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Salary data · North Dakota

Occupational therapist salary in North Dakota

Occupational therapists in North Dakota earn a mean of $87,670 a year and a median of $83,200, 13.4% below the national mean of $101,280. That ranks 51st of the 51 states with a published estimate.

$87,670

Mean annual wage

about $42 an hour

$83,200

Median annual wage

51st of 51

State rank

by mean wage

570

OTs employed

BLS estimate

Source: BLS OEWS, May 2025 estimates. These are estimates for occupational therapists already employed in North Dakota, 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 North Dakota

Metro estimates from the same survey, highest mean first. Each city links to its full therapy workforce page.
MetroMeanMedianEmployed
Grand Forks$87,200$80,83060
Bismarck$86,570$83,080130
Fargo$86,170$81,870210

Source: BLS OEWS metropolitan estimates. Suppressed cells show n/a.

The market

How many occupational therapists work in North Dakota

764 occupational therapists hold an active individual NPI with a practice address in North Dakota, 95.6 per 100,000 residents, and 27 new ones enrolled in the last twelve months. A high wage with few clinicians per capita usually means employers are competing for people; a low one in a crowded market means the opposite.

Source: NPPES monthly file, October 2026 (CMS, public domain), as of October 2026.

Licensed in another state?

North Dakota has enacted the OT Compact but is not yet issuing compact privileges, so occupational therapists and occupational therapy assistants licensed elsewhere still need a North Dakota license for now.

How the OT Compact works →

Open roles

OT openings in North Dakota

No public OT listing in North Dakota right now. Most of our searches are confidential and never posted, so tell us what you want and we will match you quietly.

Thinking about a OT move in North Dakota?

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.