Occupational Therapist Hourly Pay in Fredericksburg, TX: $47.76 (2026)
Quick Answer:Hourly pay for a occupational therapist working in Fredericksburg, TX runs $47.76 at the median for 2026 — annualizing to $99,336 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1122). Weighted against Fredericksburg's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $49.75 nationally would. A 24-hour part-time schedule grosses $59,602 per year.
Based on BLS state-level estimates · View source
In Fredericksburg, TX, the occupational therapist hourly pay is projected to be $47.76 in 2026, slightly below the national hourly median of $49.71. This hourly rate reflects the compensation for both full-time and part-time positions, allowing for a versatile work schedule. Part-time occupational therapists working three days a week (approximately 24 hours) can expect to earn around $1,148 weekly, which equates to over $59,000 annually if consistent. For those considering per-diem opportunities, which frequently involve flexible assignments across various settings such as hospital rehab units, skilled nursing facilities, and outpatient clinics, the pay range varies from $37.16 to $60.38 depending on experience and specific job demands. This spectrum indicates that entry-level positions hover closer to the lower end of the scale, while seasoned professionals or specialists, such as Certified Hand Therapists (CHT), can command rates closer to the top.
About the Fredericksburg Market
Salary estimated from Texas average ($98,000) adjusted for local cost of living.
Occupational Therapist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $37.16 | $297.31 |
| Lower Range (P25) | $40.77 | $326.16 |
| Median (P50) | $47.76 | $382.06 |
| Upper Range (P75) | $54.88 | $439.04 |
| Top Earners (P90) | $60.38 | $483.06 |
Estimated Annual Income by Work Schedule in Fredericksburg
Based on $47.76/hr median hourly rate · 2026 est.
At $47.76/hr, a occupational therapist working full-time (40 hr/wk) in Fredericksburg, TX can expect to earn approximately $99,337 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $57,310. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Fredericksburg.
Hourly Rate Calculator
Schedule Comparison in Fredericksburg
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,910.32 | $8,278 | $99,337 |
| Part-Time (24 hrs) | $1,146.19 | $4,967 | $59,602 |
| Per Diem (16 hrs) | $764.13 | $3,311 | $39,735 |
Compare OT, OTR Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Occupational Therapist (Fredericksburg) | $47.76 |
| Occupational Therapy Assistant (National Avg) | $33.15 |
| Physical Therapist (National Avg) | $48.65 |
| Speech-Language Pathologist (National Avg) | $43.80 |
| Recreational Therapist (National Avg) | $27.50 |
Occupational Therapists in Fredericksburg, TX earn a median of $99,336 per year (2026 est.), which is 3.93% lower than the national median of $103,400 and 5.90% below the Texas state average of $105,565.
Occupational Therapist Hourly Pay vs. Cost of Living
Working 24h/week at $47.76/hr = $59,602/year (purchasing power: $62,085).
Working 40h/week (full-time) = $99,337/year (purchasing power: $103,476).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$39.24/hr
2025 BLS Actual
$46.34/hr
2026 Current Est.
$47.76/hr
2019–2027 Growth
+25.4%
Hourly Rate Trajectory for Occupational Therapists in Fredericksburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $39.24/hr | Actual |
| 2020 | $39.85/hr | Actual |
| 2021 | $39.52/hr | Actual |
| 2022 | $43.04/hr | Actual |
| 2023 | $44.51/hr | Actual |
| 2024 | $42.58/hr | Actual |
| 2025 | $46.34/hr | Actual |
| 2026(current) | $47.76/hr | Estimated |
| 2027 | $49.22/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for occupational therapists in Fredericksburg grew 18.1% from $39.24/hr (2019) to $46.34/hr (2025). At a 3.06% projected growth rate, hourly pay is expected to reach $49.22/hr by 2027. Part-time and per-diem occupational therapists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fredericksburg 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.
Working as an Hourly Occupational Therapist in Fredericksburg
Examining the earning potential for part-time occupational therapists in Fredericksburg reveals that the annual take-home can differ significantly from full-time work. A typical three-day workweek promotes a balanced lifestyle while still yielding substantial income. Per diem occupational therapists often enjoy the flexibility of choosing their hours, billing at rates that can range from $50 to $75 per hour, particularly in private practice environments. Those with CHT credentials can expect even higher rates, between $80 and $110 per hour, reflecting the specialized skill set in hand therapy. Employers across Fredericksburg, including skilled nursing facilities, outpatient clinics, and school districts, often vary the hourly rates offered, sometimes prioritizing benefits, which might appeal to those seeking health insurance over higher pay. Professionals are encouraged to negotiate their compensation by emphasizing their specialized training, such as the CHT certification, especially in this competitive market. Ultimately, understanding the local job dynamics and tailoring negotiations accordingly will position new and seasoned occupational therapists to maximize their earnings in Fredericksburg.
More salary data for Fredericksburg, TX:
Frequently Asked Questions
What is the hourly rate for occupational therapists in Fredericksburg in 2026?
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Are occupational therapists in Fredericksburg paid hourly or salary?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.06% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for occupational therapists in Fredericksburg. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Fredericksburg is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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