OT Assistant Salary

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.

$85,510
Top 10% Earn
$41.11/hr
Top Hourly Rate
$74,993
75th Percentile
$85,510
90th Percentile

Based on BLS state-level estimates · View source

Occupational Therapy Assistant Senior Salary in Ames, IA — 2026 est., based on 2025 BLS
Ames, IA occupational therapy assistant senior salary overview (2026 est., based on 2025 BLS)

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

Vertical bar chart of 10th through 90th percentile salaries for occupational therapy assistants in Ames. The median salary is $66,867, compared to the national median of $74,332.$41.2K$53.3K$65.5K$77.6K$89.8K$45.7K10th Pctl$55.2K25th Pctl$66.9KMedian$75.0K75th Pctl$85.5K90th PctlUS Median$74.3K

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.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of occupational therapy assistant pay in the Ames metro area.

Top OTA Salary Comparison

LevelAmesNational
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

1

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.

2

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.

3

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.

4

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.

5

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 years
$45,742 – $66,867

Senior/Lead Occupational Therapy Assistant

5-10 years
$66,867 – $74,993

Occupational Therapy Assistant Department Manager

10+ years
$74,993+

Educator / Specialty Leadership

Advanced
Varies by role

Ames 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 (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 Ames. Baseline $76,160 in 2025, projected to $87,913 by 2027.$70.0K$75.2K$80.5K$85.7K$90.9K2019202020212022202320242025202620272025 BLS$76.2K$77.9K$74.3K$79.3K$82.7K$73.0K$83.2K$85.5K$87.9K
YearAnnual SalaryStatus
2019$76,160Actual
2020$77,902Actual
2021$74,307Actual
2022$79,282Actual
2023$82,663Actual
2024$73,012Actual
2025$83,173Actual
2026(current)$85,510Estimated
2027$87,913Projected

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 (20192025) are actual BLS OEWS figures for the Ames 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.

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.

Frequently Asked Questions

How much do experienced occupational therapy assistants make in Ames in 2026?

Top-earning occupational therapy assistants in Ames (90th percentile) make $85,510/year, based on estimated 2026 salary (projected from 2025 BLS data at 2.81% annual growth). This is $18,643 more than the area median of $66,867 — representing a significant experience premium. Senior occupational therapy assistants typically reach this level after 10+ years of clinical experience combined with specialty certifications, strong patient relationships, and working at high-production or specialty practices.

What drives higher occupational therapy assistant pay in Ames?

Higher occupational therapy assistant pay in Ames is driven by several key factors: years of clinical experience (10+ years for top tier), specializations, expanded-function certifications that allow additional procedures, and employment at high-production practices or large organizations. Geographic factors within the metro area also matter — practices in affluent neighborhoods or underserved areas often pay premium rates. Building a loyal patient base and strong clinical reputation further supports salary negotiation.

What certifications boost occupational therapy assistant salary in Ames?

The most impactful salary-boosting certifications for occupational therapy assistants in Ames include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $66,867, especially when combined with experience at specialty practices.

Can experienced occupational therapy assistants make six figures in Ames?

The 90th percentile in Ames is $85,510. Reaching six figures in this market may require combining clinical work at multiple practices with additional income from education, consulting, product sales, or relocating to a higher-paying metro area. Advanced certifications and specializations can help close the gap.

How much does occupational therapy assistant salary increase over time in Ames?

In Ames, the gap between entry level ($45,742) and top earners ($85,510) is $39,768, reflecting significant earning potential over a career. Most salary growth occurs in the first 5–10 years through accumulated clinical experience and additional credentials. After year 10, growth slows unless you pursue management roles, teaching positions, or transition into consulting. Continuous professional development is essential for maximizing long-term earnings.

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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

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).

View estimation methodology

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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