Top 20 Highest Paying Jobs for Occupational Therapists

Occupational therapy (OT) is a rewarding and impactful career, helping individuals regain independence and improve their quality of life. However, like many professions, salary potential can vary depending on your specialization, experience, and work setting.

Last update:
01/01/2024
Top 20 Highest Paying Jobs for Occupational Therapists

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This article’ll explore top paying jobs by highlighting the skills, qualifications, and settings that can help you unlock higher earnings in this rewarding profession.

1. Private Practice Occupational Therapist


Earning Potential: $75,000 - $150,000+ annually

Running your own practice can be one of the most financially rewarding career paths. As a private practice OT, you have the freedom to set your own rates, pay, and specialize in the areas ot specialty that you’re most passionate about. While establishing a practice takes time and money, it can be extremely lucrative.

Key Responsibilities:

  • Managing day-to-day operations of a private clinic
  • Marketing and attracting clients
  • Providing individualized therapy sessions

Skills Needed:

  • Strong business acumen
  • Entrepreneurial spirit
  • Clinical expertise

2. Hospital-Based Occupational Therapist (Specialized Units)


Earning Potential
: $70,000 - $110,000 annually

Front view female doctors and patient

Occupational therapists in specialized hospital units (e.g., trauma, orthopedics, neurology) often earn more money a median annual salary or higher than average salary than a median salary or average salary or than an average salary or first salaries due to the complexity of the cases they handle. These roles typically involve treating patients recovering from surgery, accidents, brain injury, or serious health conditions.

Key Responsibilities:

  • Working in high-intensity environments
  • Collaborating with a multidisciplinary healthcare team
  • Developing recovery plans for patients

Skills Needed:

  • Specialized clinical knowledge
  • Ability to handle high-pressure environments
  • Teamwork and communication skills

3. Occupational Therapist in Schools


Earning Potential
: $60,000 - $90,000 annually

School-based OTs work with children to improve their motor skills, sensory processing, and other skills necessary for academic success. Many OTs in this field focus on assisting children with special needs, such as autism or ADHD.

School Kids undergoing occupational therapy

Key Responsibilities:

  • Evaluating children’s needs and creating personalized therapy plans
  • Collaborating with educators to adapt classroom settings
  • Providing interventions for fine and gross motor skills

Skills Needed:

  • Understanding child development
  • Creativity and adaptability
  • Patience and communication skills

4. Skilled Nursing Facility (SNF) Occupational Therapist


Earning Potential
: $75,000 - $100,000 annually

OTs working in skilled nursing facilities help elderly patients maintain independence, especially after surgery or due to chronic conditions. These roles often involve helping patients regain mobility and the ability to perform daily activities like dressing, eating, and bathing.

Key Responsibilities:

  • Assessing patients and creating rehabilitation plans
  • Working with a team to improve patients’ quality of life
  • Providing training on daily tasks and mobility

Skills Needed:

  • Experience with geriatric care
  • Patience and empathy
  • Expertise in mobility training and home safety

5. Home Health Occupational Therapist


Earning Potential:
$70,000 - $95,000 annually

OTs in home health work with patients in their homes to regain skills necessary for independent living. The role can be particularly rewarding because you get to see patients recover in their own environment, providing therapy that is personalized to their home setting.

female physiotherapist and senior woman with artificial leg walking

Key Responsibilities:

  • Assessing patient needs at home
  • Designing personalized therapy plans
  • Educating family members on providing assistance

Skills Needed:

  • Strong problem-solving skills
  • Organizational and time management skills
  • Ability to work independently

6. Rehabilitation Center Occupational Therapist


Earning Potential
: $75,000 - $105,000 annually

OTs in rehabilitation centers typically work with patients who are recovering from surgery or trauma. These facilities offer specialized care, and therapists play a critical role in helping patients regain independence and physical function.

Key Responsibilities:

  • Designing rehabilitation programs
  • Working with patients to regain movement and strength
  • Monitoring progress and making adjustments to therapy plans

Skills Needed:

  • Strong knowledge of rehabilitation techniques
  • Ability to motivate and encourage patients
  • Detailed record-keeping and progress monitoring

7. Pediatric Occupational Therapist


Earning Potential
: $65,000 - $95,000 annually

Pediatric OTs focus on helping children with developmental disorders, autism, and other conditions that impact daily functioning. Whether in a clinic, hospital, or school setting, pediatric OTs help children develop their fine motor skills and, cognitive, and social skills.

Key Responsibilities:

  • Conducting developmental assessments
  • Working with children to develop fine and gross motor skills
  • Educating parents and teachers about interventions

Skills Needed:

  • Expertise in child development
  • Creativity and patience
  • Ability to engage children during therapy sessions

8. Mental Health Occupational Therapist


Young man taking assistance in mental health occupational therapy

Earning Potential: $60,000 - $85,000 annually

Mental health OTs work with patients to help them manage the impact of mental health conditions on their daily lives. They focus on improving patients’ ability to engage in meaningful activities and support their emotional well-being.

