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2026 Salary Data — Seattle, WA
Updated April 28, 2026

Occupational Therapist Salary in Seattle: $127K Median

Occupational Therapists in Seattle, WA earn between $92K and $165K per year.

That's +32% above the US national median of $96,370 for this role.

Quick Answer

As of April 2026, the median Occupational Therapist salary in Seattle, WA is $127,208 per year — +32% above the US national median of $96,370. Salaries range from $92,400 (entry, 25th percentile) to $165,000 (90th percentile). Occupational Therapists in Seattle earned approximately $19,274 in 2025, representing 560.0% year-over-year growth.

Median
$127,208
+560.0% YoY · $10,601/mo
Entry
$99,000
0–2 years
Experienced
$145,200
5+ years
Top 10%
$165,000
Senior/lead
Occupational Therapist Salary — Seattle vs Nearby
Seattle
$127K
Boston
$125K
+2% vs Seattle
San Diego
$114K
+12% vs Seattle
Los Angeles
$123K
+3% vs Seattle

Free ATS scan · Seattle employers · Results in 60 seconds

About Occupational Therapists in Seattle

Occupational therapists help patients perform daily activities through therapeutic interventions tailored to physical, cognitive, or developmental needs.

Core Responsibilities

  • Patient assessment
  • Treatment plans
  • Adaptive equipment training
  • Documentation
  • Family education

Education & Certifications

Typical path: Master's or Doctorate (OTD/MOT)

In-demand certifications

OTR/L (Registered/Licensed)Pediatric specialtyHand therapy (CHT)Mental health specialty

Seattle Job Market

Major tech hub home to Amazon, Microsoft, and growing biotech sector.

Population
750K
Cost of Living
165
vs 100 US avg
Unemployment
4%
Median Home
$850K

Top Industries in Seattle

Tech (Amazon, Microsoft)Aerospace (Boeing)HealthcareMaritime

Top Employers Hiring Occupational Therapists

Major employers active in Seattle or hiring remotely from this metro.

Hospital systems
Schools
Skilled nursing facilities
Outpatient clinics
Home health

All major employers use ATS software.

Workday, Greenhouse, Taleo, and iCIMS auto-screen 75% of resumes before a human ever sees them. Scan your resume free to see your match rate.

2026 Hot Skills & Resume Keywords

Skills that command salary premiums and pass ATS keyword filters.

Hottest 2026 Skills

These appear in the highest-paying Occupational Therapist listings.

Telehealth OTPediatric specialtyHand therapy (CHT)Mental health OTGeriatric care

ATS Resume Keywords

Include these naturally throughout your resume.

OTR/Lpatient evaluationADL trainingpediatric OThand therapysensory integrationsplinting
Career Outlook
+11% Growth Projected (2024-2034)

OT roles growing 11%. Pediatric and hand therapy specialties highest demand.

Occupational Therapist Salary Breakdown — Seattle

PeriodEntry (25th)Median (50th)Top (90th)
Annual$92,400$127,208$165,000
Monthly$7,700$10,601$13,750
Weekly$1,777$2,446$3,173
Hourly$44$61$79

Based on 2080 working hours/year. Local figures derived from BLS Occupational Employment and Wage Statistics national median ($96,370) adjusted for Seattle's cost-of-living multiplier (1.32×, sourced from BEA Regional Price Parities).

Occupational Therapist Take-Home Pay in Seattle

After federal, state and FICA taxes — single filer, standard deduction.

Net Annual Take-Home
$97,603.668
Per month$8,134
Biweekly paycheck$3,754
Effective tax rate23.3%

Tax Breakdown on $127,208

Gross salary$127,208
Federal income tax−$19,872.92
Washington state tax−$0
FICA (Social Security + Medicare)−$9,731.412
Take-home (net)$97,603.668

Estimates assume single filer, standard deduction ($14,600 for 2026), no 401(k)/HSA/dependents. Actual take-home varies with deductions, dependents, and benefits elections. Not tax advice.

