Occupational Therapy Assistant Salary in North Royalton, OH: $64,103 (2026)
Quick Answer:A full-time occupational therapy assistant in North Royalton, OH earns a median $64,103/year (≈ $30.82/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in North Royalton's price level (9% below national, BEA RPP 90.7), that paycheck buys what $70,676 would nationally. Nominal pay sits 1.8% below the Ohio state average.
Based on BLS state-level estimates · View source
In 2026, the projected compensation for an occupational therapy assistant in North Royalton, OH, stands at a median annual salary of $64,103, which is notably lower than the national median of $74,332. The local salary range goes from $45,724 at the 10th percentile to $74,224 at the 90th percentile, illustrating a healthy spread that reflects varying levels of experience and job settings. These figures are derived from state-level data and adjusted for regional cost of living, pointing to a job market that has room for growth but also presents challenges due to the 15% Medicare reimbursement cut that affects OTA providers. As individuals consider pathways from COTA to MOT, understanding these earnings can significantly impact lifetime financial planning.
About the North Royalton Market
Salary estimated from Ohio average ($66,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $45,724 | $21.98 |
| Lower Range (P25) | $56,756 | $27.29 |
| Median (P50)(typical) | $64,103 | $30.82 |
| Upper Range (P75) | $67,582 | $32.49 |
| Top Earners (P90) | $74,224 | $35.69 |
Median Salary Position
13.76% below the national average
2026 Salary Percentile Distribution in North Royalton
In North Royalton, OH, the occupational therapy assistant salary spread from the 10th to 90th percentile is $28,500 (2026 est.). At $64,103, the local median is 13.76% below the national median of $74,332.
Salary Calculator
At 40 hours/week in North Royalton: You'd be above the median
How North Royalton Occupational Therapy Assistant Pay Compares
North Royalton median: $64,103/year (2026)
| Compared To | Median Salary | North Royalton Pays |
|---|---|---|
| Ohio Average | $65,278 | -1.80% less |
| National Average | $74,332 | -13.76% less |
Occupational Therapy Assistants in North Royalton, OH earn a median of $64,103 per year (2026 est.), which is 13.76% lower than the national median of $74,332 and 1.80% below the Ohio state average of $65,278.
Cost-of-Living Adjusted Salary
North Royalton has a cost of living 9.30% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
North Royalton, OH has a cost-of-living index of 90.7 (below the national average of 100). A occupational therapy assistant earning $64,103 nominally has purchasing power equivalent to $70,676 in an average-cost city — an effective 10.25% boost.
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2019 BLS Actual
$53,046
2025 BLS Actual
$62,351
2026 Current Est.
$64,103
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in North Royalton (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $53,046 | Actual |
| 2020 | $54,279 | Actual |
| 2021 | $53,236 | Actual |
| 2022 | $55,409 | Actual |
| 2023 | $57,789 | Actual |
| 2024 | $58,798 | Actual |
| 2025 | $62,351 | Actual |
| 2026(current) | $64,103 | Estimated |
| 2027 | $65,904 | Projected |
Based on 7 years of BLS OEWS data for the North Royalton metropolitan area, the median occupational therapy assistant salary grew 17.5% from $53,046 (2019) to $62,351 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $65,904 by 2027 — a total increase of $12,858 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the North Royalton 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) | $45,724 – $56,756 |
| 3-5 years (Mid Career) | $56,756 – $64,103 |
| 5+ years (Experienced) | $64,103 – $67,582 |
| 10+ years (Top Earner) | $67,582 – $74,224 |
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 North Royalton
When examining the occupational therapy assistant pay in North Royalton, it becomes evident that the local workforce consists of a tight-knit group, with only seven occupational therapy assistants currently employed in the area. The cost of living index at 90.7 indicates that North Royalton is generally more affordable than other regions, allowing for better purchasing power relative to salaries. Among local employers, skilled nursing facilities and inpatient rehab hospitals tend to offer higher wages compared to outpatient clinics or school district contracts, largely due to productivity expectations and varying demand in service settings. Furthermore, to maximize their earning potential, occupational therapy assistants may consider seeking positions in year-round contracts or those that offer weekend shifts, as these can provide additional financial incentives. The interplay between setting and pay highlights the importance of strategic job selection in this competitive market.
More salary data for North Royalton, OH:
Frequently Asked Questions
How much do occupational therapy assistants make in North Royalton, OH in 2026?
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Can occupational therapy assistants make $100K in North Royalton?
What is the cost-of-living adjusted occupational therapy assistant salary in North Royalton?
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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 $62,351 for occupational therapy assistantsin the North Royalton 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 North Royalton 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