Healthcare Honolulu, HI Pop. 350,964

Occupational Therapy Assistant Salary in Honolulu, Hawaii

The median occupational therapy assistant salary in Honolulu, HI is $119,719 per year, which is 83.0% above the national median and 2.8% above the Hawaii state average.

City Median
$119,719
vs State Avg
+$3,271
vs National
+$54,299
Cost of Living
175%

Occupational Therapy Assistant Pay in Honolulu: What to Expect (2026)

Honolulu offers a median occupational therapy assistant salary of $119,719, which is $3,271 above the Hawaii state average of $116,448. Compared to the national median of $65,420, Honolulu pays above average for this role.

However, Honolulu's cost of living index is 175%, significantly above the national average. After adjusting for local costs, the $119,719 salary has an effective purchasing power of approximately $68,411. Housing, transportation, and food costs in Honolulu should be factored into any relocation or job-change decision.

The salary range for occupational therapy assistants in Honolulu spans from $76,860 at the 10th percentile to $168,360 at the 90th percentile — a $91,500 spread. Entry-level professionals start around $80,520, while senior occupational therapy assistants with 8+ years of experience can earn up to $161,040. With a population of 350,964, Honolulu is a mid-sized metro with a growing job market.

Occupational Therapy Assistant Salary in Honolulu by Experience

In Honolulu, an entry-level occupational therapy assistant earns around $80,520, while experienced professionals earn up to $161,040 per year. The local cost of living index is 175% of the national average.

Entry Level (0-2 yrs)
$80,520
+$36,520 vs national
Mid Level (3-7 yrs)
$120,780
+$54,780 vs national
Senior Level (8+ yrs)
$161,040
+$73,040 vs national

Salary Percentiles in Honolulu, HI

Percentile Honolulu
10th Percentile $76,860
25th Percentile $95,160
Median (50th) $119,719
75th Percentile $146,400
90th Percentile $168,360

Occupational Therapy Assistant Salary in Other Hawaii Cities

Kailua, HI
$116,448
Pop. 38,635
Pearl City, HI
$115,139
Pop. 47,698
Waipahu, HI
$111,214
Pop. 38,216
Hilo, HI
$104,672
Pop. 45,703

How to Become a Occupational Therapy Assistant in Honolulu

Education

Most occupational therapy assistant positions require a associate's degree. Honolulu and the surrounding Hawaii area have institutions offering relevant programs.

Key Skills

Therapeutic ExercisesPatient CareDocumentationCommunicationAdaptabilityCompassion

Job Outlook

Nationally, occupational therapy assistant employment is projected to grow 25% over the next decade (much faster than average). Demand in Honolulu may vary based on local industry and population growth.

Find Occupational Therapy Assistant Jobs in Honolulu

Browse open occupational therapy assistant positions in Honolulu, HI:

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Frequently Asked Questions: Occupational Therapy Assistant Salary in Honolulu

How much does a Occupational Therapy Assistant make in Honolulu, HI? ▼
The median occupational therapy assistant salary in Honolulu, Hawaii is $119,719 per year, which is 83.0% above the national median of $65,420. Salaries range from $76,860 (10th percentile) to $168,360 (90th percentile).
How much does a Occupational Therapy Assistant make per hour in Honolulu? ▼
Based on the median annual salary of $119,719, a occupational therapy assistant in Honolulu earns approximately $58 per hour assuming a standard 2,080-hour work year.
How does Honolulu compare to the Hawaii state average for occupational therapy assistant pay? ▼
Honolulu's median occupational therapy assistant salary of $119,719 is 2.8% above the Hawaii state average of $116,448. The local cost of living index is 175% of the national average.
What is the cost of living in Honolulu, HI? ▼
Honolulu has a cost of living index of 175% compared to the national average. This means a occupational therapy assistant salary of $119,719 in Honolulu has less purchasing power than the same salary in an average-cost city.
What qualifications do I need to become a occupational therapy assistant in Honolulu? ▼
Most occupational therapy assistant positions in Honolulu require a associate's degree. Key skills include Therapeutic Exercises, Patient Care, Documentation, Communication. The job market is projected to grow 25% nationally over the next decade.