PayByState

Texas · BLS SOC 29-1122

Occupational Therapist salary in Texas

Median $94,410 · Top 10% earn $111,610+ · Roughly 12,247 workers in Texas. Source: BLS OEWS, May 2024.

Texas median
$94,410
$45.39/hr
Top 10%
$111,610
90th percentile
Bottom 10%
$60,750
Entry-level range
Real pay
$97,430
CoL-adjusted (RPP 96.9)

Texas pays close to the U.S. median for occupational therapists — $94,410 versus the national median of $98,340. Real purchasing power tracks roughly the U.S. average. The state employs roughly 12,247 occupational therapists.

What drives occupational therapist pay in Texas

Texas OT pay tracks national median. Pediatric outpatient and school district contracts offer the strongest work-life balance.

Top-paying metros in Texas

Texas-area metropolitan areas with the highest occupational therapist medians.

Texas metros

10 highest-paying metropolitan areas. Source: BLS OEWS metro tables, May 2024.

Rank Metro Median
1 Houston-The Woodlands-Sugar Land, TX $99,100

Texas ranks #25 of 50 states

Where Texas sits in the national distribution for occupational therapist pay, and the closest comparable states above and below.

Rank State Median vs. Texas
#24 Utah $95,390 +$980
#23 Pennsylvania $96,370 +$1,960
#22 Virginia $97,360 +$2,950
#25 Texas (this page) $94,410 —
#27 Michigan $93,420 −$990
#28 Montana $93,420 −$990
#29 North Dakota $93,420 −$990
See all 50 states →

Find Occupational Therapist programs near you

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Education path for Texas

The typical path is a master's degree (entry-level) + state license; otd increasingly required, taking about 30 months. Tuition ranges from $40,000 (community college) to $150,000 (private accelerated). On the Texas median of $94,410, payback periods are typically 2.4 years or less from a starting income near minimum wage.

For full credentialing detail and the realistic career outlook, see the Occupational Therapist salary overview. To run your own numbers, use the ROI calculator with Texas selected.

Occupational Therapist salary in Texas — FAQ

What is the average occupational therapist salary in Texas?
The median occupational therapist salary in Texas is $94,410 per year (BLS OEWS, May 2024). The bottom 10% earn around $60,750; the top 10% earn $111,610 or more. About 12,247 people work in this role across the state.
How does Texas occupational therapist pay compare to the national average?
Texas's median of $94,410 is $3,930 below the U.S. national median of $98,340. After adjusting for Texas's cost of living (Regional Price Parity 96.9), the real-purchasing-power equivalent is $97,430.
Where does Texas pay occupational therapists the most?
Top-paying metros in Texas include Houston-The Woodlands-Sugar Land at $99,100. These metros consistently pay 10–25% above the state median due to higher concentration of large hospital systems and specialty employers.
Is occupational therapist a good career in Texas?
On the data: Texas employs roughly 12,247 occupational therapists, with a median wage of $94,410 and the top decile clearing $111,610. The role is projected to grow +11% nationally over the next decade. Whether it's "good" for you depends on whether the work suits you and whether you're positioned for the in-state metros that pay above the median.
What's the hourly rate for occupational therapists in Texas?
At the Texas median of $94,410 annually, the equivalent hourly rate is approximately $45.39/hr. The top 10% earn around $53.66/hr, while entry-level roles typically pay $29.21/hr or slightly above.

Methodology note

Texas-level wage data sourced from BLS Occupational Employment and Wage Statistics, May 2024 release (SOC 29-1122: Occupational Therapists), with state pay indexes from BLS area-comparison tables. Cost-of-living adjustments use BEA Regional Price Parities, 2023 release, where Texas's RPP is 96.9 (U.S. = 100). Last reviewed: May 2026.