OT Assistant Salary

Occupational Therapy Assistant Salary in Texas: $81,288 (2026)

Quick Answer:Across Texas's 109 metropolitan areas, the average median occupational therapy assistant pay sits at $81,288/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 31-2011. Because Texas sits at BEA RPP 96.0 (4% below the U.S. baseline), that statewide median translates to roughly $84,675 in nationally-comparable purchasing power. Highest-paying metros: Port Arthur ($84,503), San Marcos ($83,401), Beaumont ($82,610).

Occupational Therapy Assistant Salary in Texas - 2025 BLS Data Infographic
Texas occupational therapy assistant salary overview (2026)
$81,288
Avg Median Salary
$39.08
Avg Hourly Rate
6,454
Metro Employed
109
Cities

In Texas, occupational therapy assistants can expect an average median salary of $81,288 in 2026, which is notably higher than the national median of $74,332, reflecting a 9.4% advantage. Port Arthur leads with the highest salary at $86,878, while Laredo presents the lowest figure at $65,891, resulting in a salary gap of $20,987. This disparity can be attributed to factors such as local demand for services, cost of living, and the availability of healthcare facilities. Texas has specific state licensing requirements that occupational therapy assistants must meet, along with defined scope of practice laws, which can influence job desirability and salary levels. The job market demonstrates a stable outlook with a projected annual growth rate of 2.81%, indicating a steady demand for occupational therapy assistants. As the total employment of occupational therapy assistants in Texas is approximately 6,454, cities like San Marcos ($85,745), Beaumont ($84,931), Round Rock ($84,376), and Austin ($83,790) also offer competitive salaries, underlining the diverse opportunities across the state. Overall, Texas presents a dynamic landscape for occupational therapy assistants, supported by a growing job market and varied salary potential.

Texas Occupational Therapy Assistant Salary Range

Entry Level (10th %ile)
$62,784
avg across 109 cities
Median
$81,288
state average
Top Earners (90th %ile)
$97,312
avg across 109 cities

Overall salary range in Texas: $35,881 (lowest entry-level) to $110,100 (highest top earner)

Texas vs National Average

Texas
$81,288
National Median
$74,332

Texas occupational therapy assistants earn 9.36% more than the national median (+$6,956/year difference).

Texas Occupational Therapy Assistant Salary Distribution (2026)

Vertical bar chart showing Texas occupational therapy assistant salary percentiles: 10th percentile $62,784, 25th $75,223, Median $81,288, 75th $90,542, 90th $97,312. US national median is $74,332.$27.2K$54.5K$81.7K$109.0K$62.8K10thEntry Level$75.2K25thEarly Career$81.3KMedianMid Career$90.5K75thExperienced$97.3K90thTop EarnerUS Median $74.3K

Occupational Therapy Assistant salaries in Texas range from $62,784 (entry-level, 10th percentile) to $97,312 (top earners, 90th percentile), with a median of $81,288. The Texas median is $6,956 above the US national median of $74,332. The average hourly rate is $39.08/hr. Approximately 6,454 occupational therapy assistants are employed across 109 cities.

2019 BLS Actual

$65,335

2025 BLS Actual

$79,066

2026 Current Est.

$81,288

2019–2027 Growth

+27.9%

Salary Trajectory for Occupational Therapy Assistants in Texas (20192027)

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

BLS Actual Estimated Projected
Salary trajectory chart for occupational therapy assistants in Texas. Baseline $65,335 in 2025, projected to $83,572 by 2027.$61.7K$68.1K$74.5K$80.8K$87.2K2019202020212022202320242025202620272025 BLS$65.3K$68.0K$75.2K$76.2K$73.3K$76.0K$79.1K$81.3K$83.6K
YearAnnual SalaryStatus
2019$65,335Actual
2020$67,994Actual
2021$75,153Actual
2022$76,190Actual
2023$73,310Actual
2024$75,998Actual
2025$79,066Actual
2026(current)$81,288Estimated
2027$83,572Projected

Based on 7 years of BLS OEWS data for the Texas metropolitan area, the median occupational therapy assistant salary grew 21.0% from $65,335 (2019) to $79,066 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $83,572 by 2027 — a total increase of $18,237 (27.91%) from 2019.

Note: Historical values (20192025) are actual BLS OEWS figures for the Texas 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.

Top 5 Highest Paying Cities in Texas

#1
Port Arthur
12 employed · $41.77/hr
$86,878
+6.88% vs avg
#2
San Marcos
13 employed · $41.23/hr
$85,745
+5.48% vs avg
#3
Beaumont
70 employed · $40.84/hr
$84,931
+4.48% vs avg
#4
Round Rock
26 employed · $40.57/hr
$84,376
+3.80% vs avg
#5
Austin
1,190 employed · $40.29/hr
$83,790
+3.08% vs avg

Lowest Paying Cities in Texas

CityMedian Salary
Laredo$65,891
Tomball$71,828
Murphy$72,405
Horizon City$72,894
Stephenville$73,212

Best Value Cities for Occupational Therapy Assistants in Texas

When adjusted for local cost of living, these Texas cities offer the most purchasing power for occupational therapy assistants.

CityNominal SalaryCoL IndexAdjusted Salary
Texarkana$81,96084.012$97,557
Beaumont$84,93190.046$94,320
Port Arthur$86,87896$90,498
Lubbock$81,92991.317$89,719
San Marcos$85,74596$89,318

Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.

Salary by Experience Level in Texas

Experience LevelEstimated Annual
Entry Level (0-2 years)$62,784
Mid Career (3-7 years)$81,288
Experienced (7+ years)$97,312

Estimates based on BLS percentile data averaged across Texas metro areas. Individual pay varies by employer, certifications, and specialization.

