Entry-Level Occupational Therapist Salary in Longview, TX: $57,188 (2026)
Quick Answer:New occupational therapists entering the Longview, TX job market in 2026 can expect a starting salary around $57,188 (BLS 10th-percentile benchmark for SOC 29-1122, projected from 2025 OEWS data). Stripping out Longview's local price level (BEA RPP 89.5 — 11% below national), a first-year paycheck buys what $63,908 would in average-cost America. Most reach the city median ($116,210) within a few years of clinical practice.
Official BLS data · View source

For those entering the occupational therapy field in Longview, Texas, the financial landscape presents both promising opportunities and realistic challenges. Graduates can expect a starting occupational therapist salary in Longview to begin at around $57,188, which emphasizes the gap when compared to the city median of $116,210. For new professionals, this entry-level pay sets the stage for growth, as there's a trajectory that could lead to an estimated P25 salary of $88,755 within the first few years of practice. Given the area’s projected annual growth rate of 3.06%, it appears that Longview is a viable market for new graduates looking to establish themselves in this rewarding profession in 2026.
Career Earnings Timeline in Longview
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Longview
Entry-level occupational therapists in Longview, TX typically start between $57,188 and $88,755 per year (2026 est.). The full salary range spans $92,888 from the 10th to 90th percentile, with the local median at $116,210 — 12.39% above the national median.
Return on Investment
The average occupational therapy program cost in Texas of $100,000 represents just 174.86% of the starting occupational therapist pay ($57,188/year) in Longview. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on ACOTE-accredited Master's and Doctoral occupational therapy programs. Tuition varies between public in-state and private institution programs; MOT programs typically run 2-3 years post-bachelor's.
OT, OTR Salary Negotiation Tips for New Graduates in Longview
- 1Research the Longview market: entry-level occupational therapist pay ranges from $57,188 to $88,755, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the occupational therapy field — employers in TX often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Longview, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Longview for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Longview's below-average cost of living means your starting salary goes further here compared to many larger metro areas.
Occupational Therapist Compensation Range
The occupational therapist wage spread in Longview is $92,888 ( 162.43%) between entry-level and top earners. Starting at $57,188, experienced hygienists can earn up to $150,076.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$48,170
2025 BLS Actual
$55,490
2026 Current Est.
$57,188
2019–2027 Growth
+22.4%
Salary Trajectory for Occupational Therapists in Longview (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $48,170 | Actual |
| 2020 | $49,940 | Actual |
| 2021 | $59,830 | Actual |
| 2022 | $72,260 | Actual |
| 2023 | $49,250 | Actual |
| 2024 | $41,340 | Actual |
| 2025 | $55,490 | Actual |
| 2026(current) | $57,188 | Estimated |
| 2027 | $58,938 | Projected |
Entry-level occupational therapist compensation (10th percentile) in Longview, TX grew 15.2% over 7 years based on actual BLS metropolitan area surveys, rising from $48,170 in 2019 to $55,490 in 2025. By 2027, starting salaries are projected to reach $58,938. New graduates entering the Longview job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Longview metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.06% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your occupational therapy Career in Longview
In Longview, a variety of healthcare providers actively recruit freshly minted occupational therapists, which can enhance the prospects for new graduates. Local hospital systems often have residency programs that provide invaluable experience and lead to specialty certifications, allowing OTs to develop their skills in specific areas. School districts may offer positions that allow a summer break, catering to new graduates seeking work-life balance. Skilled nursing facilities (SNF) also present opportunities, but typically impose higher productivity demands. To maximize starting pay in Texas, candidates should focus on obtaining their Master’s or Doctorate from ACOTE-accredited programs and preparing for the NBCOT national exam, along with securing Texas state licensure. Acquiring specialized credentials, such as the Certified Hand Therapist (CHT), can significantly impact salary potential. During the first few years in the field, it’s realistic for new occupational therapists in Longview to anticipate steady salary increases as they gain experience and professional credentials, enhancing their marketability and compensation.
More salary data for Longview, TX:
Frequently Asked Questions
What is the starting salary for occupational therapists in Longview in 2026?
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Is occupational therapy school worth it in Longview?
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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.
Methodology & Data Source
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new occupational therapy graduates. A 3.06% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Longview. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.06%, derived from historical BLS wage trends for occupational therapists (SOC 29-1122).
Compiled and verified by Jordan Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov