Healthcare Missouri (MO) Rank #42 of 50

Occupational Therapy Assistant Salary in Missouri

The median occupational therapy assistant salary in Missouri is $57,570 per year, which is 12% below the national median of $65,420.

Median Salary
$57,570
vs National
$-7,850
State Rank
#42 of 50
Cost of Living
88%

Occupational Therapy Assistant Salary Overview in Missouri (2026)

Missouri ranks #42 out of 50 states for occupational therapy assistant compensation. Occupational Therapy Assistant salaries in Missouri are below the national median, though the lower cost of living can offset the difference. At $57,570 per year, occupational therapy assistants in Missouri earn $7,850 less than the national median of $65,420.

A key advantage of working in Missouri is its below-average cost of living (88% of the national index). This means the $57,570 salary has the purchasing power of roughly $65,420 in an average-cost area.

The salary spread in Missouri is significant: occupational therapy assistants at the 10th percentile earn $36,960, while those at the 90th percentile bring home $80,960 — a $44,000 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 $60,186.

Nationally, occupational therapy assistant employment is projected to grow 25% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in Missouri and beyond.

Occupational Therapy Assistant Salary in Missouri by Experience

In Missouri, an entry-level occupational therapy assistant earns around $38,720, while experienced professionals earn up to $77,440 per year. The cost of living index in Missouri is 88% of the national average.

Entry Level (0-2 yrs)
$38,720
$-5,280 vs national
Mid Level (3-7 yrs)
$58,080
$-7,920 vs national
Senior Level (8+ yrs)
$77,440
$-10,560 vs national

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Salary Percentiles in Missouri

Percentile MO Salary
10th Percentile $36,960
25th Percentile $45,760
Median (50th) $57,570
75th Percentile $70,400
90th Percentile $80,960

Occupational Therapy Assistant Salary by City in Missouri

The largest employment areas for occupational therapy assistants 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 Therapy Assistant in Missouri

Education

Most occupational therapy assistant positions require a associate's degree. Missouri has several accredited institutions offering relevant programs.

Key Skills

Therapeutic ExercisesPatient CareDocumentationCommunicationAdaptabilityCompassion

Job Outlook in Missouri

Nationally, occupational therapy assistant employment is projected to grow 25% over the next decade (much faster than average). Missouri's demand may vary based on local industry trends.

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Frequently Asked Questions: Occupational Therapy Assistant Salary in Missouri

How much does a Occupational Therapy Assistant make in Missouri? ▼
The median occupational therapy assistant salary in Missouri is $57,570 per year, which is 12% below the national median of $65,420. Salaries range from $36,960 (10th percentile) to $80,960 (90th percentile).
How much does a Occupational Therapy Assistant make per hour in Missouri? ▼
Based on the median annual salary of $57,570, a occupational therapy assistant in Missouri earns approximately $28 per hour assuming a standard 2,080-hour work year.
Is Missouri a good state for occupational therapy assistants? ▼
Missouri ranks #42 out of 50 states for occupational therapy assistant pay. The cost of living index is 88% of the national average. Entry-level occupational therapy assistants earn $38,720, while senior professionals earn $77,440.
How does Missouri compare to other states for occupational therapy assistant salary? ▼
The highest paying state for occupational therapy assistants is Hawaii at $116,448. Missouri's median of $57,570 ranks #42 nationally. Nearby-ranked states include Iowa ($58,224) and South Carolina ($58,224).
What is the entry-level occupational therapy assistant salary in Missouri? ▼
An entry-level occupational therapy assistant in Missouri earns approximately $38,720 per year. With 3-7 years of experience, pay increases to around $58,080. Senior-level professionals with 8+ years earn up to $77,440.
What city in Missouri pays occupational therapy assistants the most? ▼
Kansas City is the highest paying city in Missouri for occupational therapy assistants, with a median salary of $60,186. Other cities include Saint Louis and Springfield.