Key Responsibilities:

  • Designing therapy plans that address mental health needs
  • Providing support in areas like self-care, work, and social activities
  • Helping patients manage mental health symptoms

Skills Needed:

  • Strong interpersonal skills
  • Knowledge of mental health disorders
  • Empathy and listening skills

9. Corporate Wellness Occupational Therapist


Earning Potential
: $80,000 - $120,000 annually

In corporate wellness programs, OTs help employees reduce stress, improve ergonomics, and prevent work-related injuries. They provide employers with valuable data and insights into creating healthier work environments and supporting employee well-being.

Key Responsibilities:

  • Conducting ergonomic assessments in the workplace
  • Designing wellness programs for stress management and injury prevention
  • Educating employees on healthy habits

Skills Needed:

  • Knowledge of ergonomics
  • Strong communication skills
  • Ability to work with diverse groups of employees

10. Sports Medicine Occupational Therapist


Earning Potential
: $70,000 - $100,000 annually

Sports medicine OTs and occupational therapy who work with athletes to recover from injuries and improve their performance. These physical therapists specialize in rehabilitation after sports-related injuries, and they also focus on preventing injuries through exercises and techniques.

Key Responsibilities:

  • Treating sports injuries and helping athletes recover
  • Designing strength and flexibility programs
  • Providing education on injury prevention

Skills Needed:

  • In-depth knowledge of sports injuries
  • Rehabilitation techniques for athletes
  • Motivational skills

11. Research and Academic Occupational Therapist


Earning Potential
: $70,000 - $110,000 annually

For those interested in advancing the field of occupational therapy salary their employment, becoming an occupational therapist salary a researcher or educator in an occupational therapy program offers great career opportunities. Research-focused OTs work to expand the knowledge base of the profession and the medical field itself, while academic OTs educate future professionals.

Teaching and mentoring student in OT programs

Key Responsibilities:

  • Conducting and publishing research in the field of OT
  • Teaching and mentoring students in OT programs
  • Collaborating with other researchers and professionals

Skills Needed:

  • Strong research and writing abilities
  • Teaching and presentation skills
  • Analytical thinking

12. Government Occupational Therapist


Earning Potential
: $75,000 - $95,000 annually

Working for government agencies, such as the military or public health departments, the full occupational therapy employment profession offers job security, benefits and a competitive salary. Government OTs often help develop policies and programs among other factors that affect those related to their employment, occupational therapy services, employment and public health.

Key Responsibilities:

  • Developing and implementing OT programs for public health
  • Advising on government policies related to health and therapy
  • Conducting community outreach and assessments

Skills Needed:

  • Knowledge of public health and policy development
  • Strong communication skills
  • Experience with grant writing and reporting

13. Assisted Living Facility Occupational Therapist


Earning Potential
: $70,000 - $90,000 annually

OTs in assisted living facilities work with elderly residents to help them remain as independent as possible. The focus of travel therapy is on improving the ability to perform daily activities like eating, dressing, and moving around.

Key Responsibilities:

  • Evaluating and treating elderly residents
  • Creating interventions to assist with daily tasks
  • Providing mobility and safety training

Skills Needed:

  • Experience with elderly care
  • Ability to work independently
  • Compassionate and patient demeanor

14. Ergonomics Consultant


Earning Potential
: $80,000 - $120,000 annually

Occupational therapists in ergonomics consulting help businesses design workspaces that reduce the risk of injury and enhance employee well-being and job satisfaction. They assess work environments and make recommendations to improve ergonomics and prevent work-related injuries.

Key Responsibilities:

  • Conducting ergonomic assessments for businesses
  • Developing ergonomic solutions for workspaces
  • Educating employees on proper posture and work habits

Skills Needed:

  • Knowledge of ergonomics and workplace safety
  • Ability to communicate effectively with business leaders
  • Problem-solving and design skills

15. Community Health Occupational Therapists


Salary Range
: $65,000 - $85,000 annually

Community health OTs work in a variety of community-based settings, such as nonprofit organizations ot school, home health occupational therapy or public health departments. They focus on improving the quality of life for populations through outreach programs and public health initiatives.

Key Responsibilities:

  • Designing community-based therapy programs
  • Conducting health assessments
  • Educating the community on health and wellness

Skills Needed:

  • Public speaking and teaching skills
  • Knowledge of community health issues
  • Collaboration with local organizations

16. Military Occupational Therapist


Earning Potential
: $75,000 - $105,000 annually

Mid adult doctor and military officer shaking hands while standing in a hallway at the hospital

Occupational therapists in the military assist service members who have been injured in combat or training. They focus on helping soldiers regain their functional independence after injury and support their reintegration into active duty.

