Salary data · Texas
Occupational therapist salary in Texas
Occupational therapists in Texas earn a mean of $107,630 a year and a median of $106,140, 6.3% above the national mean of $101,280. That ranks 9th of the 51 states with a published estimate.
$107,630
Mean annual wage
about $52 an hour
$106,140
Median annual wage
9th of 51
State rank
by mean wage
13,400
OTs employed
BLS estimate
Source: BLS OEWS, May 2025 estimates. These are estimates for occupational therapists already employed in Texas, 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 Texas
| Metro | Mean | Median | Employed |
|---|---|---|---|
| Austin | $113,410 | $122,050 | 1,600 |
| San Antonio | $111,140 | $107,650 | 1,780 |
| Dallas | $108,380 | $106,110 | 3,450 |
| Houston | $107,080 | $103,580 | 2,700 |
| McAllen | $103,410 | $100,980 | 340 |
Source: BLS OEWS metropolitan estimates. Suppressed cells show n/a.
The market
How many occupational therapists work in Texas
Source: NPPES monthly file, October 2026 (CMS, public domain), as of October 2026.
Licensed in another state?
Texas is not a member of the OT Compact: occupational therapists and occupational therapy assistants licensed in another state need a full Texas license before starting.
How the OT Compact works →How to get a Texas license, step by step →Open roles
OT openings in Texas
Thinking about a OT move in Texas?
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.