Occupational Therapist Salary in Troy, NY: $90,376 (2026)
Quick Answer:A full-time occupational therapist in Troy, NY earns a median $90,376/year (≈ $43.45/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1122). Once you factor in Troy's price level (16% above national, BEA RPP 115.9), that paycheck buys what $77,978 would nationally. Nominal pay sits 1.5% above the New York state average.
Based on BLS state-level estimates · View source
Occupational therapy professionals in Troy, NY, can anticipate a median annual salary of $90,376 in 2026, reflecting localized economic conditions and adjustments based on surveys. Salary ranges for these therapists span from $64,156 at the lower end (P10) to $119,113 at the high end (P90). Despite a projected growth rate of 3.06%, the occupational therapist salary in Troy falls approximately 12.60% below the national median of $103,400. This disparity can be partly attributed to the impact of Medicare cuts on skilled nursing facilities (SNFs) and outpatient care compensation following 2022 reforms, which have intensified market pressures in the region.
About the Troy Market
Salary estimated from New York average ($96,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $64,156 | $30.85 |
| Lower Range (P25) | $73,331 | $35.26 |
| Median (P50)(typical) | $90,376 | $43.45 |
| Upper Range (P75) | $105,646 | $50.79 |
| Top Earners (P90) | $119,113 | $57.27 |
Median Salary Position
12.6% below the national average
2026 Salary Percentile Distribution in Troy
In Troy, NY, the occupational therapist salary spread from the 10th to 90th percentile is $54,957 (2026 est.). At $90,376, the local median is 12.6% below the national median of $103,400.
Salary Calculator
At 40 hours/week in Troy: You'd be in the lower-middle range
How Troy Occupational Therapist Pay Compares
Troy median: $90,376/year (2026)
| Compared To | Median Salary | Troy Pays |
|---|---|---|
| New York Average | $89,041 | +1.50% more |
| National Average | $103,400 | -12.60% less |
Occupational Therapists in Troy, NY earn a median of $90,376 per year (2026 est.), which is 12.60% lower than the national median of $103,400 and 1.50% above the New York state average of $89,041.
Cost-of-Living Adjusted Salary
Troy has a cost of living 15.90% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Troy, NY has a cost-of-living index of 115.9 (above the national average of 100). While the nominal salary of $90,376 is competitive, the higher cost of living reduces purchasing power to an effective $77,978 — a 13.72% reduction.
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2019 BLS Actual
$74,250
2025 BLS Actual
$87,693
2026 Current Est.
$90,376
2019–2027 Growth
+25.4%
Salary Trajectory for Occupational Therapists in Troy (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $74,250 | Actual |
| 2020 | $75,413 | Actual |
| 2021 | $74,792 | Actual |
| 2022 | $81,444 | Actual |
| 2023 | $84,232 | Actual |
| 2024 | $112,332 | Actual |
| 2025 | $87,693 | Actual |
| 2026(current) | $90,376 | Estimated |
| 2027 | $93,142 | Projected |
Based on 7 years of BLS OEWS data for the Troy metropolitan area, the median occupational therapist salary grew 18.1% from $74,250 (2019) to $87,693 (2025). At a 3.06% compound annual growth rate, salaries are projected to reach $93,142 by 2027 — a total increase of $18,892 (25.44%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Troy 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $64,156 – $73,331 |
| 3-5 years (Mid Career) | $73,331 – $90,376 |
| 5+ years (Experienced) | $90,376 – $105,646 |
| 10+ years (Top Earner) | $105,646 – $119,113 |
OT, OTR salary ranges estimated from BLS percentile data. Individual occupational therapist compensation varies by employer, certifications, and specialization.
Occupational Therapist Job Market in Troy
The local job market for occupational therapists in Troy comprises about 11 professionals, offering a glimpse into the competitive landscape. With a cost-of-living index of 115.9, the financial reality for OT practitioners showcases that earnings may not stretch as far as they might in lower-cost areas, potentially constraining take-home purchasing power. Among local employers, skilled nursing facilities and hospital inpatient rehabilitation tend to offer the highest compensation, while school districts and outpatient therapy settings may provide less lucrative contracts. Variations in pay often relate to work settings, residency requirements, and whether therapists hold specialized certifications like the Certified Hand Therapist (CHT) credential. To enhance their career prospects and compensation, OTs in Troy should consider pursuing accreditation through AOTA, pursuing board certifications, and aligning their job searches with the needs of the highest-paying employers in the area.
More salary data for Troy, NY:
Frequently Asked Questions
How much do occupational therapists make in Troy, NY in 2026?
Is Troy, NY a good place to work as a occupational therapist?
Can occupational therapists make $100K in Troy?
What is the cost-of-living adjusted occupational therapist salary in Troy?
How much does a occupational therapist make per hour in Troy?
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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
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 BLS reported a median annual salary of $87,693 for occupational therapistsin the Troy metropolitan area. A 3.06% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Troy 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