OT Assistant Salary

Occupational Therapy Assistant Hourly Pay in Matthews, NC: $33.32 (2026)

Quick Answer:Hourly pay for a occupational therapy assistant working in Matthews, NC runs $33.32 at the median for 2026 — annualizing to $69,300 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 31-2011). Weighted against Matthews's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $35.60 nationally would. A 24-hour part-time schedule grosses $41,584 per year.

$69,300
Median Annual Salary
$33.32/hr
Hourly Rate
$50,171
Entry Level (P10)
$81,112
Top Earners (P90)

Based on BLS state-level estimates · View source

Occupational Therapy Assistant Hourly Rate in Matthews, NC — 2026 est., based on 2025 BLS
Matthews, NC occupational therapy assistant hourly rate overview (2026 est., based on 2025 BLS)

In Matthews, North Carolina, an occupational therapy assistant earns a median hourly rate of $33.32, which is slightly lower than the national median hourly pay of $35.74. This hourly rate translates into practical earning potential for part-time and per-diem workers in various therapeutic settings, such as skilled nursing facilities, hospital rehabilitation units, school therapy rooms, outpatient clinics, and during home health visits. For those just entering the field, hourly wages start at approximately $24.12, while top earners can expect to receive around $39.00 per hour. Keep in mind that these figures are estimates based on projected annual salary data for 2026, providing a framework for understanding pay within this essential profession.

About the Matthews Market

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

Occupational Therapy Assistant Hourly Wage Breakdown

PercentileHourly RatePer 8hr Shift
Entry Level (P10)$24.12$192.95
Lower Range (P25)$28.47$227.74
Median (P50)$33.32$266.57
Upper Range (P75)$35.38$283.02
Top Earners (P90)$39.00$311.97

Estimated Annual Income by Work Schedule in Matthews

Based on $33.32/hr median hourly rate · 2026 est.

Horizontal bars showing a occupational therapy assistant in Matthews earning $33.32/hr would make approximately $39,985 part-time (24 hr/wk) or $69,307 full-time (40 hr/wk).Part-Time (24 hr/wk)$39,985Reduced (32 hr/wk)$53,313Full-Time (40 hr/wk)$69,307

At $33.32/hr, a occupational therapy assistant working full-time (40 hr/wk) in Matthews, NC can expect to earn approximately $69,307 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $39,985. With a cost-of-living index of 93.60 (below the national average), these earnings stretch further in Matthews.

Annual estimates assume 5052 working weeks per year. Actual earnings vary by employer, overtime, and benefits.

Hourly Rate Calculator

$266.57
per 8hr shift
$1,332.83
per week
$5,776
per month
$69,307
per year

Schedule Comparison in Matthews

ScheduleWeeklyMonthlyAnnual
Full-Time (40 hrs)$1,332.83$5,776$69,307
Part-Time (24 hrs)$799.70$3,465$41,584
Per Diem (16 hrs)$533.13$2,310$27,723

Compare OTA Wages With Similar Roles

RoleMedian Hourly
Occupational Therapy Assistant (Matthews)$33.32
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
Horizontal bar chart comparing occupational therapy assistant median salary in Matthews ($69,300) with North Carolina average ($70,071) and the US national median ($74,332).Matthews$69,300North Carolina Avg$70,071-1.10%US National$74,332-6.77%

Occupational Therapy Assistants in Matthews, NC earn a median of $69,300 per year (2026 est.), which is 6.77% lower than the national median of $74,332 and 1.10% below the North Carolina state average of $70,071.

Occupational Therapy Assistant Hourly Pay vs. Cost of Living

Working 24h/week at $33.32/hr = $41,584/year (purchasing power: $44,428).

Working 40h/week (full-time) = $69,307/year (purchasing power: $74,046).

CoL index: 93.6 (100 = national average). Your dollars stretch further here.

2019 BLS Actual

$27.57/hr

2025 BLS Actual

$32.41/hr

2026 Current Est.

$33.32/hr

2019–2027 Growth

+24.2%

Hourly Rate Trajectory for Occupational Therapy Assistants in Matthews (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.

