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Occupational Therapist Salary in Fargo, ND — 2026

Occupational Therapist salary data for Fargo, ND — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.

The median Occupational Therapist salary in Fargo, ND is $80,910 per year ($6,743/month, $39/hr). This reflects the local cost of living index of 93, which is 7% below the national average.

Entry Level
$64K
$31/hr
Median
$81K
$39/hr
Senior
$102K
$49/hr
Top Earner
$115K
$55/hr

Occupational Therapist Take-Home Pay in Fargo

Tax Breakdown (Median Salary)

Gross Annual$80,910
Federal Tax-$8,970
State Tax (1.9%)-$1,578
FICA (SS + Medicare)-$6,190
Annual Take-Home$64,172
Monthly Take-Home$5,348

Living Cost Comparison

Median Rent$1,000/mo
Rent-to-Income Ratio14.8%
Median Home Price$260,000
Cost of Living Index93
City Median Salary$60,000
Occupational Therapist vs City Median+$20,910

Occupational Therapist Requirements

Education
Master's Degree
Experience
0-2 years
Job Growth
14.0% (2024-2034)

Key Skills

Activity AnalysisAdaptive EquipmentCognitive RehabilitationSensory IntegrationDocumentation

Fargo Job Market Overview

Fargo, North Dakota has a population of 125,990 and an unemployment rate of 1.8%. The top industries are Healthcare, Technology, Education. The local job growth rate is 2.0%, and the average commute time is 17 minutes.

Salary Percentile Breakdown — Occupational Therapist in Fargo

Based on the cost-of-living-adjusted distribution for Occupational Therapist in Fargo, ND, here's how earnings break down across the workforce:

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$64,170$31/hrEntry-level, < 1 yr exp.
25th$72,540$35/hrJunior, 1-3 yrs exp.
50th (median)$80,910$39/hrMid-career, 0-2 years
75th$102,300$49/hrSenior, 5-10 yrs exp.
90th (top)$115,320$55/hrLead/Principal, 10+ yrs

Percentiles estimated using a log-normal salary distribution model calibrated to Occupational Therapist compensation data. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Fargo's Healthcare sector.

5-Year Salary Trajectory

Occupational Therapist salaries in Fargo have grown approximately 13.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:

5 Years Ago
$71,602
Adjusted for Fargo COL
Today (2026)
$80,910
+13.0% vs 5y ago
Projected 2031
$91,428
If growth continues

Year-over-year, an average Occupational Therapist can expect a 12.4% annual increase moving from entry to senior level over 4 years in Fargo. Negotiation, certifications (NBCOT Certification, State Licensure), and changing employers strategically can accelerate this trajectory.

Fargo vs National Average

The national median Occupational Therapist salary is $87,000. In Fargo, the cost-of-living-adjusted median of $80,910 is 7.0% below the national figure. This reflects Fargo's cost of living index of 93 (lower than the national average of 100).

For Occupational Therapists, this means: rent typically consumes 18.7% of take-home pay (households spending >30% are considered affordable), and a median home in Fargo costs about 4.1× annual take-home. Homeownership is relatively attainable on this salary in Fargo.

Industry Context: Healthcare in Fargo

Fargo's economy is anchored by Healthcare, Technology, Education, with 125,990 residents and 1.8% unemployment as of 2026. Occupational Therapists working in the Healthcare sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 2.0%, and Occupational Therapist occupations specifically are projected to grow 14.0% nationally through 2034 (BLS Occupational Outlook Handbook).

Methodology & Data Sources

How we calculate Occupational Therapist salaries in Fargo, ND:

  1. Base salary model starts with Salario occupation data and public wage references, including BLS OEWS and O*NET when a direct or related occupational crosswalk is available. For niche titles, we do not treat a broader SOC family as an exact job-title wage.
  2. Cost-of-living adjustment applied using the Fargo index of 93 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs checked separately.
  3. Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rather than claimed as exact employer payroll data.
  4. Take-home pay calculated using 2026 federal tax brackets (10%-37%), ND state income tax of 1.9%, and FICA (Social Security 6.2% + Medicare 1.45%).
  5. Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.

Authoritative data sources:

Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Occupational Therapist salaries can vary significantly based on employer, sector (Healthcare vs others in Fargo), specific skill set (Activity Analysis, Adaptive Equipment, Cognitive Rehabilitation), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.

Frequently Asked Questions

What is the average Occupational Therapist salary in Fargo, ND?
The median Occupational Therapist salary in Fargo, ND is $80,910 per year as of 2026. This is adjusted for the local cost of living index of 93. Entry-level Occupational Therapists earn around $64,170, while senior-level professionals can earn $102,300 or more.
How much does a Occupational Therapist take home in Fargo after taxes?
A Occupational Therapist earning the median salary of $80,910 in Fargo, ND takes home approximately $64,172 per year ($5,348/month) after federal, state, and local taxes. The effective tax rate is 20.7%.
Is Fargo a good city for Occupational Therapists?
Fargo, ND has a cost of living index of 93 (below national average). Occupational Therapists here earn above the city median. The local unemployment rate is 1.8% and top industries include Healthcare, Technology, Education.
What skills are needed for a Occupational Therapist in Fargo?
Key skills for Occupational Therapists include Activity Analysis, Adaptive Equipment, Cognitive Rehabilitation, Sensory Integration, Documentation. Typical education requirement is Master's Degree. Valuable certifications include NBCOT Certification, State Licensure.
How does Occupational Therapist salary in Fargo compare to the national average?
The national median Occupational Therapist salary is $87,000. In Fargo, the adjusted salary is $80,910, which is 7.0% lower than the national average, reflecting the local cost of living.

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Frequently Asked Questions

What is the average Occupational Therapist salary in Fargo, ND?

The median Occupational Therapist salary in Fargo, ND is $80,910 per year as of 2026. This is adjusted for the local cost of living index of 93. Entry-level Occupational Therapists earn around $64,170, while senior-level professionals can earn $102,300 or more.

How much does a Occupational Therapist take home in Fargo after taxes?

A Occupational Therapist earning the median salary of $80,910 in Fargo, ND takes home approximately $64,172 per year ($5,348/month) after federal, state, and local taxes. The effective tax rate is 20.7%.

Is Fargo a good city for Occupational Therapists?

Fargo, ND has a cost of living index of 93 (below national average). Occupational Therapists here earn above the city median. The local unemployment rate is 1.8% and top industries include Healthcare, Technology, Education.

What skills are needed for a Occupational Therapist in Fargo?

Key skills for Occupational Therapists include Activity Analysis, Adaptive Equipment, Cognitive Rehabilitation, Sensory Integration, Documentation. Typical education requirement is Master's Degree. Valuable certifications include NBCOT Certification, State Licensure.

How does Occupational Therapist salary in Fargo compare to the national average?

The national median Occupational Therapist salary is $87,000. In Fargo, the adjusted salary is $80,910, which is 7.0% lower than the national average, reflecting the local cost of living.