Occupational Therapist Salary by Experience — Seattle

Career-stage progression for Occupational Therapists in Seattle.

ExperienceAnnual Salary
0–1 yr$91,080
2–3 yr$99,000
4–6 yr$122,100
7–10 yr$145,200
11–15 yr$171,336
15+ yr$155,100

Curve derived from BLS percentile data adjusted for Seattle's 1.32× cost-of-living multiplier. Highlighted row = 7–10 year experienced level.

Year-Over-Year Trend

+560.0% vs 2025

2025 median:$19,274
2026 median:$127,208
Change:+$107,934

Healthcare sector growth driven by demand for Telehealth OT and Pediatric specialty.

Is This A Good Salary?

Solid above median

Real purchasing power lands comfortably above the national middle-class threshold once cost of living is factored in. Homeownership and meaningful retirement savings are achievable on a single income.

COL-Adjusted Purchasing Power
$77,096
Difficult on the median - the nominal salary masks how little real purchasing power remains after rent, taxes, and basic costs.

How to Negotiate Your Occupational Therapist Salary in Seattle

Walk-away anchor: $115,644 (offers below this are below market for Seattle).

Leverage Points

  • Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
  • Compact license / multi-state authority and willingness to float between units
  • Night, weekend, and holiday shift differentials add up to $10K-$25K annually
  • Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage

Beyond Base Salary, Negotiate

Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend

What To Say

"Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items?"

Anchor on $145K–$165K for experienced roles, citing Seattle market data and your specific Telehealth OT/Pediatric specialty expertise.

