Salary data · Missouri
Occupational therapist salary in Missouri
Occupational therapists in Missouri earn a mean of $95,200 a year and a median of $97,290, 6.0% below the national mean of $101,280. That ranks 35th of the 51 states with a published estimate.
$95,200
Mean annual wage
about $46 an hour
$97,290
Median annual wage
35th of 51
State rank
by mean wage
3,400
OTs employed
BLS estimate
Source: BLS OEWS, May 2025 estimates. These are estimates for occupational therapists already employed in Missouri, not offers; the hourly figure divides the annual mean by 2,080 hours. Setting, specialty and caseload move an individual offer well above or below them. Updated October 22, 2026.
By metro
Occupational therapist pay by metro in Missouri
| Metro | Mean | Median | Employed |
|---|---|---|---|
| Kansas City | $97,980 | $99,840 | 1,360 |
| Columbia | $96,740 | $98,550 | 160 |
| Springfield | $94,050 | $97,200 | 270 |
| St. Louis | $93,910 | $95,770 | 1,860 |
| Joplin | $92,180 | $93,410 | 70 |
Source: BLS OEWS metropolitan estimates. Suppressed cells show n/a.
The market
How many occupational therapists work in Missouri
Source: NPPES monthly file, October 2026 (CMS, public domain), as of October 2026.
Licensed in another state?
Missouri has enacted the OT Compact but is not yet issuing compact privileges, so occupational therapists and occupational therapy assistants licensed elsewhere still need a Missouri license for now.
How the OT Compact works →Open roles
OT openings in Missouri
Other roles in Missouri
Thinking about a OT move in Missouri?
Send a resume and a few lines on the setting, schedule and pay you want. A licensed clinician reads every one, and it stays confidential.