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Occupational Therapist
high demand
S · Social
I · Investigative

Occupational Therapist

Health Science

Help people rebuild the skills they need for daily life and work.

Why it matters here: Schools and rehab centers in the DMV report ongoing shortages.

Labor Market — DMV Region

Sourced from U.S. Bureau of Labor Statistics OEWS releases (DMV metro and nationwide) plus MD, VA, and D.C. workforce agencies.

Current openings
265
Employed in DMV
Avg hourly wage
$55.12/hr
DMV average
Avg annual salary
$114,640
Median
Employers hiring
65
Organizations in DMV
Entry wage
$92,820
25th percentile
Experienced wage
$134,470
75th percentile
Projected growth
+12%
5-year outlook
Region
DMV
MD · D.C. · Northern VA
DMV Region vs. nationwide
DMV pay is 19% above the national median
National median
$96,340
All 50 states
National entry wage
$78,000
25th percentile
National experienced wage
$113,000
75th percentile

Local cost of living is why DMV pay often differs from the national median.

Data sources & citations
  • DMV & state figures: U.S. Bureau of Labor Statistics — OEWS wage & employment estimates and Employment Projections, with OEWS area pay relatives for the Washington–Arlington–Alexandria metro, Maryland, D.C., and Northern Virginia · View source
  • Occupation profiles & skills: O*NET OnLine (U.S. Department of Labor) · onetonline.org

All salary figures are published estimates for groups of workers, not offers or guarantees for any individual role.

Local demand over time
Nearby cities hiring
Washington, D.C.
69
Arlington
29
Silver Spring
24
Rockville
21
Bethesda
19
Gaithersburg
16

Education & Career Pathways

Multiple ways to get here — pick the one that fits your life.

4-year degree
⏱ 4 years
💵 $12k–$32k/yr (in-state)
First job: Entry-level occupational therapist role
Salary progression
Year 1$85,020
Year 3$95,015
Year 5$105,010
Year 10$123,170
Montgomery College transfer
⏱ 2 years + transfer
💵 $5k–$8k/yr
First job: Assistant / technician role while finishing coursework
Salary progression
Year 1$72,267
Year 3$88,639
Year 5$105,010
Year 10$123,170

Career Progression

How you can grow — with expected salary at each step.

  1. Entry-level Occupational Therapist
    Learning the role, supervised work, building core skills.
    $85,020
  2. Occupational Therapist (experienced)
    Independent work, mentoring newer team members.
    $105,010
  3. Senior / Lead Occupational Therapist
    Owning projects, specialization, higher responsibility.
    $123,170
  4. Manager or specialist track
    Supervising a team or moving into a high-demand specialty.
    $147,804
Salary progression

Skills Required

What you'll actually do — and how you'll be judged.

Technical skills
Communication
Problem Solving
Biology
Soft skills
Communication
Teamwork
Problem Solving
What the workday feels like
Based on the BLS Occupational Outlook Handbook

Rehab clinic, school or home visits, weekday hours

Where you work

A rehab gym, a school, a skilled nursing facility, or a client's own kitchen and bathroom when the goal is daily living.

Hours and schedule

Weekday hours; school-based OTs follow the school calendar and get summers on a different schedule.

Pace and pressure

Session-based and calm, with heavy documentation between visits.

Who you work with

One-on-one with clients, coordinating with PTs, speech therapists, teachers and families.

Physical demands

Hands-on assisting, kneeling, adapting equipment; lots of carrying supplies between sites.

What people wear

Polo and pants, scrubs, or professional casual in schools.

Remote reality

Teletherapy is used for coaching and school consults; hands-on work stays in person.

Workplace culture: what's normal here

  • Goals are written in the client's own words — what they want to be able to do again.
  • Creativity with everyday objects is valued more than expensive equipment.
  • Family training is part of every plan, not an add-on at discharge.

Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook — Work Environment, with regional detail for the DMV.

Official data behind this career

Federal statistics for DMV Region, translated into plain language.

How people get in (BLS)
Typical entry-level educationMaster's degree
Work experience needed firstNone
Training once hiredNone

Source: BLS Occupational Outlook Handbook

Who lives and works here (Census)

Washington–Arlington–Alexandria, DC–VA–MD–WV metro area

Median household income$117,432
Median earnings per worker$58,000
Adults with a bachelor's degree or higher53%
Adults in the labor force71%
Unemployment4.6%
Median age37.5

Source: U.S. Census Bureau — ACS 2019–2023 5-year estimates (tables DP03, DP02, DP05)

Where workers commute (LEHD)
  • The DMV functions as one labor market: workers routinely cross state lines to get to work.
  • The largest employment destinations are D.C., Fairfax County and Montgomery County.

Top places these workers go to work

Washington, D.C.
Fairfax County, VA
Montgomery County, MD
Arlington County, VA

Source: Census LEHD OnTheMap / LODES, latest published year

This career and the regional economy (BEA)
Industry groupHealth care and social assistance
Share of the DMV economyAbout 6% of metro GDP
Total DMV metro economyAbout $722 billion a year
Income per person — DMV Region$87,000

Source: U.S. Bureau of Economic Analysis — BEA regional GDP and personal income, most recent published year

Recent private-sector pay trend (ADP — supplemental)
Pay growth, people who stayed in their job4.4%
Pay growth, people who changed jobs6.6%

Private-sector payroll data from ADP. It is a supplemental near-real-time indicator and does not replace BLS government employment statistics.

Source: ADP National Employment Report — Most recent monthly ADP National Employment Report

Where these numbers come from
  1. 1U.S. Bureau of Labor Statistics (OOH, OEWS, Employment Projections, CES) — Primary source for occupation wages, outlook, projected openings, education and training.
  2. 2U.S. Census Bureau — American Community Survey — Primary source for income, educational attainment, labor force and demographic context by place.
  3. 3Census LEHD (LODES / OnTheMap) — Primary source for where workers live versus where they work, and local workforce flows.
  4. 4U.S. Bureau of Economic Analysis — Primary source for regional GDP, industry contribution, compensation and personal income.
  5. 5ADP National Employment Report — Supplemental near-real-time private-sector employment and pay indicator. Not a replacement for BLS.

Figures describe groups of workers, not any one person. Where an official figure is not published for a category, this page says “Data unavailable for this category.” rather than estimating.

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