Occupational Therapist Pay

San Antonio vs Fort Worth: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between San Antonio, TX and Fort Worth, TX. All figures are 2026 estimates projected from BLS 2025 data.

San Antonio, TX
$110,944
$53.33/hr
Fort Worth, TX
$108,644
$52.23/hr

Side-by-Side Comparison

MetricSan Antonio, TXFort Worth, TX
Median Salary$110,944$108,644
Hourly Rate$53.33$52.23
Entry Level (P10)$78,006$77,370
25th Percentile$102,607$89,042
75th Percentile$133,123$130,864
Top Earner (P90)$135,648$151,589
Total Employed1,780219
Side-by-side bar chart comparing San Antonio ($110,944) and Fort Worth ($108,644) occupational therapist salaries.San AntonioFort WorthMedian Salary$110,944$108,644Entry Level (P10)$78,006$77,370Top Earner (P90)$135,648$151,589US Median $103,400

Verdict

San Antonio, TX offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Fort Worth.

The salary gap between San Antonio and Fort Worth is $2,300 (2.12%). San Antonio's median is +7.30% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Antonio spans $57,642,Fort Worth spans $74,219. Fort Worth has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

San Antonio
P10 (Entry)$78,006
P25$102,607
Median$110,944
P75$133,123
P90 (Top)$135,648
Fort Worth
P10 (Entry)$77,370
P25$89,042
Median$108,644
P75$130,864
P90 (Top)$151,589

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Antonio ($117,133 effective) pays 3.50% more than Fort Worth ($113,171 effective).

San Antonio
Nominal: $110,944
CoL Index: 94.716
Adjusted: $117,133
Fort Worth
Nominal: $108,644
CoL Index: 96
Adjusted: $113,171

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose San Antonio if…

  • Higher median salary ($110,944/year)
  • Larger job market (1,780 employed)
  • Better purchasing power (CoL-adjusted: $117,133)
  • You prefer the Texas area and lifestyle

Choose Fort Worth if…

  • Better top-earner potential ($151,589)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in San Antonio grew 50.0% from 2019 to 2025, compared to 4.4% growth in Fort Worth over the same period.

San Antonio, TX

+50.0%

$71,770 (2019) → $107,650 (2025)

Fort Worth, TX

+4.4%

$100,944 (2024) → $105,418 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: San Antonio or Fort Worth?

San Antonio has a higher median occupational therapist salary at $110,944/year, compared to Fort Worth at $108,644/year — a difference of $2,300 (2.12%).

What is the hourly rate difference between San Antonio and Fort Worth?

San Antonio occupational therapists earn $53.33/hr while Fort Worth hygienists earn $52.23/hr (2026 est.).

Should I relocate from San Antonio to Fort Worth as a occupational therapist?

Consider more than just salary when comparing San Antonio and Fort Worth. Factor in cost of living (CoL-adjusted: San Antonio = $117,133, Fort Worth = $113,171), job availability (1,780 vs 219 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in San Antonio vs Fort Worth?

Entry-level (10th percentile) occupational therapists earn $78,006 in San Antonio and $77,370 in Fort Worth. The San Antonio area offers higher starting salaries.

Related Comparisons

JM

Written by Jordan Miller, OTR/L

Career Analyst

Jordan has 10 years of experience in occupational therapy. They specialize in pediatrics and work in a rehabilitation clinic.

Clinically reviewed by Sofia Chen, OTR/LData verified by Luis Garcia, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.06% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov