Healthcare Massachusetts (MA) Rank #3 of 50

Occupational Therapist Salary in Massachusetts

The median occupational therapist salary in Massachusetts is $133,247 per year, which is 43.0% above the national median of $93,180.

Median Salary
$133,247
vs National
+$40,067
State Rank
#3 of 50
Cost of Living
135%

Occupational Therapist Salary Overview in Massachusetts (2026)

Massachusetts ranks #3 out of 50 states for occupational therapist compensation. This places Massachusetts in the top tier nationally, making it one of the best states for occupational therapists seeking high pay. At $133,247 per year, occupational therapists in Massachusetts earn $40,067 more than the national median of $93,180.

It's worth noting that Massachusetts's cost of living is 135% of the national average, which reduces the real purchasing power of the $133,247 salary. After adjusting for cost of living, the effective salary is closer to $98,701.

The salary spread in Massachusetts is significant: occupational therapists at the 10th percentile earn $88,660, while those at the 90th percentile bring home $182,339 — a $93,679 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in Massachusetts for this role is Cambridge, where the median reaches $156,542.

Nationally, occupational therapist employment is projected to grow 12% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in Massachusetts and beyond.

Occupational Therapist Salary in Massachusetts by Experience

In Massachusetts, an entry-level occupational therapist earns around $91,520, while experienced professionals earn up to $171,600 per year. The cost of living index in Massachusetts is 135% of the national average.

Entry Level (0-2 yrs)
$91,520
+$27,520 vs national
Mid Level (3-7 yrs)
$132,990
+$39,990 vs national
Senior Level (8+ yrs)
$171,600
+$51,600 vs national

You May Qualify for Premium Rewards

Professionals earning $133,247+ often qualify for premium rewards cards with $500+ signup bonuses and 2–5% cashback on every purchase.

View Offers You Qualify For →

Salary Percentiles in Massachusetts

Percentile MA Salary
10th Percentile $88,660
25th Percentile $110,396
Median (50th) $133,247
75th Percentile $157,014
90th Percentile $182,339

Occupational Therapist Salary by City in Massachusetts

The largest employment areas for occupational therapists in Massachusetts include Boston, Worcester, Springfield, and Cambridge. Salaries vary by city based on local cost of living and demand.

How to Become a Occupational Therapist in Massachusetts

Education

Most occupational therapist positions require a master's degree. Massachusetts has several accredited institutions offering relevant programs.

Key Skills

Therapeutic ActivitiesPatient AssessmentAdaptive EquipmentDocumentationRehabilitationCommunication

Job Outlook in Massachusetts

Nationally, occupational therapist employment is projected to grow 12% over the next decade (much faster than average). Massachusetts's demand may vary based on local industry trends.

Negotiate Your Way to Senior Pay

Data shows Occupational Therapists who negotiate earn 7–15% more. A single negotiation could add $38,353 over your career trajectory.

Get Negotiation Scripts — $197 →

Open to Occupational Therapist Roles in Massachusetts?

Get matched with recruiters hiring occupational therapists in Massachusetts at competitive salaries.

Or browse positions directly:

Frequently Asked Questions: Occupational Therapist Salary in Massachusetts

How much does a Occupational Therapist make in Massachusetts? ▼
The median occupational therapist salary in Massachusetts is $133,247 per year, which is 43.0% above the national median of $93,180. Salaries range from $88,660 (10th percentile) to $182,339 (90th percentile).
How much does a Occupational Therapist make per hour in Massachusetts? ▼
Based on the median annual salary of $133,247, a occupational therapist in Massachusetts earns approximately $64 per hour assuming a standard 2,080-hour work year.
Is Massachusetts a good state for occupational therapists? ▼
Massachusetts ranks #3 out of 50 states for occupational therapist pay. The cost of living index is 135% of the national average. Entry-level occupational therapists earn $91,520, while senior professionals earn $171,600.
How does Massachusetts compare to other states for occupational therapist salary? ▼
The highest paying state for occupational therapists is Hawaii at $165,860. Massachusetts's median of $133,247 ranks #3 nationally. Nearby-ranked states include Hawaii ($165,860) and California ($136,043).
What is the entry-level occupational therapist salary in Massachusetts? ▼
An entry-level occupational therapist in Massachusetts earns approximately $91,520 per year. With 3-7 years of experience, pay increases to around $132,990. Senior-level professionals with 8+ years earn up to $171,600.
What city in Massachusetts pays occupational therapists the most? ▼
Cambridge is the highest paying city in Massachusetts for occupational therapists, with a median salary of $156,542. Other cities include Boston and Worcester.