Occupational Therapist Salary in Missouri
The median occupational therapist salary in Missouri is $81,998 per year, which is 12% below the national median of $93,180.
Occupational Therapist Salary Overview in Missouri (2026)
Missouri ranks #42 out of 50 states for occupational therapist compensation. Occupational Therapist salaries in Missouri are below the national median, though the lower cost of living can offset the difference. At $81,998 per year, occupational therapists in Missouri earn $11,182 less than the national median of $93,180.
A key advantage of working in Missouri is its below-average cost of living (88% of the national index). This means the $81,998 salary has the purchasing power of roughly $93,180 in an average-cost area.
The salary spread in Missouri is significant: occupational therapists at the 10th percentile earn $54,560, while those at the 90th percentile bring home $112,209 — a $57,649 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in Missouri for this role is Kansas City, where the median reaches $85,726.
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 Missouri and beyond.
Occupational Therapist Salary in Missouri by Experience
In Missouri, an entry-level occupational therapist earns around $56,320, while experienced professionals earn up to $105,600 per year. The cost of living index in Missouri is 88% of the national average.
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See Investment Options →Salary Percentiles in Missouri
| Percentile | MO Salary |
|---|---|
| 10th Percentile | $54,560 |
| 25th Percentile | $67,936 |
| Median (50th) | $81,998 |
| 75th Percentile | $96,624 |
| 90th Percentile | $112,209 |
Occupational Therapist Salary by City in Missouri
The largest employment areas for occupational therapists in Missouri include Kansas City, Saint Louis, Springfield, and Columbia. Salaries vary by city based on local cost of living and demand.
How to Become a Occupational Therapist in Missouri
Education
Most occupational therapist positions require a master's degree. Missouri has several accredited institutions offering relevant programs.
Key Skills
Job Outlook in Missouri
Nationally, occupational therapist employment is projected to grow 12% over the next decade (much faster than average). Missouri's demand may vary based on local industry trends.
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