Senior Occupational Therapy Assistant Salary in Round Rock, TX: $110,100 (2026)
Quick Answer:The top tier of occupational therapy assistants working in Round Rock, TX — those at or above the 90th percentile — pull in $110,100/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-2011. Strip back Round Rock's price premium (BEA RPP 96.0, 4% below national) and that top-decile pay carries the same buying power as $114,688 in average-cost America. The 30% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source
In Round Rock, Texas, the financial landscape for experienced occupational therapy assistants is notably lucrative, with top earners (P90) projected to attain an impressive salary of $110,100 in 2026. This figure reflects a significant gap between the median annual salary of $84,376 and the highest levels of compensation achievable in the field. Round Rock’s premium for seasoned professionals stands out when compared to the national market, where the top occupational therapy assistant salary reaches $74,332. The climb to this elite compensation tier requires diligent professional development, including specializations and certifications that enhance both skills and marketability, distinguishing candidates in a competitive job market.
About the Round Rock Market
Salary estimated from Texas average ($76,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Round Rock
Experienced occupational therapy assistants at the top of the pay scale in Round Rock earn between $95,792 and $110,100 per year (2026 est.). This $53,353 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Round Rock median of $84,376 sits 13.51% above the US median.
Top OTA Salary Comparison
| Level | Round Rock | National |
|---|---|---|
| Median (P50) | $84,376 | $74,332 |
| 75th Percentile | $95,792 | $81,384 |
| 90th Percentile (Top 10%) | $110,100 | $92,303 |
In Round Rock, experienced occupational therapy assistants (P90) earn 30.49% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Occupational Therapy Assistant Pay in Round Rock
Advanced Certifications in Texas
TX occupational therapy assistants with additional specialty certifications within the occupational therapy field earn significantly above the $84,376 median. Expanded-scope credentials are increasingly valued by Round Rock employers.
Specialty Focus
Occupational Therapy Assistants focusing on high-acuity or specialty areas within the occupational therapy field in Round Rock command premium compensation, often reaching the $95,792–$110,100 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Round Rock 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 Round Rock 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 Texas 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 Round Rock
Clinical Occupational Therapy Assistant
0-5 yearsSenior/Lead Occupational Therapy Assistant
5-10 yearsOccupational Therapy Assistant Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedRound Rock ranks #1 of 109 Texas cities for top earner occupational therapy assistant salary (90th percentile: $110,100).
Top 10% occupational therapy assistant compensation in Round Rock ($110,100) is 13.14% above the Texas average P90 ($97,313).
2019 BLS Actual
$98,061
2025 BLS Actual
$107,091
2026 Current Est.
$110,100
2019–2027 Growth
+15.4%
Salary Trajectory for Occupational Therapy Assistants in Round Rock (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $98,061 | Actual |
| 2020 | $100,304 | Actual |
| 2021 | $95,676 | Actual |
| 2022 | $102,081 | Actual |
| 2023 | $106,435 | Actual |
| 2024 | $99,118 | Actual |
| 2025 | $107,091 | Actual |
| 2026(current) | $110,100 | Estimated |
| 2027 | $113,194 | Projected |
Top-earning occupational therapy assistants (90th percentile) in Round Rock saw their compensation grow 9.2% from $98,061 in 2019 to $107,091 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 $113,194 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Round Rock 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 Round Rock
Compensation for senior occupational therapy assistants in Round Rock varies across different work environments. Specializations in pediatric therapy, geriatric care, mental health support, hand therapy, and early intervention services are highly sought after and often command premium pay rates. The type of employer also greatly influences salary; skilled nursing facilities, hospital inpatient rehabilitation settings, and school systems offer divergent financial packages and benefits. Furthermore, seasoned professionals may pursue leadership roles such as clinic operations coordinator or faculty positions in OTA programs, expanding both their responsibilities and earning potential. Gaining advanced credentials, such as acquiring state licensure and additional certifications through AOTA, can further augment one’s salary trajectory. Non-salary elements, like productivity expectations, the impact of the recent 15% Medicare reimbursement cuts, and variations in contract terms, shape the overall compensation package, making it essential for experienced professionals to navigate these factors to optimize their income potential.
More salary data for Round Rock, TX:
Frequently Asked Questions
How much do experienced occupational therapy assistants make in Round Rock in 2026?
What drives higher occupational therapy assistant pay in Round Rock?
What certifications boost occupational therapy assistant salary in Round Rock?
Can experienced occupational therapy assistants make six figures in Round Rock?
How much does occupational therapy assistant salary increase over time in Round Rock?
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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 $107,091 for occupational therapy assistants in the Round Rock 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 Round Rock 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