Occupational Therapy Assistant Hourly Pay in Randolph, MA: $38.53 (2026)
Quick Answer:Hourly pay for a occupational therapy assistant working in Randolph, MA runs $38.53 at the median for 2026 — annualizing to $80,155 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 31-2011). Weighted against Randolph's regional price level (BEA RPP 108.5, 9% above national), each hour of work buys what $35.51 nationally would. A 24-hour part-time schedule grosses $48,089 per year.
Based on BLS state-level estimates · View source

In Randolph, Massachusetts, the occupational therapy assistant hourly pay stands at a median of $38.53, which is notably higher than the national hourly median of $35.74. This rate is indicative of the good earning potential for part-time and per-diem workers, especially in settings such as skilled nursing facilities, outpatient clinics, and home health visits. For those committing to a part-time schedule of three days a week, the pay can be quite beneficial, allowing flexibility while still earning a respectable wage. The hourly range for this profession varies significantly, with entry-level positions typically starting around $28.38, while seasoned professionals can command up to $45.42 per hour. These numbers, derived from projected annual salary data, highlight the competitive nature of the occupational therapy assistant role in MA, particularly given the region’s cost of living index at 108.5, which is above the national average.
About the Randolph Market
Salary estimated from Massachusetts average ($72,000) adjusted for local cost of living.
Occupational Therapy Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $28.38 | $227.00 |
| Lower Range (P25) | $33.19 | $265.50 |
| Median (P50) | $38.53 | $308.27 |
| Upper Range (P75) | $42.04 | $336.31 |
| Top Earners (P90) | $45.42 | $363.37 |
Estimated Annual Income by Work Schedule in Randolph
Based on $38.53/hr median hourly rate · 2026 est.
At $38.53/hr, a occupational therapy assistant working full-time (40 hr/wk) in Randolph, MA can expect to earn approximately $80,149 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $46,240. With a cost-of-living index of 108.50 (above the national average), these earnings may be offset by higher expenses in Randolph.
Hourly Rate Calculator
Schedule Comparison in Randolph
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,541.33 | $6,679 | $80,149 |
| Part-Time (24 hrs) | $924.80 | $4,007 | $48,089 |
| Per Diem (16 hrs) | $616.53 | $2,672 | $32,060 |
Compare OTA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Occupational Therapy Assistant (Randolph) | $38.53 |
| Occupational Therapist (National Avg) | $47.00 |
| Physical Therapist Assistant (National Avg) | $31.26 |
| Athletic Trainer (National Avg) | $27.85 |
| Recreational Therapist (National Avg) | $27.50 |
Occupational Therapy Assistants in Randolph, MA earn a median of $80,155 per year (2026 est.), which is 7.83% higher than the national median of $74,332 and 0.60% below the Massachusetts state average of $80,639.
Occupational Therapy Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $38.53/hr = $48,089/year (purchasing power: $44,322).
Working 40h/week (full-time) = $80,149/year (purchasing power: $73,870).
CoL index: 108.5 (100 = national average).
2019 BLS Actual
$31.89/hr
2025 BLS Actual
$37.48/hr
2026 Current Est.
$38.53/hr
2019–2027 Growth
+24.2%
Hourly Rate Trajectory for Occupational Therapy Assistants in Randolph (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $31.89/hr | Actual |
| 2020 | $32.63/hr | Actual |
| 2021 | $32.00/hr | Actual |
| 2022 | $33.31/hr | Actual |
| 2023 | $34.74/hr | Actual |
| 2024 | $37.33/hr | Actual |
| 2025 | $37.48/hr | Actual |
| 2026(current) | $38.53/hr | Estimated |
| 2027 | $39.62/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for occupational therapy assistants in Randolph grew 17.5% from $31.89/hr (2019) to $37.48/hr (2025). At a 2.81% projected growth rate, hourly pay is expected to reach $39.62/hr by 2027. Part-time and per-diem occupational therapy assistants can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Randolph 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.
Working as an Hourly Occupational Therapy Assistant in Randolph
The earning dynamics for a part-time occupational therapy assistant working three days a week can still yield substantial returns, amounting to significant take-home pay throughout the year compared to their full-time counterparts. For those considering agency or locum positions, per diem occupational therapy assistant pay in Randolph generally ranges between $30 and $45 per hour, with travel contracts often yielding weekly pay between $1,100 and $1,700. However, agency work has faced challenges due to reduced reimbursements. The hourly rates can also differ based on the type of employer, with variations seen in settings like outpatient clinics, school districts, and home health agencies. For practitioners weighing their options, it may be advantageous to negotiate for better pay rates, especially those who might forgo health insurance benefits in exchange for higher hourly wages. Understanding local market trends and compensation structures, alongside networking with fellow COTAs, can lead to improved negotiation outcomes in the Randolph area.
More salary data for Randolph, MA:
Frequently Asked Questions
What is the hourly rate for occupational therapy assistants in Randolph in 2026?
How much do part-time occupational therapy assistants make in Randolph?
Are occupational therapy assistants in Randolph paid hourly or salary?
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Do occupational therapy assistants earn more per hour working part-time in Randolph?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.81% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for occupational therapy assistants in Randolph. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Randolph is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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