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Occupational Therapist Salary in Seattle, WA — 2026

Occupational Therapist salary data for Seattle, WA — 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 Seattle, WA is $132,240 per year ($11,020/month, $64/hr). This reflects the local cost of living index of 152, which is 52% above the national average.

Entry Level
$105K
$50/hr
Median
$132K
$64/hr
Senior
$167K
$80/hr
Top Earner
$188K
$91/hr

Occupational Therapist Take-Home Pay in Seattle

Tax Breakdown (Median Salary)

Gross Annual$132,240
Federal Tax-$20,472
State Tax (0.0%)-$0
FICA (SS + Medicare)-$10,116
Annual Take-Home$101,652
Monthly Take-Home$8,471

Living Cost Comparison

Median Rent$2,400/mo
Rent-to-Income Ratio21.8%
Median Home Price$780,000
Cost of Living Index152
City Median Salary$95,000
Occupational Therapist vs City Median+$37,240

Occupational Therapist Requirements

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

Key Skills

Activity AnalysisAdaptive EquipmentCognitive RehabilitationSensory IntegrationDocumentation

Seattle Job Market Overview

Seattle, Washington has a population of 737,015 and an unemployment rate of 3.0%. The top industries are Technology, Healthcare, Aerospace. The local job growth rate is 2.8%, and the average commute time is 28 minutes.

Occupational Therapist Salary in Nearby Washington Cities

Salary Percentile Breakdown — Occupational Therapist in Seattle

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

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$104,880$50/hrEntry-level, < 1 yr exp.
25th$118,560$57/hrJunior, 1-3 yrs exp.
50th (median)$132,240$64/hrMid-career, 0-2 years
75th$167,200$80/hrSenior, 5-10 yrs exp.
90th (top)$188,480$91/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 Seattle's Technology sector.

5-Year Salary Trajectory

Occupational Therapist salaries in Seattle 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
$117,027
Adjusted for Seattle COL
Today (2026)
$132,240
+13.0% vs 5y ago
Projected 2031
$149,431
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 Seattle. Negotiation, certifications (NBCOT Certification, State Licensure), and changing employers strategically can accelerate this trajectory.

Seattle vs National Average

The national median Occupational Therapist salary is $87,000. In Seattle, the cost-of-living-adjusted median of $132,240 is 52.0% above the national figure. This reflects Seattle's cost of living index of 152 (higher than the national average of 100).

For Occupational Therapists, this means: rent typically consumes 28.3% of take-home pay (households spending >30% are considered affordable), and a median home in Seattle costs about 7.7× annual take-home. Homeownership in Seattle on this salary is challenging — most experts recommend keeping home costs to 3-4× income.

Industry Context: Technology in Seattle

Seattle's economy is anchored by Technology, Healthcare, Aerospace, with 737,015 residents and 3.0% unemployment as of 2026. Occupational Therapists working in the Technology sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 2.8%, 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 Seattle, WA:

  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 Seattle index of 152 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%), WA state income tax of 0.0%, 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 (Technology vs others in Seattle), 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 Seattle, WA?
The median Occupational Therapist salary in Seattle, WA is $132,240 per year as of 2026. This is adjusted for the local cost of living index of 152. Entry-level Occupational Therapists earn around $104,880, while senior-level professionals can earn $167,200 or more.
How much does a Occupational Therapist take home in Seattle after taxes?
A Occupational Therapist earning the median salary of $132,240 in Seattle, WA takes home approximately $101,652 per year ($8,471/month) after federal, state, and local taxes. The effective tax rate is 23.1%.
Is Seattle a good city for Occupational Therapists?
Seattle, WA has a cost of living index of 152 (above national average). Occupational Therapists here earn above the city median. The local unemployment rate is 3.0% and top industries include Technology, Healthcare, Aerospace.
What skills are needed for a Occupational Therapist in Seattle?
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 Seattle compare to the national average?
The national median Occupational Therapist salary is $87,000. In Seattle, the adjusted salary is $132,240, which is 52.0% higher 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 Seattle, WA?

The median Occupational Therapist salary in Seattle, WA is $132,240 per year as of 2026. This is adjusted for the local cost of living index of 152. Entry-level Occupational Therapists earn around $104,880, while senior-level professionals can earn $167,200 or more.

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

A Occupational Therapist earning the median salary of $132,240 in Seattle, WA takes home approximately $101,652 per year ($8,471/month) after federal, state, and local taxes. The effective tax rate is 23.1%.

Is Seattle a good city for Occupational Therapists?

Seattle, WA has a cost of living index of 152 (above national average). Occupational Therapists here earn above the city median. The local unemployment rate is 3.0% and top industries include Technology, Healthcare, Aerospace.

What skills are needed for a Occupational Therapist in Seattle?

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 Seattle compare to the national average?

The national median Occupational Therapist salary is $87,000. In Seattle, the adjusted salary is $132,240, which is 52.0% higher than the national average, reflecting the local cost of living.