Senior Occupational Therapy Assistant Salary in Ames, IA: $85,510 (2026)
Quick Answer:The top tier of occupational therapy assistants working in Ames, IA — those at or above the 90th percentile — pull in $85,510/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-2011. Strip back Ames's price premium (BEA RPP 90.4, 10% below national) and that top-decile pay carries the same buying power as $94,591 in average-cost America. The 28% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

In 2026, seasoned occupational therapy assistants in Ames, Iowa, can anticipate a median annual salary of $66,867, with top earners enjoying heights of up to $85,510. This demonstrates a significant gap between the median income and the maximum potential for experienced practitioners, reflecting an experience premium that rewards those who have honed their skills over seven years or more. For those aspiring to join the ranks of top earners, mastering in-demand specializations and pursuing advanced certifications can play a decisive role in achieving elevated earning levels. Given that the Ames market is projected to lag behind the national average by about 10.04%, understanding local demand dynamics will be crucial for those looking to maximize their compensation potential.
About the Ames Market
Salary estimated from Iowa average ($62,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Ames
Experienced occupational therapy assistants at the top of the pay scale in Ames earn between $74,993 and $85,510 per year (2026 est.). This $39,768 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Ames median of $66,867 sits 10.04% below the US median.
Top OTA Salary Comparison
| Level | Ames | National |
|---|---|---|
| Median (P50) | $66,867 | $74,332 |
| 75th Percentile | $74,993 | $81,384 |
| 90th Percentile (Top 10%) | $85,510 | $92,303 |
In Ames, experienced occupational therapy assistants (P90) earn 27.88% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Occupational Therapy Assistant Pay in Ames
Advanced Certifications in Iowa
IA occupational therapy assistants with additional specialty certifications within the occupational therapy field earn significantly above the $66,867 median. Expanded-scope credentials are increasingly valued by Ames employers.
Specialty Focus
Occupational Therapy Assistants focusing on high-acuity or specialty areas within the occupational therapy field in Ames command premium compensation, often reaching the $74,993–$85,510 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Ames metro area often pay above-market rates for experienced occupational therapy assistants who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured occupational therapy assistants in Ames with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Occupational Therapy Assistants in Iowa who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Occupational Therapy Assistant Career & Wage Growth Path in Ames
Clinical Occupational Therapy Assistant
0-5 yearsSenior/Lead Occupational Therapy Assistant
5-10 yearsOccupational Therapy Assistant Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedAmes ranks #3 of 26 Iowa cities for top earner occupational therapy assistant salary (90th percentile: $85,510).
Top 10% occupational therapy assistant compensation in Ames ($85,510) is 4.07% above the Iowa average P90 ($82,165).
2019 BLS Actual
$76,160
2025 BLS Actual
$83,173
2026 Current Est.
$85,510
2019–2027 Growth
+15.4%
Salary Trajectory for Occupational Therapy Assistants in Ames (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $76,160 | Actual |
| 2020 | $77,902 | Actual |
| 2021 | $74,307 | Actual |
| 2022 | $79,282 | Actual |
| 2023 | $82,663 | Actual |
| 2024 | $73,012 | Actual |
| 2025 | $83,173 | Actual |
| 2026(current) | $85,510 | Estimated |
| 2027 | $87,913 | Projected |
Top-earning occupational therapy assistants (90th percentile) in Ames saw their compensation grow 9.2% from $76,160 in 2019 to $83,173 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 2.81% annual growth rate, senior-level pay is projected to reach $87,913 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Ames 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.
Maximizing Your Occupational Therapy Assistant Earnings in Ames
Compensation trends in Ames vary significantly depending on the specific practice area and employment setting. Occupational therapy assistants specializing in pediatric care, geriatric support in skilled nursing facilities, and mental health are particularly well-positioned to command higher salaries. Senior professionals working within hospitals and outpatient clinics generally see better pay compared to those in school districts or home health agencies due to differing funding allocations and productivity expectations. Advanced credentials such as an Associate's degree from an ACOTE-accredited program, the NBCOT COTA credential, and relevant state licensing further augment earning possibilities and career advancement paths. Lead OTA roles, clinic operations coordination, or involvement in educational programs can provide additional opportunities for growth. Non-salary factors also influence senior compensation in Ames, with variances noted in contract types, productivity incentives, and the overarching impact of the recent 15% Medicare cut on reimbursement rates for OTA services. Understanding these intricacies can empower senior occupational therapy assistants to navigate their careers strategically in the ever-evolving IA market.
More salary data for Ames, IA:
Frequently Asked Questions
How much do experienced occupational therapy assistants make in Ames in 2026?
What drives higher occupational therapy assistant pay in Ames?
What certifications boost occupational therapy assistant salary in Ames?
Can experienced occupational therapy assistants make six figures in Ames?
How much does occupational therapy assistant salary increase over time in Ames?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $83,173 for occupational therapy assistants in the Ames metro area. A 2.81% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Ames 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