Springfield. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.

Program cost estimates based on ACOTE-accredited Occupational Therapy Assistant associate degree programs. Tuition varies between community college and private technical school settings.

OTA Salary Negotiation Tips for New Graduates in Springfield

  • 1Research the Springfield market: entry-level occupational therapy assistant pay ranges from $52,042 to $60,637, so aim for at least the 25th percentile if you have strong credentials.
  • 2Highlight any additional certifications or specialty training within the occupational therapy field — employers in MO often pay a premium for expanded scope of work.
  • 3Evaluate the full compensation package — in Springfield, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
  • 4Consider starting with a larger hospital system or multi-site employer in Springfield for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
  • 5Springfield's below-average cost of living means your starting salary goes further here compared to many larger metro areas.

Occupational Therapy Assistant Compensation Range

The occupational therapy assistant wage spread in Springfield is $30,957 ( 59.48%) between entry-level and top earners. Starting at $52,042, experienced hygienists can earn up to $82,999.

Represents the current salary spread across experience levels, not projected career growth rate.

2019 BLS Actual

$35,820

2025 BLS Actual

$50,620

2026 Current Est.

$52,042

2019–2027 Growth

+49.4%

Salary Trajectory for Occupational Therapy Assistants in Springfield (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.

BLS Actual Estimated Projected
Salary trajectory chart for occupational therapy assistants in Springfield. Baseline $35,820 in 2025, projected to $53,505 by 2027.$32.3K$38.5K$44.7K$50.9K$57.0K2019202020212022202320242025202620272025 BLS$35.8K$36.5K$37.7K$40.6K$43.5K$46.1K$50.6K$52.0K$53.5K
YearAnnual SalaryStatus
2019$35,820Actual
2020$36,520Actual
2021$37,690Actual
2022$40,590Actual
2023$43,520Actual
2024$46,060Actual
2025$50,620Actual
2026(current)$52,042Estimated
2027$53,505Projected

Entry-level occupational therapy assistant compensation (10th percentile) in Springfield, MO grew 41.3% over 7 years based on actual BLS metropolitan area surveys, rising from $35,820 in 2019 to $50,620 in 2025. By 2027, starting salaries are projected to reach $53,505. New graduates entering the Springfield job market can expect continued year-over-year gains.

Note: Historical values (20192025) are actual BLS OEWS figures for the Springfield metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 figures are current estimates, and 2027 values are projections, calculated using a 2.81% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.

Starting Your occupational therapy Career in Springfield

When considering job opportunities, new graduates in Springfield should explore various employers that typically hire entry-level occupational therapy assistants, particularly skilled nursing facilities (SNFs), which are known for bringing in many new graduates. School districts often provide desirable summer schedules, while outpatient clinics, though generally favoring experienced candidates, may offer training opportunities for new COTAs in pediatric or hand-therapy settings. To enhance starting pay in Missouri, candidates should ensure they have completed an associate's degree from an ACOTE-accredited program, passed the NBCOT national exam, and secured their state OTA license. As COTAs work under the supervision of OTs per state and Medicare regulations, understanding the implications of the 15% Medicare cut on OTA-provided services, which began in 2022, is vital for career planning. Therefore, realistic salary growth expectations would align with robust job performance and ongoing education, especially in the first three years of practice.

Frequently Asked Questions

What is the starting salary for occupational therapy assistants in Springfield in 2026?

Entry-level occupational therapy assistants in Springfield start at approximately $52,042/year (10th percentile), based on estimated 2026 salary (projected from 2025 BLS data at 2.81% annual growth). This is the typical range for new graduates with less than 1 year of clinical experience. The starting hourly equivalent is approximately $25.02/hour for full-time work. Starting pay depends on the practice type (private vs. large organization), patient volume, location within the metro area, and whether the position includes benefits.

How fast do occupational therapy assistant salaries grow in Springfield?

Most occupational therapy assistants in Springfield progress from the entry-level salary of $52,042 to the area median of $63,084 within 3–5 years of clinical experience. Top earners with specializations and certifications reach $82,999 (90th percentile). The biggest salary jumps typically come in years 2–5 as clinical skills develop, and again when obtaining advanced certifications or expanded-function credentials. Salary growth after 10 years tends to plateau unless moving into management or education roles.

Is occupational therapy school worth it in Springfield?

With a starting salary of $52,042/year in Springfield and typical program costs ranging from $20,000–$80,000 for an associate's degree (2–3 years), graduates can expect a strong return on investment. Most new occupational therapy assistants recoup their tuition within 1–3 years of working full-time. The profession also offers excellent work-life balance, flexible scheduling, low unemployment rates, and growing demand driven by an aging population's care needs.

What do new occupational therapy assistants make right out of school in Springfield?

New occupational therapy graduates in Springfield typically start near the 10th percentile at $52,042/year, or approximately $25.02/hour. Starting pay varies based on the practice type, patient volume, geographic location within the metro area, and whether the compensation package includes benefits like health insurance and retirement contributions. Graduates with internships at high-production practices often secure higher starting offers.

How do I become a occupational therapy assistant in Missouri?

To become a licensed occupational therapy assistant in Missouri, you typically need an associate's degree from an accredited occupational therapy assistant program. from an accredited program (typically 2–3 years), then pass the required national and state licensing examinations. Most states, including Missouri, also require a clinical licensing exam. After obtaining licensure, you must maintain it through continuing education credits. Some occupational therapy assistants pursue advanced degrees for career advancement into education, research, or public health roles.

Related Pages

Nearby Cities in Missouri

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

Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new occupational therapy graduates. A 2.81% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Springfield. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.

Data Sources & Methodology

Source: BLS, OEWS, 7-year dataset (). Per-city data from annual BLS metropolitan area surveys.

2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.81%, derived from historical BLS wage trends for occupational therapy assistants (SOC 31-2011).

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

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