Healthcare South Dakota (SD) Rank #43 of 50

Occupational Therapist Salary in South Dakota

The median occupational therapist salary in South Dakota is $81,998 per year, which is 12% below the national median of $93,180.

Median Salary
$81,998
vs National
$-11,182
State Rank
#43 of 50
Cost of Living
88%

Occupational Therapist Salary Overview in South Dakota (2026)

South Dakota ranks #43 out of 50 states for occupational therapist compensation. Occupational Therapist salaries in South Dakota are below the national median, though the lower cost of living can offset the difference. At $81,998 per year, occupational therapists in South Dakota earn $11,182 less than the national median of $93,180.

A key advantage of working in South Dakota 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 South Dakota 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 South Dakota for this role is Sioux Falls, 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 South Dakota and beyond.

Occupational Therapist Salary in South Dakota by Experience

In South Dakota, 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 South Dakota is 88% of the national average.

Entry Level (0-2 yrs)
$56,320
$-7,680 vs national
Mid Level (3-7 yrs)
$81,840
$-11,160 vs national
Senior Level (8+ yrs)
$105,600
$-14,400 vs national

Build Wealth on Your Income

With a $81,998 income, financial advisors recommend investing 15–20% annually. Start building a diversified portfolio with as little as $10.

See Investment Options →

Salary Percentiles in South Dakota

Percentile SD 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 South Dakota

The largest employment areas for occupational therapists in South Dakota include Sioux Falls, Rapid City, Aberdeen, and Brookings. Salaries vary by city based on local cost of living and demand.

How to Become a Occupational Therapist in South Dakota

Education

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

Key Skills

Therapeutic ActivitiesPatient AssessmentAdaptive EquipmentDocumentationRehabilitationCommunication

Job Outlook in South Dakota

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

Stand Out from the Competition

85% of recruiters say a professionally written resume increases interview rates by 40%. Stand out from 143,300 other Occupational Therapists.

Get a Professional Resume →

Open to Occupational Therapist Roles in South Dakota?

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

Or browse positions directly:

Frequently Asked Questions: Occupational Therapist Salary in South Dakota

How much does a Occupational Therapist make in South Dakota? ▼
The median occupational therapist salary in South Dakota is $81,998 per year, which is 12% below the national median of $93,180. Salaries range from $54,560 (10th percentile) to $112,209 (90th percentile).
How much does a Occupational Therapist make per hour in South Dakota? ▼
Based on the median annual salary of $81,998, a occupational therapist in South Dakota earns approximately $39 per hour assuming a standard 2,080-hour work year.
Is South Dakota a good state for occupational therapists? ▼
South Dakota ranks #43 out of 50 states for occupational therapist pay. The cost of living index is 88% of the national average. Entry-level occupational therapists earn $56,320, while senior professionals earn $105,600.
How does South Dakota compare to other states for occupational therapist salary? ▼
The highest paying state for occupational therapists is Hawaii at $165,860. South Dakota's median of $81,998 ranks #43 nationally. Nearby-ranked states include South Carolina ($82,930) and Missouri ($81,998).
What is the entry-level occupational therapist salary in South Dakota? ▼
An entry-level occupational therapist in South Dakota earns approximately $56,320 per year. With 3-7 years of experience, pay increases to around $81,840. Senior-level professionals with 8+ years earn up to $105,600.
What city in South Dakota pays occupational therapists the most? ▼
Sioux Falls is the highest paying city in South Dakota for occupational therapists, with a median salary of $85,726. Other cities include Rapid City and Aberdeen.