Occupational Therapy Assistant Salary in Leominster, MA: $76,550 (2026)
Quick Answer:A full-time occupational therapy assistant in Leominster, MA earns a median $76,550/year (≈ $36.81/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in Leominster's price level (9% above national, BEA RPP 108.5), that paycheck buys what $70,553 would nationally. Nominal pay sits 5.1% below the Massachusetts state average.
Based on BLS state-level estimates · View source

Occupational therapy assistants in Leominster, Massachusetts, can expect a median annual salary of $76,550 in 2026, which is slightly above the national median of $74,332. This figure is reflective of local estimates based on 2025 BLS data and regional adjustments in cost of living, indicating that the salary range for this occupation falls between $56,855 at the 10th percentile and $90,763 at the 90th percentile. The local job market is shaped by a divide in practice settings, including skilled nursing facilities (SNFs), schools, and hospitals, which have all been affected post-Medicare cuts. These structural factors have implications for the financial compensation of occupational therapy assistants, demonstrating a need for professionals to navigate these environments strategically.
About the Leominster Market
Salary estimated from Massachusetts average ($72,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $56,855 | $27.34 |
| Lower Range (P25) | $64,599 | $31.06 |
| Median (P50)(typical) | $76,550 | $36.81 |
| Upper Range (P75) | $82,174 | $39.51 |
| Top Earners (P90) | $90,763 | $43.63 |
Median Salary Position
2.98% above the national average
2026 Salary Percentile Distribution in Leominster
In Leominster, MA, the occupational therapy assistant salary spread from the 10th to 90th percentile is $33,908 (2026 est.). At $76,550, the local median is 2.98% above the national median of $74,332.
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At 40 hours/week in Leominster: You'd be above the median
How Leominster Occupational Therapy Assistant Pay Compares
Leominster median: $76,550/year (2026)
| Compared To | Median Salary | Leominster Pays |
|---|---|---|
| Massachusetts Average | $80,664 | -5.10% less |
| National Average | $74,332 | +2.98% more |
Occupational Therapy Assistants in Leominster, MA earn a median of $76,550 per year (2026 est.), which is 2.98% higher than the national median of $74,332 and 5.10% below the Massachusetts state average of $80,664.
Cost-of-Living Adjusted Salary
Leominster has a cost of living 8.50% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Leominster, MA has a cost-of-living index of 108.5 (above the national average of 100). While the nominal salary of $76,550 is competitive, the higher cost of living reduces purchasing power to an effective $70,553 — a 7.83% reduction.
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2019 BLS Actual
$63,346
2025 BLS Actual
$74,458
2026 Current Est.
$76,550
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in Leominster (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $63,346 | Actual |
| 2020 | $64,819 | Actual |
| 2021 | $63,573 | Actual |
| 2022 | $66,168 | Actual |
| 2023 | $69,010 | Actual |
| 2024 | $74,149 | Actual |
| 2025 | $74,458 | Actual |
| 2026(current) | $76,550 | Estimated |
| 2027 | $78,701 | Projected |
Based on 7 years of BLS OEWS data for the Leominster metropolitan area, the median occupational therapy assistant salary grew 17.5% from $63,346 (2019) to $74,458 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $78,701 by 2027 — a total increase of $15,355 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Leominster 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $56,855 – $64,599 |
| 3-5 years (Mid Career) | $64,599 – $76,550 |
| 5+ years (Experienced) | $76,550 – $82,174 |
| 10+ years (Top Earner) | $82,174 – $90,763 |
OTA salary ranges estimated from BLS percentile data. Individual occupational therapy assistant compensation varies by employer, certifications, and specialization.
Occupational Therapy Assistant Job Market in Leominster
Analyzing the job market further reveals that only 10 occupational therapy assistants are currently employed in Leominster, which highlights a competitive landscape. With a cost-of-living index of 108.5, the effective purchasing power of salaries is notably impacted, as higher living expenses can diminish take-home pay. Pay disparities among local employers often rank hospital inpatient rehab settings at the top, with outpatient clinics and school contracts typically offering less. The ongoing 15% Medicare reimbursement cut has also led to reduced earnings in SNF and outpatient environments, setting a complex backdrop to earning potential. COTAs aiming to maximize their pay in Leominster should consider extending their practice to high-demand settings, pursue PRN opportunities for supplemental income, and explore full-time roles in hospitals, which are generally more lucrative. Additionally, pursuing further education through COTA-to-MOT bridge pathways may open doors to advanced roles with higher salary prospects.
More salary data for Leominster, MA:
Frequently Asked Questions
How much do occupational therapy assistants make in Leominster, MA in 2026?
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Can occupational therapy assistants make $100K in Leominster?
What is the cost-of-living adjusted occupational therapy assistant salary in Leominster?
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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
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 BLS reported a median annual salary of $74,458 for occupational therapy assistantsin the Leominster metropolitan area. A 2.81% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Leominster 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