Salary data · Missouri

Occupational therapy assistant salary in Missouri

Occupational therapy assistants in Missouri earn a mean of $66,030 a year and a median of $66,070, 6.6% below the national mean of $70,710. That ranks 33rd of the 50 states with a published estimate.

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$66,030

Mean annual wage

about $32 an hour

$66,070

Median annual wage

33rd of 50

State rank

by mean wage

1,470

OTAs employed

BLS estimate

Source: BLS OEWS, May 2025 estimates. These are estimates for occupational therapy assistants 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 therapy assistant pay by metro in Missouri

Metro estimates from the same survey, highest mean first. Each city links to its full therapy workforce page.

Metro	Mean	Median	Employed
Kansas City	$69,570	$71,050	400
St. Louis	$66,720	$67,450	780
Columbia	$64,900	$62,810	80
Springfield	$64,320	$61,360	120

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

The market

How many occupational therapy assistants work in Missouri

1,101 occupational therapy assistants hold an active individual NPI with a practice address in Missouri, and 92 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?

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 →

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OTA openings in Missouri

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

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