Senior Occupational Therapist Salary in Youngstown, OH: $109,429 (2026)
Quick Answer:The top tier of occupational therapists working in Youngstown, OH — those at or above the 90th percentile — pull in $109,429/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1122. Strip back Youngstown's price premium (BEA RPP 87.4, 13% below national) and that top-decile pay carries the same buying power as $125,213 in average-cost America. The 15% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

Achieving top-tier compensation as a senior occupational therapist in Youngstown, Ohio, remains a viable goal for seasoned professionals in the field. With projected salaries in 2026 showcasing a range that peaks at $109,429, individuals equipped with the right qualifications and specialties can bridge the gap between the median salary of $95,021 and the highest earnings bracket. To reach these upper echelons of pay requires not just years of experience but also advanced certifications in specialties like hand therapy (CHT), pediatric therapy (BCP), or neurorehabilitation. Employers are often looking for candidates who demonstrate both clinical expertise and a commitment to continual learning and competency through credentials like the national certification from NBCOT.
2026 Salary Percentile Distribution in Youngstown
Experienced occupational therapists at the top of the pay scale in Youngstown earn between $106,111 and $109,429 per year (2026 est.). This $40,286 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Youngstown median of $95,021 sits 8.1% below the US median.
Top OT, OTR Salary Comparison
| Level | Youngstown | National |
|---|---|---|
| Median (P50) | $95,021 | $103,400 |
| 75th Percentile | $106,111 | $120,240 |
| 90th Percentile (Top 10%) | $109,429 | $135,988 |
In Youngstown, experienced occupational therapists (P90) earn 15.16% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Occupational Therapist Pay in Youngstown
Advanced Certifications in Ohio
OH occupational therapists with additional specialty certifications within the occupational therapy field earn significantly above the $95,021 median. Expanded-scope credentials are increasingly valued by Youngstown employers.
Specialty Focus
Occupational Therapists focusing on high-acuity or specialty areas within the occupational therapy field in Youngstown command premium compensation, often reaching the $106,111–$109,429 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Youngstown metro area often pay above-market rates for experienced occupational therapists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured occupational therapists in Youngstown with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Occupational Therapists in Ohio who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Occupational Therapist Career & Wage Growth Path in Youngstown
Clinical Occupational Therapist
0-5 yearsSenior/Lead Occupational Therapist
5-10 yearsOccupational Therapist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedYoungstown ranks #67 of 67 Ohio cities for top earner occupational therapist salary (90th percentile: $109,429).
Top 10% occupational therapist compensation in Youngstown ($109,429) is 13.73% below the Ohio average P90 ($126,846).
2019 BLS Actual
$117,430
2025 BLS Actual
$106,180
2026 Current Est.
$109,429
2019–2027 Growth
+-4.0%
Salary Trajectory for Occupational Therapists in Youngstown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $117,430 | Actual |
| 2020 | $113,870 | Actual |
| 2021 | $96,580 | Actual |
| 2022 | $110,680 | Actual |
| 2023 | $120,860 | Actual |
| 2024 | $111,850 | Actual |
| 2025 | $106,180 | Actual |
| 2026(current) | $109,429 | Estimated |
| 2027 | $112,778 | Projected |
Top-earning occupational therapists (90th percentile) in Youngstown saw their compensation grow -9.6% from $117,430 in 2019 to $106,180 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 3.06% annual growth rate, senior-level pay is projected to reach $112,778 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Youngstown 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.
Maximizing Your Occupational Therapist Earnings in Youngstown
The landscape surrounding senior occupational therapist compensation in Youngstown reflects a dynamic interplay of specialization, employer type, and leadership trajectory. For instance, professionals focusing on areas such as mental health and assistive technology can demand higher wages due to the nuanced nature of their work. Compensation varies significantly across different employer types, such as hospitals versus skilled nursing facilities, where responsibilities and funding differ widely. Career advancement paths such as becoming a rehab director or an OT program faculty member further enhance earning potential, especially for those with advanced degrees like a Master of Occupational Therapy (MOT) or a Doctor of Occupational Therapy (OTD) from ACOTE-accredited programs. Additionally, non-salary factors such as productivity expectations, school-year versus year-round contracts, and location-specific demands play critical roles in shaping overall compensation packages in Ohio. Engaging in continual professional development and pursuing board certifications can offer a strategic advantage, making a compelling case for why dedicated seasoned OTs stand to benefit significantly in this evolving market.
More salary data for Youngstown, OH:
Frequently Asked Questions
How much do experienced occupational therapists make in Youngstown in 2026?
What drives higher occupational therapist pay in Youngstown?
What certifications boost occupational therapist salary in Youngstown?
Can experienced occupational therapists make six figures in Youngstown?
How much does occupational therapist salary increase over time in Youngstown?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $106,180 for occupational therapists in the Youngstown metro area. A 3.06% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
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