Occupational Therapy Assistant Salary in North Carolina (2026)

Official state-level BLS pay data for Occupational Therapy Assistants in North Carolina, plus how it compares with the rest of the country.

Official BLS state wage data · Unknown vintage
North Carolina Median
$69,390
per year
Hourly Rate
$33.36
based on 2,080 hrs/yr
vs National
-4% vs US median
US median $72,300
State Rank
#22 of 50
1,590 employed here

How much does an Occupational Therapy Assistant make in North Carolina?

An Occupational Therapy Assistant working in North Carolina earns a median salary of $69,390 per year, or about $33.36 per hour. That is 4% below the national median of $72,300 for this occupation.

Within North Carolina, entry-level pay starts around $55,130 while the top 10% make $83,360 or more. The middle 50% of earners fall between $62,110 and $76,420 a year.

Occupational Therapy Assistant salary range in North Carolina

Pay levelAnnual salaryHourly rate
10th percentile (entry level)$55,130$26.50
25th percentile (early career)$62,110$29.86
50th percentile (median)$69,390$33.36
75th percentile (experienced)$76,420$36.74
90th percentile (top earners)$83,360$40.08

How North Carolina compares

North Carolina ranks 22nd out of 50 states and territories for Occupational Therapy Assistant pay. The top 5 best-paying states:

RankStateMedian salary
1Maryland$82,010
2California$81,770
3Texas$81,500
4Nevada$79,510
5Arkansas$78,940

Working as an Occupational Therapy Assistant in North Carolina

Nationally, about 51,000 people work as Occupational Therapy Assistants in the United States. A certificate or diploma program (usually 6 to 18 months) is the typical entry path.

Considering a move? Compare North Carolina pay ($69,390) against the highest-paying state above, and weigh the difference against housing and everyday costs — a smaller paycheck in a cheaper state can stretch further.

Frequently asked questions

How much does an Occupational Therapy Assistant make in North Carolina?
The median Occupational Therapy Assistant salary in North Carolina is $69,390 per year, or about $33.36 per hour, per official BLS state wage estimates. Salaries typically range from $55,130 at the entry level to $83,360 for the top 10% of earners.
How does North Carolina pay compare to the national average?
North Carolina pays Occupational Therapy Assistants about 4% less than the national median of $72,300. North Carolina ranks 22nd out of 50 states and territories reporting this occupation.
Is North Carolina a good state for Occupational Therapy Assistants?
Pay runs below the national median here, at $69,390 a year. About 1,590 Occupational Therapy Assistants are employed in North Carolina. A lower cost of living can offset the smaller paycheck, so compare take-home value, not just salary.
What are the highest-paying jobs in North Carolina?
The highest-paying occupations in North Carolina include Surgeon, All Other ($398,410), Dermatologist ($367,350), Emergency Medicine Physician ($339,350), based on median annual pay in official BLS state estimates.

← See the national Occupational Therapy Assistant salary report

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Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), Unknown vintage. Education requirements: O*NET (U.S. Department of Labor). State figures are official BLS state-level wage estimates. Where BLS suppresses a state percentile, it is scaled from the official national distribution. Individual pay varies by employer, metro area, and experience.