OT Assistant Salary

Entry-Level Occupational Therapy Assistant Salary in Concord, NC: $52,340 (2026)

Quick Answer:New occupational therapy assistants entering the Concord, NC job market in 2026 can expect a starting salary around $52,340 (BLS 10th-percentile benchmark for SOC 31-2011, projected from 2025 OEWS data). Stripping out Concord's local price level (BEA RPP 93.66% below national), a first-year paycheck buys what $55,919 would in average-cost America. Most reach the city median ($76,050) within a few years of clinical practice.

$52,340
Starting Salary
$25.17/hr
Starting Hourly
$52,340
Entry Level
$76,050
Career Median Target

Based on BLS state-level estimates · View source

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

In 2026, new graduates entering the field as occupational therapy assistants in Concord, North Carolina can anticipate starting salaries around $52,340. While this initial pay does fall short of the median annual salary of $76,050, it reflects a common entry-level range that many can expect as they embark on their career. Over the first few years, there’s potential for growth as new COTAs build their skills and experience; moving from this entry-level pay towards the 25th percentile at $63,133 can be realistic within a few years in a supportive work environment. Given the projected growth rate of 2.81% annually, Concord appears to be a favorable market for new graduates, who will find opportunities for advancement as they leverage local demand for skilled COTAs.

About the Concord Market

Salary estimated from North Carolina average ($68,000) adjusted for local cost of living.

Career Earnings Timeline in Concord

Year 0-2

New Graduate

$52,340/yr
Year 2-5

Early Career

$63,133/yr
Year 5-10

Mid Career

$76,050/yr
Year 10+

Experienced

$84,245/yr

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

2026 Salary Percentile Distribution in Concord

Vertical bar chart of 10th through 90th percentile salaries for occupational therapy assistants in Concord. The median salary is $76,050, compared to the national median of $74,332.$47.1K$60.5K$74.0K$87.4K$100.8K$52.3K10th Pctl$63.1K25th Pctl$76.0KMedian$84.2K75th Pctl$96.0K90th PctlUS Median$74.3K

Entry-level occupational therapy assistants in Concord, NC typically start between $52,340 and $63,133 per year (2026 est.). The full salary range spans $43,668 from the 10th to 90th percentile, with the local median at $76,0502.31% above the national median.

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

Return on Investment

$18,000
Avg NC Program Cost
$52,340
Starting Salary
34.39%
Cost-to-Salary Ratio
<1 yr
Payback Estimate

The average occupational therapy program cost in North Carolina of $18,000 represents just 34.39% of the starting occupational therapy assistant pay ($52,340/year) in Concord. 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 Concord

  • 1Research the Concord market: entry-level occupational therapy assistant pay ranges from $52,340 to $63,133, 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 NC often pay a premium for expanded scope of work.
  • 3Evaluate the full compensation package — in Concord, 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 Concord for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
  • 5Concord'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 Concord is $43,668 ( 83.43%) between entry-level and top earners. Starting at $52,340, experienced hygienists can earn up to $96,008.

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

2019 BLS Actual

$41,259

2025 BLS Actual

$50,909

2026 Current Est.

$52,340

2019–2027 Growth

+30.4%

Salary Trajectory for Occupational Therapy Assistants in Concord (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 Concord. Baseline $41,259 in 2025, projected to $53,810 by 2027.$38.7K$43.1K$47.5K$51.9K$56.3K2019202020212022202320242025202620272025 BLS$41.3K$42.7K$46.3K$47.4K$48.1K$45.3K$50.9K$52.3K$53.8K
YearAnnual SalaryStatus
2019$41,259Actual
2020$42,693Actual
2021$46,282Actual
2022$47,399Actual
2023$48,121Actual
2024$45,341Actual
2025$50,909Actual
2026(current)$52,340Estimated
2027$53,810Projected

Entry-level occupational therapy assistant compensation (10th percentile) in Concord, NC grew 23.4% over 7 years based on actual BLS metropolitan area surveys, rising from $41,259 in 2019 to $50,909 in 2025. By 2027, starting salaries are projected to reach $53,810. New graduates entering the Concord job market can expect continued year-over-year gains.

Note: Historical values (20192025) are actual BLS OEWS figures for the Concord 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 Concord

Several employers in Concord actively seek to hire newly graduated occupational therapy assistants, particularly skilled nursing facilities (SNFs) that often welcome fresh talent to their rehabilitation teams. School districts usually offer attractive schedules that align with academic calendars, providing additional opportunities for new grads. While outpatient clinics might prefer experienced staff, they also recognize the value of new COTAs in fields like pediatrics or hand therapy, often providing valuable training. To bolster entry-level pay, new occupational therapy assistants in NC should prioritize obtaining their Associate's degree from an ACOTE-accredited program, passing the NBCOT national exam for the COTA credential, and acquiring their state license. Although the 15% Medicare Part B cut for OTA-provided services has influenced compensation in certain settings since 2022, the starting occupational therapy assistant salary in Concord can still see meaningful growth over the first three years as new grads gain experience and consider pathways to advanced practice opportunities.

Frequently Asked Questions

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

Entry-level occupational therapy assistants in Concord start at approximately $52,340/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 $25.16/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 Concord?

Most occupational therapy assistants in Concord progress from the entry-level salary of $52,340 to the area median of $76,050 within 3–5 years of clinical experience. Top earners with specializations and certifications reach $96,008 (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 Concord?

With a starting salary of $52,340/year in Concord 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 Concord?

New occupational therapy graduates in Concord typically start near the 10th percentile at $52,340/year, or approximately $25.16/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 North Carolina?

To become a licensed occupational therapy assistant in North Carolina, 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 North Carolina, 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 North Carolina

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 Concord. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.

Data Sources & Methodology

Salary data for Concord is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

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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