Occupational Therapy Assistant Salary in San Juan, TX: $75,026 (2026)
Quick Answer:A full-time occupational therapy assistant in San Juan, TX earns a median $75,026/year (≈ $36.07/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in San Juan's price level (4% below national, BEA RPP 96.0), that paycheck buys what $78,152 would nationally. Nominal pay sits 4.2% below the Texas state average.
Based on BLS state-level estimates · View source

With a median annual salary of $75,026 for occupational therapy assistants in San Juan, TX, local professionals earn slightly more than the national median of $74,332. This salary range spans from $56,920 at the 10th percentile to $93,158 at the 90th percentile, indicating a diverse compensation scale that reflects the distinct sectors of employment in the area. Factors such as skilled nursing facilities (SNFs), schools, and hospitals each present different earning potentials, with the market adapting to the aftermath of Medicare cuts that have been affecting service reimbursements. Understanding these variations is crucial for COTAs navigating their career paths in San Juan, where demand remains consistent.
About the San Juan Market
Salary estimated from Texas average ($76,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $56,920 | $27.37 |
| Lower Range (P25) | $65,806 | $31.63 |
| Median (P50)(typical) | $75,026 | $36.07 |
| Upper Range (P75) | $82,928 | $39.87 |
| Top Earners (P90) | $93,158 | $44.78 |
Median Salary Position
0.93% above the national average
2026 Salary Percentile Distribution in San Juan
In San Juan, TX, the occupational therapy assistant salary spread from the 10th to 90th percentile is $36,238 (2026 est.). At $75,026, the local median is 0.93% above the national median of $74,332.
Salary Calculator
At 40 hours/week in San Juan: You'd be above the median
How San Juan Occupational Therapy Assistant Pay Compares
San Juan median: $75,026/year (2026)
| Compared To | Median Salary | San Juan Pays |
|---|---|---|
| Texas Average | $78,315 | -4.20% less |
| National Average | $74,332 | +0.93% more |
Occupational Therapy Assistants in San Juan, TX earn a median of $75,026 per year (2026 est.), which is 0.93% higher than the national median of $74,332 and 4.20% below the Texas state average of $78,315.
Cost-of-Living Adjusted Salary
San Juan 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.
San Juan, TX has a cost-of-living index of 96 (below the national average of 100). A occupational therapy assistant earning $75,026 nominally has purchasing power equivalent to $78,152 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$62,084
2025 BLS Actual
$72,975
2026 Current Est.
$75,026
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in San Juan (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $62,084 | Actual |
| 2020 | $63,528 | Actual |
| 2021 | $62,306 | Actual |
| 2022 | $64,850 | Actual |
| 2023 | $67,636 | Actual |
| 2024 | $69,891 | Actual |
| 2025 | $72,975 | Actual |
| 2026(current) | $75,026 | Estimated |
| 2027 | $77,134 | Projected |
Based on 7 years of BLS OEWS data for the San Juan metropolitan area, the median occupational therapy assistant salary grew 17.5% from $62,084 (2019) to $72,975 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $77,134 by 2027 — a total increase of $15,050 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the San Juan 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) | $56,920 – $65,806 |
| 3-5 years (Mid Career) | $65,806 – $75,026 |
| 5+ years (Experienced) | $75,026 – $82,928 |
| 10+ years (Top Earner) | $82,928 – $93,158 |
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 San Juan
In 2026, San Juan will see a total of nine occupational therapy assistants making their mark in the local healthcare scene. The cost of living index at 96 suggests a moderately affordable environment, which can enhance take-home earnings, especially in a region navigating the implications of a 15% Medicare reimbursement cut. Typically, hospitals tend to offer the best pay among local employers, especially compared to schools and SNFs, which have been further impacted by the reimbursement changes. Factors contributing to pay discrepancies include employment settings, productivity expectations, and contract types, such as school-year versus full-year commitments. To maximize earnings, COTAs in San Juan should consider opportunities in outpatient facilities that may offer more flexible hours and higher rates for weekend or PRN work, allowing for a solid financial outlook in the evolving healthcare landscape.
More salary data for San Juan, TX:
Frequently Asked Questions
How much do occupational therapy assistants make in San Juan, TX in 2026?
Is San Juan, TX a good place to work as a occupational therapy assistant?
Can occupational therapy assistants make $100K in San Juan?
What is the cost-of-living adjusted occupational therapy assistant salary in San Juan?
How much does a occupational therapy assistant make per hour in San Juan?
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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 $72,975 for occupational therapy assistantsin the San Juan 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 San Juan 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