Occupational Therapist Salary in Houston, TX — 2026
Occupational Therapist salary data for Houston, TX — 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 Houston, TX is $83,520 per year ($6,960/month, $40/hr). This reflects the local cost of living index of 96, which is 4% below the national average.
Occupational Therapist Take-Home Pay in Houston
Tax Breakdown (Median Salary)
| Gross Annual | $83,520 |
| Federal Tax | -$9,544 |
| State Tax (0.0%) | -$0 |
| FICA (SS + Medicare) | -$6,389 |
| Annual Take-Home | $67,586 |
| Monthly Take-Home | $5,632 |
Living Cost Comparison
Occupational Therapist Requirements
Key Skills
Houston Job Market Overview
Houston, Texas has a population of 2,304,580 and an unemployment rate of 3.8%. The top industries are Energy, Healthcare, Aerospace. The local job growth rate is 2.5%, and the average commute time is 28 minutes.
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Salary Percentile Breakdown — Occupational Therapist in Houston
Based on the cost-of-living-adjusted distribution for Occupational Therapist in Houston, TX, here's how earnings break down across the workforce:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $66,240 | $32/hr | Entry-level, < 1 yr exp. |
| 25th | $74,880 | $36/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $83,520 | $40/hr | Mid-career, 0-2 years |
| 75th | $105,600 | $51/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $119,040 | $57/hr | Lead/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 Houston's Energy sector.
5-Year Salary Trajectory
Occupational Therapist salaries in Houston have grown approximately 13.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:
Year-over-year, an average Occupational Therapist can expect a 12.4% annual increase moving from entry to senior level over 4 years in Houston. Negotiation, certifications (NBCOT Certification, State Licensure), and changing employers strategically can accelerate this trajectory.
Houston vs National Average
The national median Occupational Therapist salary is $87,000. In Houston, the cost-of-living-adjusted median of $83,520 is 4.0% below the national figure. This reflects Houston's cost of living index of 96 (lower than the national average of 100).
For Occupational Therapists, this means: rent typically consumes 24.0% of take-home pay (households spending >30% are considered affordable), and a median home in Houston costs about 4.1× annual take-home. Homeownership is relatively attainable on this salary in Houston.
Industry Context: Energy in Houston
Houston's economy is anchored by Energy, Healthcare, Aerospace, with 2,304,580 residents and 3.8% unemployment as of 2026. Occupational Therapists working in the Energy sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 2.5%, 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 Houston, TX:
- 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.
- Cost-of-living adjustment applied using the Houston index of 96 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs checked separately.
- 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.
- Take-home pay calculated using 2026 federal tax brackets (10%-37%), TX state income tax of 0.0%, and FICA (Social Security 6.2% + Medicare 1.45%).
- 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:
- BLS Occupational Employment and Wage Statistics — national and metro-area salary data
- O*NET OnLine — occupation tasks, alternate job titles, skills, and SOC crosswalks
- BLS Occupational Outlook Handbook — occupation outlook where a matching profile is available
- BLS Consumer Price Index (CPI-U) — regional inflation and cost-of-living data
- U.S. Census Bureau — Houston QuickFacts — population and demographic data
- IRS Revenue Procedure 2025-32 summary — 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics — Houston unemployment rate
Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Occupational Therapist salaries can vary significantly based on employer, sector (Energy vs others in Houston), 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 Houston, TX?
How much does a Occupational Therapist take home in Houston after taxes?
Is Houston a good city for Occupational Therapists?
What skills are needed for a Occupational Therapist in Houston?
How does Occupational Therapist salary in Houston compare to the national average?
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Frequently Asked Questions
What is the average Occupational Therapist salary in Houston, TX?
The median Occupational Therapist salary in Houston, TX is $83,520 per year as of 2026. This is adjusted for the local cost of living index of 96. Entry-level Occupational Therapists earn around $66,240, while senior-level professionals can earn $105,600 or more.
How much does a Occupational Therapist take home in Houston after taxes?
A Occupational Therapist earning the median salary of $83,520 in Houston, TX takes home approximately $67,586 per year ($5,632/month) after federal, state, and local taxes. The effective tax rate is 19.1%.
Is Houston a good city for Occupational Therapists?
Houston, TX has a cost of living index of 96 (below national average). Occupational Therapists here earn above the city median. The local unemployment rate is 3.8% and top industries include Energy, Healthcare, Aerospace.
What skills are needed for a Occupational Therapist in Houston?
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 Houston compare to the national average?
The national median Occupational Therapist salary is $87,000. In Houston, the adjusted salary is $83,520, which is 4.0% lower than the national average, reflecting the local cost of living.