Entry-Level Occupational Therapy Assistant Salary in Lima, OH: $48,362 (2026)
Quick Answer:New occupational therapy assistants entering the Lima, OH job market in 2026 can expect a starting salary around $48,362 (BLS 10th-percentile benchmark for SOC 31-2011, projected from 2025 OEWS data). Stripping out Lima's local price level (BEA RPP 89.7 — 10% below national), a first-year paycheck buys what $53,934 would in average-cost America. Most reach the city median ($62,251) within a few years of clinical practice.
Official BLS data · View source

Beginning a career as an occupational therapy assistant in Lima, OH, presents various financial considerations for new graduates. In 2026, the starting occupational therapy assistant salary in Lima will be centered around a figure of $48,362, creating a noticeable gap from the city’s median annual salary of $62,251. With the growth trajectory from the entry-level pay heading toward $50,891 in the 25th percentile and potentially reaching the median over the course of the first three to five years, new graduates can set realistic expectations for their earnings. Lima’s market appears relatively supportive for recent COTA graduates, with a modest growth rate of 2.81% anticipated over the coming years, aligning well with entry-level positions among various healthcare settings.
Career Earnings Timeline in Lima
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Lima
Entry-level occupational therapy assistants in Lima, OH typically start between $48,362 and $50,891 per year (2026 est.). The full salary range spans $25,713 from the 10th to 90th percentile, with the local median at $62,251 — 16.25% below the national median.
Return on Investment
The average occupational therapy program cost in Ohio of $22,000 represents just 45.49% of the starting occupational therapy assistant pay ($48,362/year) in Lima. 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 Lima
- 1Research the Lima market: entry-level occupational therapy assistant pay ranges from $48,362 to $50,891, 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 OH often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Lima, 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 Lima for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Lima'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 Lima is $25,713 ( 53.17%) between entry-level and top earners. Starting at $48,362, experienced hygienists can earn up to $74,075.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$38,124
2025 BLS Actual
$47,040
2026 Current Est.
$48,362
2019–2027 Growth
+30.4%
Salary Trajectory for Occupational Therapy Assistants in Lima (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $38,124 | Actual |
| 2020 | $39,448 | Actual |
| 2021 | $48,960 | Actual |
| 2022 | $46,050 | Actual |
| 2023 | $49,960 | Actual |
| 2024 | $50,190 | Actual |
| 2025 | $47,040 | Actual |
| 2026(current) | $48,362 | Estimated |
| 2027 | $49,721 | Projected |
Entry-level occupational therapy assistant compensation (10th percentile) in Lima, OH grew 23.4% over 7 years based on actual BLS metropolitan area surveys, rising from $38,124 in 2019 to $47,040 in 2025. By 2027, starting salaries are projected to reach $49,721. New graduates entering the Lima job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Lima metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 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 Lima
Employers in Lima typically favor hiring new graduates for various roles, particularly in skilled nursing facilities that focus on rehabilitation services. School districts also serve as viable options, often offering favorable summer schedules. While outpatient clinics tend to prefer seasoned COTAs, they can offer training opportunities for new graduates in specialized areas like pediatrics or hand therapy. To improve their starting pay, new graduates in Ohio should ensure they possess an associate's degree from an ACOTE-accredited OTA program and pass the NBCOT national examination for COTA credentialing, along with obtaining a state license. Those entering the competitive job market should be aware of the implications of the 15% Medicare Part B cut, which took effect in 2022, impacting pay for services provided by COTAs. Focusing on skill development and exploring COTA-to-MOT bridge pathways early in their careers can lead to realistic salary advancements over the first three years in Lima.
More salary data for Lima, OH:
Frequently Asked Questions
What is the starting salary for occupational therapy assistants in Lima in 2026?
How fast do occupational therapy assistant salaries grow in Lima?
Is occupational therapy school worth it in Lima?
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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.
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 Lima. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 5-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