BLS Actual Estimated Projected
Hourly rate trajectory chart for occupational therapy assistants in Matthews. Baseline $27.57/hr in 2025, projected to $34.26/hr by 2027.$26$29$31$33$362019202020212022202320242025202620272025 BLS$27.57$28.21$27.67$28.80$30.04$30.25$32.41$33.32$34.26
YearHourly RateStatus
2019$27.57/hrActual
2020$28.21/hrActual
2021$27.67/hrActual
2022$28.80/hrActual
2023$30.04/hrActual
2024$30.25/hrActual
2025$32.41/hrActual
2026(current)$33.32/hrEstimated
2027$34.26/hrProjected

Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for occupational therapy assistants in Matthews grew 17.5% from $27.57/hr (2019) to $32.41/hr (2025). At a 2.81% projected growth rate, hourly pay is expected to reach $34.26/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 (20192025) are actual BLS OEWS figures for the Matthews 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.

Working as an Hourly Occupational Therapy Assistant in Matthews

In terms of part-time earning potential, an occupational therapy assistant working three days a week, totaling 24 hours, could expect to take home about $41,664 annually. This contrasts with full-time earnings, which would yield a significantly higher overall income. Per-diem and agency positions offer a different dynamic, with competitive pay rates typically ranging from $30 to $45 per hour. Travel contracts also present opportunities for increased income, with some COTAs earning between $1,100 and $1,700 weekly. However, it's crucial to consider how hourly rates vary across different employer types in Matthews, such as skilled nursing facilities, hospitals, and school districts. This variation often reflects a trade-off between higher hourly wages with fewer benefits and lower rates that include health insurance. For occupational therapy assistants looking to negotiate pay, understanding the specific context and value offered by each employment opportunity is key to achieving optimal compensation.

Frequently Asked Questions

What is the hourly rate for occupational therapy assistants in Matthews in 2026?

The estimated 2026 median hourly rate for occupational therapy assistants in Matthews is $33.32/hour, based on estimated 2026 salary (projected from 2025 BLS data at 2.81% annual growth). Rates range from $24.12 at entry level (10th percentile) to $39.00 for experienced practitioners (90th percentile). This is 6.8% below the national average. Hourly pay varies based on practice type, patient volume, years of experience, and whether the position includes benefits.

How much do part-time occupational therapy assistants make in Matthews?

A part-time occupational therapy assistant working 3 days per week (24 hours) in Matthews earns approximately $3,465/month, or $41,584/year at the median hourly rate of $33.32. Many occupational therapy assistants prefer part-time schedules for work-life balance, and some work at multiple practices to maximize earnings. Part-time positions may not include benefits like health insurance or retirement contributions, but typically offer higher hourly rates to compensate.

Are occupational therapy assistants in Matthews paid hourly or salary?

The majority of occupational therapy assistants in Matthews are paid hourly at a median rate of $33.32/hour. Some full-time positions at larger practices or organizations offer salaried compensation around $69,307/year, often bundled with benefits including health insurance, paid time off, retirement plans, and continuing education allowances. Hourly pay gives flexibility, while salary positions provide income stability.

How much does a full-time occupational therapy assistant make per year in Matthews?

A full-time occupational therapy assistant working 40 hours per week (2,080 hours/year) in Matthews earns approximately $69,307/year at the median hourly rate of $33.32. This is 6.8% below the national median. Top earners working full-time can reach $81,111/year at the 90th percentile rate. Overtime and weekend shifts may further increase annual earnings.

Do occupational therapy assistants earn more per hour working part-time in Matthews?

Part-time and per diem occupational therapy assistants in Matthews sometimes command higher hourly rates — up to $39.00/hour — because practices need flexible coverage for specific days or peak hours. However, part-time positions typically do not include benefits like health insurance, paid time off, or retirement contributions. When factoring in the value of benefits, full-time salaried positions may offer comparable or better total compensation despite a slightly lower hourly rate.

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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

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 Matthews. 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 Matthews 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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