Key Responsibilities:

  • Providing rehabilitation for injured service members
  • Designing therapeutic interventions to improve mobility and strength
  • Supporting soldiers' return to active duty

Skills Needed:

  • Experience with military protocols and culture
  • Knowledge of trauma rehabilitation
  • Strong communication skills

17. Telehealth Occupational Therapist


Doctor offering telehealth occupational therapy

Earning Potential:$65,000 - $90,000 annually

With the rise of telehealth, OTs can now offer therapy services like psychological OT remotely, providing flexibility in geographic location, lower cost of living, public transportation, and the ability to work with patients in rural or underserved areas. Telehealth OTs help clients address various needs, including developmental issues, chronic conditions, and more.

Key Responsibilities:

  • Conducting therapy sessions through video calls
  • Designing remote therapy programs
  • Assessing patient progress and making adjustments

Skills Needed:

  • Proficiency with technology
  • Strong communication skills
  • Ability to manage remote care effectively

18. Geriatric Occupational Therapist


Earning Potential:
$70,000 - $100,000 annually

Geriatric OTs specialize in helping elderly patients maintain their independence. They work in nursing homes, hospitals, or private clinics, focusing on mobility, cognitive function, and daily living skills.

Key Responsibilities:

  • Developing rehabilitation plans for elderly patients
  • Providing support for daily living tasks
  • Helping patients manage chronic conditions

Skills Needed:

  • Knowledge of geriatric care
  • Patience and empathy
  • Strong problem-solving skills

19. Rehabilitation Director


Earning Potential:
$85,000 - $120,000 annually

As a rehabilitation director, you oversee all OT services in a rehabilitation setting, such as a hospital or nursing home. You are responsible for managing the OT team, ensuring high-quality patient care, and meeting organizational goals.

Key Responsibilities:

  • Leading and managing an OT team
  • Developing policies and procedures
  • Ensuring compliance with regulations

Skills Needed:

  • Leadership and management skills
  • Knowledge of healthcare regulations
  • Strong organizational skills

20. Orthopedic Occupational Therapist


Earning Potential
: $75,000 - $105,000 annually

Orthopedic OTs specialize in treating patients who have musculoskeletal injuries or conditions. This role requires in-depth knowledge of bones, joints, muscles, and rehabilitation techniques to help patients recover after orthopedic surgeries or injuries.

Key Responsibilities:

  • Developing rehab programs for musculoskeletal injuries
  • Providing pain management strategies
  • Helping patients regain mobility
Man during a visit in a rehabilitation center

Skills Needed:

  • Expertise in orthopedic rehabilitation
  • Analytical and clinical skills
  • Strong interpersonal skills

Tips for Increasing Your Occupational Therapy (OT) Salary


  1. Pursue Advanced Certifications and Specializations: Gaining certifications in specialized areas like pediatrics or hand therapy can make you eligible for higher-paying roles and increase your expertise.
  2. Expand Your Skill Set with Continuing Education: Completing additional courses or workshops helps you stay current with new techniques, improving your marketability and potential for higher salaries.
  3. Consider Working in High-Demand Settings: Working in settings such as private practice, hospitals, or home health can offer higher pay due to increased demand for specialized care.
  4. Negotiate Your Salary: Proactively negotiating your salary based on your experience and certifications can help you secure a better compensation package.
  5. Take on Leadership Roles: Moving into leadership positions like supervisor or director within a clinic or hospital often comes with increased responsibilities and a higher salary.
  6. Explore Telehealth Opportunities: Offering therapy services remotely can provide flexibility and potentially higher pay, especially if you work with underserved populations.
  7. Work in High-Cost Areas: Relocating to metropolitan areas with a high cost of living often leads to higher salaries to compensate for the increased living expenses.
  8. Maximize Your Professional Network: Building connections with other professionals and attending industry events can help you discover higher-paying job opportunities and advance your career.
  9. Consider Working with a Recruiter: Recruiters specializing in occupational therapy can help you find higher-paying roles and assist with salary negotiations.
  10. Stay Updated on Industry Trends: Keeping up with new technologies and trends in occupational therapy ensures you remain competitive, opening doors to better-paying positions.

Increasing your salary above your average and median salary is, as an occupational therapist takes time, but with the right strategies, it’s entirely possible to maximize your earning potential.

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Conclusion


Occupational therapy offers a wealth of opportunities to professionals looking to make a difference in people’s lives while enjoying competitive salaries, the potential for growth and earning power in this field is significant. With demand for occupational therapists on the rise, now is the perfect time to explore the highest-paying roles in the OT career, and plan your career path accordingly.

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Frequently Asked Questions

What qualifications are necessary to become an occupational therapist?

To become an OT, you must complete a master's degree in occupational therapy from an accredited program and pass the NBCOT certification exam.

Is it worth pursuing advanced certifications?

Yes, pursuing advanced certifications can open the door to higher-paying jobs, specialized roles, and leadership opportunities, making it a smart investment in your career.

Which specialties hand therapy and jobs in occupational therapy offer employers the most pay, most benefits and highest pay rates?

Specialties such as orthopedic therapy, sports medicine, and rehabilitation management tend to offer the highest-paying opportunities due to the specialized skills required.

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