Entry-Level Occupational Therapy Assistant Salary in Kingsport, TN: $54,500 (2026)
Quick Answer:New occupational therapy assistants entering the Kingsport, TN job market in 2026 can expect a starting salary around $54,500 (BLS 10th-percentile benchmark for SOC 31-2011, projected from 2025 OEWS data). Stripping out Kingsport's local price level (BEA RPP 86.4 — 14% below national), a first-year paycheck buys what $63,044 would in average-cost America. Most reach the city median ($65,840) within a few years of clinical practice.
Official BLS data · View source

Kingsport's job market for new graduates pursuing a career as an occupational therapy assistant offers promising starting salaries that generally range from $54,500 to $65,840 in 2026. While the entry-level occupational therapy assistant salary in Kingsport is lower than the national average of $74,332, it provides a solid foundation for those just starting their careers. New entrants can expect to experience a pay scale that gradually increases, moving from starting wages to around $60,380 within their first few years in the field. For graduates of OTA programs looking to gain traction in Kingsport, the city presents a supportive environment with a cost of living index below the national average, which helps new grads stretch their salaries further.
Career Earnings Timeline in Kingsport
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 Kingsport
Entry-level occupational therapy assistants in Kingsport, TN typically start between $54,500 and $60,380 per year (2026 est.). The full salary range spans $28,324 from the 10th to 90th percentile, with the local median at $65,840 — 11.42% below the national median.
Return on Investment
The average occupational therapy program cost in Tennessee of $18,000 represents just 33.03% of the starting occupational therapy assistant pay ($54,500/year) in Kingsport. 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 Kingsport
- 1Research the Kingsport market: entry-level occupational therapy assistant pay ranges from $54,500 to $60,380, 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 TN often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Kingsport, 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 Kingsport for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Kingsport'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 Kingsport is $28,324 ( 51.97%) between entry-level and top earners. Starting at $54,500, experienced hygienists can earn up to $82,824.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$23,190
2025 BLS Actual
$53,010
2026 Current Est.
$54,500
2019–2027 Growth
+141.6%
Salary Trajectory for Occupational Therapy Assistants in Kingsport (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $23,190 | Actual |
| 2020 | $44,455 | Actual |
| 2021 | $43,790 | Actual |
| 2022 | $43,460 | Actual |
| 2023 | $44,110 | Actual |
| 2024 | $52,920 | Actual |
| 2025 | $53,010 | Actual |
| 2026(current) | $54,500 | Estimated |
| 2027 | $56,031 | Projected |
Entry-level occupational therapy assistant compensation (10th percentile) in Kingsport, TN grew 128.6% over 7 years based on actual BLS metropolitan area surveys, rising from $23,190 in 2019 to $53,010 in 2025. By 2027, starting salaries are projected to reach $56,031. New graduates entering the Kingsport job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Kingsport 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 Kingsport
In Kingsport, a variety of employers actively recruit entry-level occupational therapy assistants. Skilled nursing facilities (SNFs) tend to hire the most new grads, offering them a structured path to gain experience. Additionally, school districts provide family-friendly schedules, appealing to those seeking a work-life balance, especially over summer breaks. Outpatient clinics may prefer candidates with some experience but are often willing to train new graduates in specialized areas like pediatric therapy or hand rehabilitation, further enhancing the overall professional skill set of recent hires. To improve starting salaries in Tennessee, new COTAs should focus on obtaining credentials like the NBCOT’s COTA designation and consider continuing education in advanced practice areas promoted by the AOTA. Additionally, new professionals should anticipate a modest salary growth trajectory in their first three years due to industry pressures, including the 15% Medicare Part B cut for OTA services, affecting roles in SNFs and outpatient settings. By strategically pursuing these opportunities and credentials, new grads can position themselves for better pay down the line.
More salary data for Kingsport, TN:
Frequently Asked Questions
What is the starting salary for occupational therapy assistants in Kingsport in 2026?
How fast do occupational therapy assistant salaries grow in Kingsport?
Is occupational therapy school worth it in Kingsport?
What do new occupational therapy assistants make right out of school in Kingsport?
How do I become a occupational therapy assistant in Tennessee?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Tennessee
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 Kingsport. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 6-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