All 109 Cities in Texas

#CityMedian Salary
1Port Arthur$86,878
2San Marcos$85,745
3Beaumont$84,931
4Round Rock$84,376
5Austin$83,790
6Houston$83,626
7Dallas$83,451
8Fort Worth$82,907
9The Woodlands$82,625
10Pasadena$82,532
11New Braunfels$82,174
12Irving$82,087
13Texarkana$81,960
14Lubbock$81,929
15Plano$81,816
16Arlington$81,765
17San Antonio$81,467
18Garland$81,390
19Frisco$81,100
20Conroe$79,438
21Waco$79,338
22Richardson$79,290
23Carrollton$79,278
24Grand Prairie$79,145
25Amarillo$78,876
26Galveston$78,564
27DeSoto$78,508
28Killeen$78,434
29Missouri City$78,428
30San Angelo$78,405
31Abilene$78,285
32Longview$78,208
33Midland$78,171
34Sugar Land$78,094
35Allen$78,088
36League City$78,018
37Cedar Park$77,983
38Georgetown$77,956
39Baytown$77,925
40Denton$77,880
41Wylie$77,869
42Cleburne$77,858
43Mesquite$77,848
44College Station$77,796
45Temple$77,790
46Pharr$77,789
47McKinney$77,778
48Pearland$77,619
49Burleson$77,566
50Odessa$77,468
51Pflugerville$77,466
52Cedar Hill$77,432
53Tyler$77,395
54Flower Mound$77,243
55Kyle$77,193
56Del Rio$77,104
57Coppell$76,922
58Forney$76,801
59El Paso$76,737
60Rowlett$76,722
61The Colony$76,606
62Anna$76,576
63Wichita Falls$76,542
64Corpus Christi$76,521
65Huntsville$76,491
66Mission$76,468
67Mansfield$76,250
68Weatherford$76,236
69Euless$76,201
70Weslaco$76,150
71Hurst$76,114
72Grapevine$76,021
73Leander$76,002
74Little Elm$75,998
75Lancaster$75,931
76North Richland Hills$75,878
77Duncanville$75,865
78McAllen$75,792
79Victoria$75,792
80Copperas Cove$75,719
81Friendswood$75,706
82Harlingen$75,540
83Seguin$75,391
84Rockwall$75,288
85Corinth$75,209
86Schertz$75,142
87Corsicana$75,079
88San Juan$75,026
89Kingsville$75,019
90Prosper$75,002
91Sachse$74,813
92Bastrop$74,802
93Socorro$74,673
94Eagle Pass$74,534
95Keller$74,424
96Sherman$74,418
97Lufkin$74,339
98Haltom City$74,333
99Nacogdoches$74,333
100Benbrook$74,272
101Brownsville$74,219
102University Park$74,201
103Edinburg$73,970
104Fredericksburg$73,736
105Stephenville$73,212
106Horizon City$72,894
107Murphy$72,405
108Tomball$71,828
109Laredo$65,891

More Texas Salary Data

Hourly Rates

Explore occupational therapy assistant hourly pay in Texas cities.

Entry Level

Starting salaries for new occupational therapy assistants.

Senior / Experienced

Top earner salaries for experienced occupational therapy assistants.

Compare Cities in Texas

View all comparisons →

Explore More Occupational Therapy Assistant Salary Data

Frequently Asked Questions

How much do occupational therapy assistants make in Texas in 2026?

The average median occupational therapy assistant salary in Texas is $81,288/year across 109 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $65,891 in Laredo to $86,878 in Port Arthur. This makes Texas one of the higher-paying states, at 9.36% above the national median of $74,332. The state employs approximately 6,454 occupational therapy assistants.

What is the highest paying city for occupational therapy assistants in Texas?

Port Arthur offers the highest occupational therapy assistant salary in Texas at $86,878/year ($41.77/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Port Arthur ($86,878), San Marcos ($85,745), Beaumont ($84,931). Higher pay in these metros is typically driven by cost of living, demand for occupational therapy services, and competition among employers for licensed occupational therapy assistants.

How does Texas occupational therapy assistant pay compare to the national average?

Texas's average occupational therapy assistant salary of $81,288 is 9.36% above the national median of $74,332 in 2026. The state employs approximately 6,454 occupational therapy assistants across 109 metropolitan areas. When comparing salaries, consider cost-of-living differences — a lower nominal salary in an affordable area may provide better purchasing power than a higher salary in an expensive metro.

What is the entry-level occupational therapy assistant salary in Texas?

Entry-level occupational therapy assistants (10th percentile) in Texas earn approximately $62,784/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $35,881 in lower-paying areas to $83,790 in the highest-paying metros. New graduates should expect salaries at the lower end and can typically reach the area median within 3–5 years of clinical experience.

How many occupational therapy assistants are employed in Texas?

Texas employs approximately 6,454 occupational therapy assistants across 109 metropolitan areas, based on the latest BLS data. This makes Texas one of the larger employers of occupational therapy assistants nationally. Demand continues to grow as the occupational therapy field expands and the population ages.

Which Texas city offers the best value for occupational therapy assistants?

When adjusted for cost of living, Texarkana offers the highest purchasing power for occupational therapy assistants in Texas, with an adjusted salary of $97,557 (nominal: $81,960, CoL index: 84.012). This means your dollar goes 19% further compared to the national average, making it an attractive option for maximizing real income.
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

Statewide 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. A 2.81% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to each metro area's reported salary to estimate current 2026 occupational therapy assistant compensation across Texas. State averages are employment-weighted across 109 metro areas — larger metro areas with more occupational therapy assistantscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS, 7-year dataset (). Per-city data from annual BLS metropolitan area surveys.

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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