Occupational Therapy Assistant Salary in Midland, TX: $78,171 (2026)
Quick Answer:A full-time occupational therapy assistant in Midland, TX earns a median $78,171/year (≈ $37.58/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in Midland's price level (4% below national, BEA RPP 96.0), that paycheck buys what $81,428 would nationally. Nominal pay sits 0.2% below the Texas state average.
Based on BLS state-level estimates · View source
Occupational therapy assistants in Midland, TX, can expect a competitive median annual salary of $78,171 in 2026, reflecting a strong demand for skilled professionals in this field. The salary range for these positions is projected to be between $56,163 at the 10th percentile and $99,260 at the 90th percentile. With estimates derived from 2025 BLS data and regional price adjustments, this figure positions Midland’s occupational therapy assistant pay slightly above the national median of $74,332. For those considering advancing from a Certified Occupational Therapy Assistant to a Master of Occupational Therapy, the earnings potential over a lifetime significantly increases, making the transition worthwhile in the context of local job opportunities.
About the Midland Market
Salary estimated from Texas average ($76,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $56,163 | $27.00 |
| Lower Range (P25) | $66,921 | $32.17 |
| Median (P50)(typical) | $78,171 | $37.58 |
| Upper Range (P75) | $86,936 | $41.79 |
| Top Earners (P90) | $99,260 | $47.72 |
Median Salary Position
5.16% above the national average
2026 Salary Percentile Distribution in Midland
In Midland, TX, the occupational therapy assistant salary spread from the 10th to 90th percentile is $43,097 (2026 est.). At $78,171, the local median is 5.16% above the national median of $74,332.
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At 40 hours/week in Midland: You'd be above the median
How Midland Occupational Therapy Assistant Pay Compares
Midland median: $78,171/year (2026)
| Compared To | Median Salary | Midland Pays |
|---|---|---|
| Texas Average | $78,327 | -0.20% less |
| National Average | $74,332 | +5.16% more |
Occupational Therapy Assistants in Midland, TX earn a median of $78,171 per year (2026 est.), which is 5.16% higher than the national median of $74,332 and 0.20% below the Texas state average of $78,327.
Cost-of-Living Adjusted Salary
Midland has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Midland, TX has a cost-of-living index of 96 (below the national average of 100). A occupational therapy assistant earning $78,171 nominally has purchasing power equivalent to $81,428 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$64,687
2025 BLS Actual
$76,034
2026 Current Est.
$78,171
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in Midland (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $64,687 | Actual |
| 2020 | $66,191 | Actual |
| 2021 | $64,918 | Actual |
| 2022 | $67,568 | Actual |
| 2023 | $70,471 | Actual |
| 2024 | $72,820 | Actual |
| 2025 | $76,034 | Actual |
| 2026(current) | $78,171 | Estimated |
| 2027 | $80,367 | Projected |
Based on 7 years of BLS OEWS data for the Midland metropolitan area, the median occupational therapy assistant salary grew 17.5% from $64,687 (2019) to $76,034 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $80,367 by 2027 — a total increase of $15,680 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Midland 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) | $56,163 – $66,921 |
| 3-5 years (Mid Career) | $66,921 – $78,171 |
| 5+ years (Experienced) | $78,171 – $86,936 |
| 10+ years (Top Earner) | $86,936 – $99,260 |
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 Midland
The local job market includes 27 occupational therapy assistants, indicating a concentrated demand for these professionals in Midland. With a cost-of-living index of 96, living expenses are appealingly below the national average, potentially enhancing the purchasing power of an occupational therapy assistant salary in Midland. Among various employers, those in skilled nursing facilities generally offer the highest pay, but productivity expectations and the impact of the 15% Medicare reimbursement cut on outpatient and skilled nursing settings can introduce pay variability. Understanding the nuances of contract types—such as year-round versus school year—and seeking positions in settings that offer premium rates for weekend or PRN work can provide significant advantages in maximizing pay in this dynamic market. By strategically navigating employer types and contract details, occupational therapy assistants can enhance their earnings potential.
More salary data for Midland, TX:
Frequently Asked Questions
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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 $76,034 for occupational therapy assistantsin the Midland 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 Midland 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