OT Assistant Salary

Senior Occupational Therapy Assistant Salary in Everett, MA: $99,130 (2026)

Quick Answer:The top tier of occupational therapy assistants working in Everett, MA — those at or above the 90th percentile — pull in $99,130/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-2011. Strip back Everett's price premium (BEA RPP 108.5, 9% above national) and that top-decile pay carries the same buying power as $91,364 in average-cost America. The 25% spread above city median typically rewards 7+ years of practice or specialty credentials.

$99,130
Top 10% Earn
$47.66/hr
Top Hourly Rate
$83,519
75th Percentile
$99,130
90th Percentile

Based on BLS state-level estimates · View source

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

In Everett, Massachusetts, senior occupational therapy assistants have significant earning potential, with top-tier salaries reaching $99,130 in 2026. This impressive figure places Everett's highest earners above the national average for comparable roles, where top salaries hover around $74,332. The disparity between the median salary of $79,191 and this peak pay indicates a well-established experience premium in the field. Achieving top occupational therapy assistant salary in Everett requires not just extensive experience, ideally over seven years, but also a focus on specialized areas such as pediatrics or geriatrics, along with advanced educational credentials like the COTA designation.

About the Everett Market

Salary estimated from Massachusetts average ($72,000) adjusted for local cost of living.

2026 Salary Percentile Distribution in Everett

Vertical bar chart of 10th through 90th percentile salaries for occupational therapy assistants in Everett. The median salary is $79,191, compared to the national median of $74,332.$51.0K$64.3K$77.6K$90.8K$104.1K$56.7K10th Pctl$67.0K25th Pctl$79.2KMedian$83.5K75th Pctl$99.1K90th PctlUS Median$74.3K

Experienced occupational therapy assistants at the top of the pay scale in Everett earn between $83,519 and $99,130 per year (2026 est.). This $42,435 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Everett median of $79,191 sits 6.54% above the US median.

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

Top OTA Salary Comparison

LevelEverettNational
Median (P50)$79,191$74,332
75th Percentile$83,519$81,384
90th Percentile (Top 10%)$99,130$92,303

In Everett, experienced occupational therapy assistants (P90) earn 25.18% more than the local median — reflecting the significant value of specialization and tenure in this market.

What Drives Top Occupational Therapy Assistant Pay in Everett

1

Advanced Certifications in Massachusetts

MA occupational therapy assistants with additional specialty certifications within the occupational therapy field earn significantly above the $79,191 median. Expanded-scope credentials are increasingly valued by Everett employers.

2

Specialty Focus

Occupational Therapy Assistants focusing on high-acuity or specialty areas within the occupational therapy field in Everett command premium compensation, often reaching the $83,519–$99,130 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the Everett 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 Everett 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 Massachusetts 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 Everett

Clinical Occupational Therapy Assistant

0-5 years
$56,695 – $79,191

Senior/Lead Occupational Therapy Assistant

5-10 years
$79,191 – $83,519

Occupational Therapy Assistant Department Manager

10+ years
$83,519+

Educator / Specialty Leadership

Advanced
Varies by role

Everett ranks #17 of 58 Massachusetts cities for top earner occupational therapy assistant salary (90th percentile: $99,130).

Top 10% occupational therapy assistant compensation in Everett ($99,130) is 10.95% above the Massachusetts average P90 ($89,344).

2019 BLS Actual

$88,291

2025 BLS Actual

$96,421

2026 Current Est.

$99,130

2019–2027 Growth

+15.4%

Salary Trajectory for Occupational Therapy Assistants in Everett (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 Everett. Baseline $88,291 in 2025, projected to $101,916 by 2027.$83.0K$88.5K$94.0K$99.6K$105.1K2019202020212022202320242025202620272025 BLS$88.3K$90.3K$86.1K$91.9K$95.8K$98.3K$96.4K$99.1K$101.9K
YearAnnual SalaryStatus
2019$88,291Actual
2020$90,310Actual
2021$86,143Actual
2022$91,910Actual
2023$95,830Actual
2024$98,271Actual
2025$96,421Actual
2026(current)$99,130Estimated
2027$101,916Projected

Top-earning occupational therapy assistants (90th percentile) in Everett saw their compensation grow 9.2% from $88,291 in 2019 to $96,421 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 $101,916 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

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

Specialization heavily influences compensation in Everett's occupational therapy sector. Areas like pediatric therapy, geriatric care, and mental health services generally demand higher salaries, as they often require more nuanced skills and knowledge. Compensation also varies considerably depending on the employer type; for instance, skilled nursing facilities typically offer different pay scales compared to outpatient clinics or school districts. Senior occupational therapy assistants have the opportunity to progress within their careers, moving into roles such as lead OTA or clinic operations coordinator, which may further enhance their pay. Acquiring advanced certifications and staying current with industry standards through agencies like AOTA and NBCOT can be pivotal. Additionally, factors such as productivity expectations, work setting, and the implications of the recent 15% Medicare reimbursement cut, particularly in SNF and outpatient environments, are critical to understanding the dynamics of senior occupational therapy assistant pay in MA.

Frequently Asked Questions

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

Top-earning occupational therapy assistants in Everett (90th percentile) make $99,130/year, based on estimated 2026 salary (projected from 2025 BLS data at 2.81% annual growth). This is $19,939 more than the area median of $79,191 — 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 Everett?

Higher occupational therapy assistant pay in Everett 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 Everett?

The most impactful salary-boosting certifications for occupational therapy assistants in Everett include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $79,191, especially when combined with experience at specialty practices.

Can experienced occupational therapy assistants make six figures in Everett?

The 90th percentile in Everett is $99,130. 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 Everett?

In Everett, the gap between entry level ($56,695) and top earners ($99,130) is $42,435, 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.

Related Pages

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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 $96,421 for occupational therapy assistants in the Everett 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 Everett 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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