Occupational Therapy Assistant Salary in Holly Springs, NC: $67,647 (2026)
Quick Answer:A full-time occupational therapy assistant in Holly Springs, NC earns a median $67,647/year (≈ $32.52/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in Holly Springs's price level (6% below national, BEA RPP 93.6), that paycheck buys what $72,272 would nationally. Nominal pay sits 3.5% below the North Carolina state average.
Based on BLS state-level estimates · View source
Occupational therapy assistants in Holly Springs, NC, can expect to earn a median annual salary of $67,647 in 2026, which is slightly below the national average of $74,332. The projected salary range indicates variability in compensation, with the lower end starting at $52,126 (P10) and reaching up to $82,380 (P90). This data is drawn from estimates based on 2025 BLS state-level data and adjusted for regional price levels. The performance expectations in the field significantly influence earnings, as the frequency of patient visits per day impacts overall productivity and compensation opportunities within the local market.
About the Holly Springs Market
Salary estimated from North Carolina average ($68,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $52,126 | $25.07 |
| Lower Range (P25) | $58,424 | $28.09 |
| Median (P50)(typical) | $67,647 | $32.52 |
| Upper Range (P75) | $73,991 | $35.57 |
| Top Earners (P90) | $82,380 | $39.60 |
Median Salary Position
8.99% below the national average
2026 Salary Percentile Distribution in Holly Springs
In Holly Springs, NC, the occupational therapy assistant salary spread from the 10th to 90th percentile is $30,254 (2026 est.). At $67,647, the local median is 8.99% below the national median of $74,332.
Salary Calculator
At 40 hours/week in Holly Springs: You'd be above the median
How Holly Springs Occupational Therapy Assistant Pay Compares
Holly Springs median: $67,647/year (2026)
| Compared To | Median Salary | Holly Springs Pays |
|---|---|---|
| North Carolina Average | $70,100 | -3.50% less |
| National Average | $74,332 | -8.99% less |
Occupational Therapy Assistants in Holly Springs, NC earn a median of $67,647 per year (2026 est.), which is 8.99% lower than the national median of $74,332 and 3.50% below the North Carolina state average of $70,100.
Cost-of-Living Adjusted Salary
Holly Springs has a cost of living 6.40% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Holly Springs, NC has a cost-of-living index of 93.6 (below the national average of 100). A occupational therapy assistant earning $67,647 nominally has purchasing power equivalent to $72,272 in an average-cost city — an effective 6.84% boost.
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2019 BLS Actual
$55,978
2025 BLS Actual
$65,798
2026 Current Est.
$67,647
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in Holly Springs (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $55,978 | Actual |
| 2020 | $57,280 | Actual |
| 2021 | $56,179 | Actual |
| 2022 | $58,472 | Actual |
| 2023 | $60,984 | Actual |
| 2024 | $61,415 | Actual |
| 2025 | $65,798 | Actual |
| 2026(current) | $67,647 | Estimated |
| 2027 | $69,548 | Projected |
Based on 7 years of BLS OEWS data for the Holly Springs metropolitan area, the median occupational therapy assistant salary grew 17.5% from $55,978 (2019) to $65,798 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $69,548 by 2027 — a total increase of $13,570 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Holly Springs 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) | $52,126 – $58,424 |
| 3-5 years (Mid Career) | $58,424 – $67,647 |
| 5+ years (Experienced) | $67,647 – $73,991 |
| 10+ years (Top Earner) | $73,991 – $82,380 |
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 Holly Springs
In Holly Springs, the local job market for occupational therapy assistants is relatively modest, with only 10 professionals employed in this field. The cost of living index in the area is 93.6, suggesting that living expenses are lower than the national average, which can enhance purchasing power for occupational therapy assistant pay in Holly Springs, NC. Among the various settings, skilled nursing facilities typically offer the highest pay, followed closely by outpatient clinics. The disparities in salaries can be driven by factors including the type of employer, productivity expectations, and the structure of reimbursement rates, particularly in light of the 15% Medicare cut affecting OTA-provided services. Striking the right balance between work settings and contractual terms, such as securing school year vs. year-round positions, can be key to maximizing earnings in this competitive market for occupational therapy assistants.
More salary data for Holly Springs, NC:
Frequently Asked Questions
How much do occupational therapy assistants make in Holly Springs, NC in 2026?
Is Holly Springs, NC a good place to work as a occupational therapy assistant?
Can occupational therapy assistants make $100K in Holly Springs?
What is the cost-of-living adjusted occupational therapy assistant salary in Holly Springs?
How much does a occupational therapy assistant make per hour in Holly Springs?
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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 $65,798 for occupational therapy assistantsin the Holly Springs 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 Holly Springs 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