Occupational Therapist Salary FAQ — Seattle

What is the average Occupational Therapist salary in Seattle, WA?
The average Occupational Therapist salary in Seattle is $127,208 per year as of April 2026 — $10,601/month, $2,446/week, or about $61/hour. Salaries range from $92,400 (entry, 25th percentile) up to $165,000 (experienced, 90th percentile). Source: BLS Occupational Employment and Wage Statistics adjusted for Seattle's cost-of-living multiplier (1.32×).
Is $127,208 a good Occupational Therapist salary in Seattle?
Solid above median. Real purchasing power lands comfortably above the national middle-class threshold once cost of living is factored in. Homeownership and meaningful retirement savings are achievable on a single income. Seattle's cost-of-living index is 165 (vs 100 nationally), giving $127,208 a real purchasing power of approximately $77,096 in national terms. Difficult on the median - the nominal salary masks how little real purchasing power remains after rent, taxes, and basic costs.
Can you live on $127,208 in Seattle?
Median pay is below HUD's low-income threshold for a family of four in some of these metros (notably San Francisco, where $104K qualifies as 'low income'). Raising a family on the median typically requires two earners, a long commute, or family help with housing. Spending 30% on rent is impossible at the median in this market - most workers spend 40-50% or take roommates well into their 30s. HUD classifies anything over 30% as 'cost-burdened' here. For Seattle specifically (median home price $850,000), a $127,208 salary supports a comfortable lifestyle.
Is $127,208 enough for a single person in Seattle?
A single adult in Seattle typically needs ~$74,250 for a comfortable lifestyle (housing, food, transport, healthcare, modest savings). A $127,208 salary is well above that threshold — a single person can live comfortably with significant savings room.
Is $127,208 enough for a couple in Seattle?
A couple (one earner) in Seattle typically needs ~$118,800 for a comfortable lifestyle. A $127,208 salary as the sole household income is sufficient — enabling moderate housing, savings, and discretionary spending. Two earners at $127,208 each ($254,416 household) provides solid middle-class comfort.
Is $127,208 enough for a family of 4 in Seattle?
A family of 4 (one earner) in Seattle typically needs ~$181,500 for a comfortable middle-class lifestyle (housing for 4, childcare/school, food, healthcare, transport, savings). A $127,208 salary as the sole household income is below the comfortable threshold — most families need a second income or to live in cheaper suburbs/exurbs of Seattle. Childcare costs in Seattle typically run $25K-$46K per child per year.
What is the take-home pay for a Occupational Therapist in Seattle?
On a $127,208 Occupational Therapist salary in Seattle, WA, you take home approximately $97,603.668 per year ($8,134/month, $3,754 per biweekly paycheck) after taxes. Breakdown: federal $19,872.92, state $0, FICA $9,731.412. Effective tax rate: 23.3%. (Single filer, standard deduction, no other adjustments.)
How much do Occupational Therapists in Seattle earn compared to the US average?
Occupational Therapists in Seattle earn approximately 32% more than the US national median for this role ($96,370 nationally vs $127,208 in Seattle). However, Seattle's cost-of-living index of 165 means real purchasing power is approximately $77,096 when adjusted for local prices.
What does an entry-level Occupational Therapist earn in Seattle?
Entry-level Occupational Therapists in Seattle typically start at around $99,000 (0–2 years experience). With 5+ years, Occupational Therapists earn $145,200 or more. Top earners (90th percentile) reach $165,000+, typically at senior or lead levels with specialized skills.
Did Occupational Therapist salaries in Seattle increase in 2026?
Yes — Occupational Therapist salaries in Seattle grew approximately 560.0% year-over-year, from $19,274 in 2025 to $127,208 in 2026 (+$107,934). This reflects the broader Healthcare sector's compensation trend, driven by Telehealth OT and Pediatric specialty demand.
What's the job outlook for Occupational Therapists in Seattle?
OT roles growing 11%. Pediatric and hand therapy specialties highest demand. Seattle's top industries include Tech (Amazon, Microsoft), Aerospace (Boeing), Healthcare, and the metro's current unemployment rate is 4% — steady demand for skilled workers.
What skills are most in demand for Occupational Therapists in 2026?
The hottest 2026 skills for Occupational Therapists are: Telehealth OT, Pediatric specialty, Hand therapy (CHT), Mental health OT, Geriatric care. ATS systems specifically scan for these keywords. Adding them to your resume — naturally and in context — significantly improves your match rate with employers in Seattle.
Who are the top employers hiring Occupational Therapists in Seattle?
Top employers hiring Occupational Therapists in or near Seattle include: Hospital systems, Schools, Skilled nursing facilities, Outpatient clinics, Home health. Most use ATS software (Workday, Greenhouse, Taleo, iCIMS) to screen resumes — meaning your resume must be ATS-optimized to even get a human reader.
How do I negotiate a higher Occupational Therapist salary in Seattle?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Key leverage points for Healthcare negotiations: Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums; Compact license / multi-state authority and willingness to float between units; Night, weekend, and holiday shift differentials add up to $10K-$25K annually. Beyond base salary, negotiate for: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%).
How can I increase my Occupational Therapist salary in Seattle?
Three highest-leverage moves: (1) Add 2026's hot skills (Telehealth OT, Pediatric specialty, Hand therapy (CHT)) — they command 15-30% premiums. (2) Get a recognized certification (e.g., OTR/L (Registered/Licensed) or Pediatric specialty). (3) Tailor your resume to each role's keywords — CVCraft's ATS scanner shows you exactly what's missing.
What education do I need to become a Occupational Therapist in Seattle?
Master's or Doctorate (OTD/MOT) is the typical path. However, Seattle's competitive market increasingly values demonstrable skills, portfolios, and certifications alongside (or in place of) traditional degrees — particularly for Healthcare roles.

Methodology & Sources

Occupational Therapist salary figures for Seattle are computed by adjusting the BLS national median ($96,370) by Seattle's cost-of-living multiplier of 1.32× — a composite of regional wage data and price parities. Year-over-year change (560.0%) reflects the Healthcare sector's 2025-2026 wage growth per BLS Employment Cost Index trends. Last reviewed April 28, 2026.

Data Sources

Related Roles in Seattle

Physical Therapist →Registered Nurse →Pharmacist →Physician →Nurse Practitioner →Dentist →

Occupational Therapist Salary in Other Cities

New York, NY$130KLos Angeles, CA$123KWashington, DC$125KBoston, MA$125K

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