OT Assistant Salary

Entry-Level Occupational Therapy Assistant Salary in Lacey, WA: $58,137 (2026)

Quick Answer:New occupational therapy assistants entering the Lacey, WA job market in 2026 can expect a starting salary around $58,137 (BLS 10th-percentile benchmark for SOC 31-2011, projected from 2025 OEWS data). Stripping out Lacey's local price level (BEA RPP 107.47% above national), a first-year paycheck buys what $54,131 would in average-cost America. Most reach the city median ($78,385) within a few years of clinical practice.

$58,137
Starting Salary
$27.95/hr
Starting Hourly
$58,137
Entry Level
$78,385
Career Median Target

Based on BLS state-level estimates · View source

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

Amidst the current job market, new graduates looking to begin their careers as occupational therapy assistants in Lacey, WA, can expect an entry-level pay of approximately $58,137 annually in 2026. This starting occupational therapy assistant salary in Lacey is notably below the city’s overall median of $78,385, reflecting a significant gap that entry-level professionals will need to traverse as they gain experience. Early-career growth can be promising, as salaries typically rise to around $68,112 after a few years in the field, eventually reaching the median with experience and skill enhancements. Considering these figures, Lacey appears to be a viable market for recent graduates, providing opportunities to advance their earnings through experience and additional credentials.

About the Lacey Market

Salary estimated from Washington average ($72,000) adjusted for local cost of living.

Career Earnings Timeline in Lacey

Year 0-2

New Graduate

$58,137/yr
Year 2-5

Early Career

$68,112/yr
Year 5-10

Mid Career

$78,385/yr
Year 10+

Experienced

$83,727/yr

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

2026 Salary Percentile Distribution in Lacey

Vertical bar chart of 10th through 90th percentile salaries for occupational therapy assistants in Lacey. The median salary is $78,385, compared to the national median of $74,332.$52.3K$65.7K$79.1K$92.5K$105.8K$58.1K10th Pctl$68.1K25th Pctl$78.4KMedian$83.7K75th Pctl$100.8K90th PctlUS Median$74.3K

Entry-level occupational therapy assistants in Lacey, WA typically start between $58,137 and $68,112 per year (2026 est.). The full salary range spans $42,667 from the 10th to 90th percentile, with the local median at $78,3855.45% above the national median.

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

Return on Investment

$26,000
Avg WA Program Cost
$58,137
Starting Salary
44.72%
Cost-to-Salary Ratio
<1 yr
Payback Estimate

The average occupational therapy program cost in Washington of $26,000 represents just 44.72% of the starting occupational therapy assistant pay ($58,137/year) in Lacey. 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 Lacey

  • 1Research the Lacey market: entry-level occupational therapy assistant pay ranges from $58,137 to $68,112, 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 WA often pay a premium for expanded scope of work.
  • 3Evaluate the full compensation package — in Lacey, 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 Lacey for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
  • 5Lacey's moderate 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 Lacey is $42,667 ( 73.39%) between entry-level and top earners. Starting at $58,137, experienced hygienists can earn up to $100,804.

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

2019 BLS Actual

$45,829

2025 BLS Actual

$56,548

2026 Current Est.

$58,137

2019–2027 Growth

+30.4%

Salary Trajectory for Occupational Therapy Assistants in Lacey (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 Lacey. Baseline $45,829 in 2025, projected to $59,771 by 2027.$43.0K$47.9K$52.8K$57.7K$62.6K2019202020212022202320242025202620272025 BLS$45.8K$47.4K$51.4K$52.6K$53.5K$56.8K$56.5K$58.1K$59.8K
YearAnnual SalaryStatus
2019$45,829Actual
2020$47,422Actual
2021$51,408Actual
2022$52,649Actual
2023$53,451Actual
2024$56,758Actual
2025$56,548Actual
2026(current)$58,137Estimated
2027$59,771Projected

Entry-level occupational therapy assistant compensation (10th percentile) in Lacey, WA grew 23.4% over 7 years based on actual BLS metropolitan area surveys, rising from $45,829 in 2019 to $56,548 in 2025. By 2027, starting salaries are projected to reach $59,771. New graduates entering the Lacey job market can expect continued year-over-year gains.

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

In Lacey, the types of employers that frequently hire new graduates include skilled nursing facilities (SNFs), which seek entry-level occupational therapy assistants for rehabilitation services. School districts also present a unique opportunity with their flexible schedules, while outpatient clinics prefer experienced COTAs but often provide training for new graduates in specialty areas such as pediatric or hand therapy. To enhance starting pay in Washington, it’s crucial for new entrants to hold an associate’s degree from an ACOTE-accredited OTA program, pass the NBCOT national exam, and obtain a state OTA license. Those who invest in ongoing education through the AOTA can further position themselves for increased earnings. Given the limitations imposed by the 15% cut in Medicare Part B for OTA services, newcomers should realistically aim for gradual salary advancement during their first few years, leveraging their foundational education and clinical experience to navigate the evolving job landscape effectively.

Frequently Asked Questions

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

Entry-level occupational therapy assistants in Lacey start at approximately $58,137/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 $27.95/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 Lacey?

Most occupational therapy assistants in Lacey progress from the entry-level salary of $58,137 to the area median of $78,385 within 3–5 years of clinical experience. Top earners with specializations and certifications reach $100,804 (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 Lacey?

With a starting salary of $58,137/year in Lacey 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 Lacey?

New occupational therapy graduates in Lacey typically start near the 10th percentile at $58,137/year, or approximately $27.95/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 Washington?

To become a licensed occupational therapy assistant in Washington, 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 Washington, 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 Washington

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

Data Sources & Methodology

Salary data for Lacey 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

Last verified: