Occupational Therapy Aides

Occupational Therapy Aides (SOC 31-2012) earn a median $39,160 a year ($18.83 an hour) in the United States, with 4,310 employed as of May 2025; the highest-paying state is North Carolina.

What occupational therapy aides do

Occupational therapy aides work under close supervision of an occupational therapist or occupational therapy assistant and perform only delegated, selected or routine tasks in specific situations. The SOC gives preparing the patient and the treatment room as examples of these duties. They prepare and maintain the work area, materials and equipment, and keep an inventory of treatment and educational supplies. They transport patients to and from the occupational therapy work area, and they encourage patients and attend to their physical needs so that therapeutic goals can be reached. They observe patients' attendance, progress, attitudes and accomplishments, record that information in client records, and report to supervisors or therapists verbally or in writing. Their tasks can also include instructing patients and families in work, social and living skills and in the care and use of adaptive equipment, demonstrating therapy techniques such as manual and creative arts and games, and helping therapists plan and carry out programs. Education is varied, with 37 percent of respondents reporting a high school diploma and 28 percent an associate degree. Different names for the job include rehabilitation aide, occupational rehabilitation aide and direct support professional.

Typical entry: O*NET respondents most often report a high school diploma or equivalent as the typical level of education for this occupation (37 percent).

Also called: Certified Occupational Rehabilitation Aide (CORA), Direct Service Professional (DSP), Direct Support Professional (DSP), Independent Living Specialist, Occupational Rehabilitation Aide.

National wage percentiles, May 2025

Occupational Therapy Aides: US hourly and annual wage percentiles, mean and employment, May 2025
AreaBasisPercentile wageMeanEmployment
10th25thMedian75th90th
United StatesHourly$14.15$17.27$18.83$22.49$33.75$21.214,310
Annual$29,430$35,920$39,160$46,780$70,200$44,110
$0$20k$40k$60k$80k10th10th: $29,430$29,43025th25th: $35,920$35,920MedianMedian: $39,160$39,16075th75th: $46,780$46,78090th90th: $70,200$70,200
Annual wage at the 10th, 25th, 50th (median), 75th and 90th percentiles. The same numbers are in the table above.

Employment per 1,000 jobs and the location quotient are area measures; they appear in the state and metro tables below. To see what a wage in this range leaves after tax, use FastCalc's take-home pay calculator.

Where occupational therapy aides earn and work most

Five highest-paying states

Occupational Therapy Aides: the five states with the highest median wage, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
North CarolinaHourly$14.21$22.83$31.82$36.63$37.49$29.502500.051.86
Annual$29,570$47,490$66,190$76,190$77,980$61,360
New YorkHourly$15.68$18.25$22.22$28.43$29.51$22.922500.030.93
Annual$32,610$37,960$46,220$59,130$61,370$47,660
WashingtonHourly$18.53$18.53$22.06$25.00$33.75$23.001900.051.93
Annual$38,550$38,550$45,890$52,000$70,200$47,830
NebraskaHourly$16.70$19.21$21.63$22.31$25.45$21.02900.093.17
Annual$34,730$39,950$44,980$46,400$52,940$43,720
ConnecticutHourly$18.24$19.35$21.56$22.45$23.64$21.251100.072.42
Annual$37,930$40,250$44,840$46,690$49,170$44,190

Five states with the most jobs

Occupational Therapy Aides: the five states with the highest employment, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
TexasHourly$10.63$13.43$17.88$21.14$37.13$20.644100.031.05
Annual$22,100$27,930$37,180$43,980$77,230$42,920
CaliforniaHourly$17.65$18.82$20.91$21.62$32.96$22.563300.020.65
Annual$36,710$39,140$43,480$44,980$68,550$46,930
PennsylvaniaHourly$16.55$17.49$17.84$18.83$32.80$20.073200.051.88
Annual$34,420$36,380$37,100$39,160$68,230$41,740
New YorkHourly$15.68$18.25$22.22$28.43$29.51$22.922500.030.93
Annual$32,610$37,960$46,220$59,130$61,370$47,660
North CarolinaHourly$14.21$22.83$31.82$36.63$37.49$29.502500.051.86
Annual$29,570$47,490$66,190$76,190$77,980$61,360

Five highest-paying metropolitan areas

Occupational Therapy Aides: the five metropolitan areas with the highest median wage, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
Riverside-San Bernardino-Ontario, CAHourly$16.91$24.50$32.96$38.75$38.75$30.69300.020.71
Annual$35,180$50,960$68,550$80,600$80,600$63,840
Hartford-West Hartford-East Hartford, CTHourly$18.24$18.48$22.27$23.64$24.99$21.44400.072.53
Annual$37,930$38,430$46,320$49,170$51,980$44,600
New York-Newark-Jersey City, NY-NJHourly$15.68$18.59$22.24$26.31$28.90$22.642000.020.77
Annual$32,610$38,660$46,260$54,730$60,110$47,100
Washington-Arlington-Alexandria, DC-VA-MD-WVHourly$16.02$19.05$22.04$39.37$44.51$27.681000.031.13
Annual$33,310$39,620$45,840$81,900$92,570$57,570
San Francisco-Oakland-Fremont, CAHourly$21.62$21.62$21.62$21.62$21.87$22.03******
Annual$44,980$44,980$44,980$44,980$45,490$45,830

Five metropolitan areas with the most jobs

Occupational Therapy Aides: the five metropolitan areas with the highest employment, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
New York-Newark-Jersey City, NY-NJHourly$15.68$18.59$22.24$26.31$28.90$22.642000.020.77
Annual$32,610$38,660$46,260$54,730$60,110$47,100
Pittsburgh, PAHourly$17.26$17.64$17.84$18.07$18.07$18.771500.134.83
Annual$35,910$36,700$37,100$37,580$37,580$39,050
Atlanta-Sandy Springs-Roswell, GAHourly$16.44$16.97$18.31$21.42$24.54$20.201300.041.57
Annual$34,200$35,290$38,090$44,550$51,050$42,020
Seattle-Tacoma-Bellevue, WAHourly$18.53$18.53$18.53$27.44$33.75$23.311300.062.23
Annual$38,550$38,550$38,550$57,080$70,200$48,470
Dallas-Fort Worth-Arlington, TXHourly$11.93$16.29$20.57$22.94$44.51$22.271100.030.94
Annual$24,800$33,880$42,790$47,710$92,580$46,320

Top industries employing occupational therapy aides

Offices of Other Health Practitioners employ 43.6% of occupational therapy aides nationally (1,880 jobs) at a median $38,500 a year ($18.51 an hour), followed by General Medical and Surgical Hospitals (18.6%) and Specialty (except Psychiatric and Substance Abuse) Hospitals (10.2%).

Occupational Therapy Aides: the 5 industries with the highest employment, United States, May 2025 (4-digit NAICS)
IndustryEmploymentShare of occupationMedian annualMedian hourly
Offices of Other Health Practitioners NAICS 6213001,88043.6%$38,500$18.51
General Medical and Surgical Hospitals NAICS 62210080018.6%$39,760$19.11
Specialty (except Psychiatric and Substance Abuse) Hospitals NAICS 62230044010.2%$39,140$18.82
Nursing Care Facilities (Skilled Nursing Facilities) NAICS 6231003207.4%$52,000$25.00
Offices of Physicians NAICS 6211002004.6%$39,620$19.05

Share is the industry's employment over the occupation's national employment (4,310). Industries whose employment BLS withheld are not ranked.

Published medians, May 2021 to May 2025

BLS published a median annual wage of $33,560 for occupational therapy aides in May 2021 and $39,160 in May 2025, with employment of 3,370 and 4,310.

Occupational Therapy Aides: median annual wage, median hourly wage and employment in each OEWS May release, United States, as published
ReleaseMedian annualMedian hourlyEmployment
May 2021$33,560$16.143,370
May 2022$37,060$17.823,710
May 2023$36,970$17.774,430
May 2024$37,370$17.975,000
May 2025$39,160$18.834,310
Occupational Therapy Aides: median annual wage by OEWS release, May 2021 to May 2025$0$10k$20k$30k$40kMay 2021May 2022May 2023May 2024May 2025May 2021: $33,560$33,560May 2022: $37,060$37,060May 2023: $36,970$36,970May 2024: $37,370$37,370May 2025: $39,160$39,160OEWS releaseMedian annual wage
Median annual wage in each release, as published; a release without a published median has no point. The same numbers are in the table above.

BLS does not design OEWS as a time series: each release pools three years of samples, and occupational classifications, area definitions and estimation methods change between releases, so a difference between two releases is not a measure of change over time. The figures are shown as published, side by side, and nothing is computed from them. See how often OEWS is updated.

Every state, by median wage

27 states and DC publish a row for this occupation. A linked state has its own page with the within-state metro table and comparison; the others appear here only.

RankStateMedian hourlyMedian annual10th pct (annual)90th pct (annual)EmploymentJobs per 1,000Location quotient
1North Carolina profile$31.82$66,190$29,570$77,9802500.051.86
2New York profile$22.22$46,220$32,610$61,3702500.030.93
3Washington profile$22.06$45,890$38,550$70,2001900.051.93
4Nebraska profile$21.63$44,980$34,730$52,940900.093.17
5Connecticut profile$21.56$44,840$37,930$49,1701100.072.42
6New Jersey profile$21.38$44,470$38,980$46,270******
7California profile$20.91$43,480$36,710$68,5503300.020.65
8New Mexico profile$20.75$43,170$37,480$85,040500.062.08
9Massachusetts profile$19.31$40,160$35,340$53,540900.030.92
10Colorado profile$19.28$40,110$38,530$71,750400.010.49
11District of Columbia profile$19.05$39,620$39,610$45,840******
12Michigan profile$18.78$39,050$29,650$50,160600.010.51
13Missouri profile$18.70$38,890$31,540$47,2101100.041.38
14Indiana profile$18.39$38,250$36,200$43,220******
15Georgia profile$18.31$38,090$33,700$47,1602000.041.50
16Texas profile$17.88$37,180$22,100$77,2304100.031.05
17Pennsylvania profile$17.84$37,100$34,420$68,2303200.051.88
18Wisconsin profile$17.67$36,760$31,360$45,850400.020.55
19Nevada profile$17.52$36,440$34,690$63,7901000.062.30
20Ohio profile$17.49$36,380$23,180$56,1302000.041.29
21Oklahoma profile$16.67$34,670$31,810$52,520900.051.84
22Maryland profile$16.02$33,310$31,200$41,290******
23Idaho profile$15.67$32,590$23,500$46,1101200.145.07
24South Carolina profile$15.36$31,950$18,290$82,800500.020.81
25Louisiana profile$13.73$28,560$23,070$77,200700.031.24
26Tennessee profile$13.39$27,840$25,700$40,090400.010.45
27Mississippi profile$11.68$24,300$21,770$30,780500.041.43

Occupations in the same SOC broad group (31-2010), with their national median annual wage.

Part of Healthcare Support Occupations. Compare any area in the wage explorer.

Source and notes

Data: BLS OEWS May 2025, released 2026-05-15. Cross-industry estimates, all ownerships. BLS page: OEWS 31-2012 Occupational Therapy Aides.

**
Employment estimate not available.
  • Annual wages assume 2,080 hours a year at the hourly rate; occupations BLS publishes on one basis only show an en dash (–) on the other.
  • Employment is rounded to the nearest 10 by BLS. Where BLS withholds a cell, nothing is estimated in its place.
  • Top industries: nat4d_M2025_dl.xlsx in oesm25in4.zip (BLS OEWS May 2025, national, 4-digit NAICS, cross-ownership). Employment is the industry's rounded total for this occupation; industries whose employment BLS withheld (**) are not ranked.
  • Published medians: national_M2021_dl.xlsx to national_M2024_dl.xlsx in oesm21nat.zip to oesm24nat.zip (BLS OEWS May 2021 to May 2024, national, cross-industry, all ownerships) and the May 2025 spine. Each release is shown as published; nothing is computed between them.

Sources

Includes information from O*NET 30.1 Database by the U.S. Department of Labor, Employment and Training Administration, used under the CC BY 4.0 license.

Description written 2026-10-17 in our own words from the sources above.