Healthcare North Carolina (NC) Rank #30 of 50

Occupational Therapist Salary in North Carolina

The median occupational therapist salary in North Carolina is $85,726 per year, which is 8% below the national median of $93,180.

Median Salary
$85,726
vs National
$-7,454
State Rank
#30 of 50
Cost of Living
92%

Occupational Therapist Salary Overview in North Carolina (2026)

North Carolina ranks #30 out of 50 states for occupational therapist compensation. Occupational Therapist salaries in North Carolina are below the national median, though the lower cost of living can offset the difference. At $85,726 per year, occupational therapists in North Carolina earn $7,454 less than the national median of $93,180.

A key advantage of working in North Carolina is its below-average cost of living (92% of the national index). This means the $85,726 salary has the purchasing power of roughly $93,180 in an average-cost area.

The salary spread in North Carolina is significant: occupational therapists at the 10th percentile earn $57,040, while those at the 90th percentile bring home $117,309 — a $60,269 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in North Carolina for this role is Charlotte, where the median reaches $91,316.

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 North Carolina and beyond.

Occupational Therapist Salary in North Carolina by Experience

In North Carolina, an entry-level occupational therapist earns around $58,880, while experienced professionals earn up to $110,400 per year. The cost of living index in North Carolina is 92% of the national average.

Entry Level (0-2 yrs)
$58,880
$-5,120 vs national
Mid Level (3-7 yrs)
$85,560
$-7,440 vs national
Senior Level (8+ yrs)
$110,400
$-9,600 vs national

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Salary Percentiles in North Carolina

Percentile NC Salary
10th Percentile $57,040
25th Percentile $71,024
Median (50th) $85,726
75th Percentile $101,016
90th Percentile $117,309

Occupational Therapist Salary by City in North Carolina

The largest employment areas for occupational therapists in North Carolina include Charlotte, Raleigh, Durham, and Greensboro. Salaries vary by city based on local cost of living and demand.

How to Become a Occupational Therapist in North Carolina

Education

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

Key Skills

Therapeutic ActivitiesPatient AssessmentAdaptive EquipmentDocumentationRehabilitationCommunication

Job Outlook in North Carolina

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

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Frequently Asked Questions: Occupational Therapist Salary in North Carolina

How much does a Occupational Therapist make in North Carolina? ▼
The median occupational therapist salary in North Carolina is $85,726 per year, which is 8% below the national median of $93,180. Salaries range from $57,040 (10th percentile) to $117,309 (90th percentile).
How much does a Occupational Therapist make per hour in North Carolina? ▼
Based on the median annual salary of $85,726, a occupational therapist in North Carolina earns approximately $41 per hour assuming a standard 2,080-hour work year.
Is North Carolina a good state for occupational therapists? ▼
North Carolina ranks #30 out of 50 states for occupational therapist pay. The cost of living index is 92% of the national average. Entry-level occupational therapists earn $58,880, while senior professionals earn $110,400.
How does North Carolina compare to other states for occupational therapist salary? ▼
The highest paying state for occupational therapists is Hawaii at $165,860. North Carolina's median of $85,726 ranks #30 nationally. Nearby-ranked states include Montana ($86,657) and Idaho ($85,726).
What is the entry-level occupational therapist salary in North Carolina? ▼
An entry-level occupational therapist in North Carolina earns approximately $58,880 per year. With 3-7 years of experience, pay increases to around $85,560. Senior-level professionals with 8+ years earn up to $110,400.
What city in North Carolina pays occupational therapists the most? ▼
Charlotte is the highest paying city in North Carolina for occupational therapists, with a median salary of $91,316. Other cities include Raleigh and Durham.