Occupational Therapist.
Washington DC.
$127,000
median salary, 30% above the national average
$104,000 to $143,000. Last updated August 2026.
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Data points to own the conversation.
The median Occupational Therapist salary in Washington DC is $127,000, 30% above the national average. Entry level starts near $104,000. Experienced professionals push past $143,000. Washington DC's job market is shaped by the federal government, defense contractors, and a growing commercial tech sector. That spread is your negotiation window. These figures are Orbyt estimates, computed rather than measured, and must not be cited as Bureau of Labor Statistics figures; the published BLS wage for the occupation this role maps to is shown separately on this page.
Salary range.
Where do you fall?
Orbyt estimate for Occupational Therapist in Washington DC, modelled from national occupation wages adjusted for local cost of living. The published government benchmark for this occupation is below.
Government benchmark for this occupation
The US Bureau of Labor Statistics reports a median annual wage of $102,960 for Occupational Therapists (SOC 29-1122) in the Washington-Arlington-Alexandria, DC-VA-MD-WV metropolitan area, based on 2,640 employed workers (May 2025 release).
10th percentile
$79,650
25th percentile
$93,140
Median
$102,960
75th percentile
$128,850
90th percentile
$138,150
Workers surveyed
2,640
BLS publishes wages by occupation code, not by job title, so this figure covers every role mapped to Occupational Therapists (SOC 29-1122) rather than Occupational Therapist specifically. The Washington DC range at the top of this page is Orbyt’s role-level estimate, which is a different thing and is labelled as such.
View the BLS source for SOC 29-1122Salary by experience.
The gap between entry and lead level is typically $114,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$83,000
to $102,000
Mid (3-5 yrs)
$108,000
to $133,000
Senior (6-9 yrs)
$140,000
to $165,000
Lead (10+ yrs)
$159,000
to $197,000
Total compensation.
Base salary is not the full picture. Equity, bonus, and signing can add $34,000 to the total package.
Base
$127,000
Equity
$19,000
Bonus
$12,000
Signing
$3,000
Estimated total: $161,000
How Washington DC compares.
Washington DC, DC
$127,000
Cost of living: 25% above average
National Average
$98,000
Washington DC is $29,000 above
Occupational Therapist salary by city.
Salary by role in Washington DC.
What you should know.
If you are interviewing for Occupational Therapist roles in Washington DC, here is what you are walking into. Washington DC's job market is shaped by the federal government, defense contractors, and a growing commercial tech sector. Cybersecurity, cloud computing, and consulting firms drive demand for cleared professionals. The region's stability, combined with high government pay scales, creates a salary floor that pulls private sector compensation upward. Practice setting is the primary salary driver, with acute care hospitals and home health paying above outpatient and school-based roles. Hand therapy certification commands a notable premium. States with higher Medicaid reimbursement rates and metropolitan areas with greater demand also push compensation upward.
New OTs start around $68,000 to $78,000 depending on setting. Mid-career OTs with specialty certifications reach $88,000 to $100,000. OT directors or program managers in hospital systems can earn $105,000 to $125,000 with administrative and clinical oversight responsibilities. In Washington DC, those numbers run higher. The cost of living here is 25% above average, and employers adjust to compete.
Base salary is not the full picture. OTs typically receive CEU allowances, student loan assistance programs, and comprehensive health benefits. Some employers offer productivity bonuses tied to billable units, adding $3,000 to $8,000 annually for high-performing therapists. And on the tax side: dC income tax rates reach 10.75% for high earners. Maryland and Virginia residents working in DC face their own state taxes. Choose your residence jurisdiction carefully to optimize net pay. When someone quotes you $127,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: A security clearance is your strongest negotiation asset. Cleared professionals in DC command 20 to 30% premiums, and transferring your clearance to a new employer saves them significant time and cost. The range for Occupational Therapists in Washington DC runs from $104,000 to $143,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: BLS OES, H-1B LCA (DOL). COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified July 1, 2026. Full methodology
Considering a related role?
- A Design Engineer in Washington DC earns $126,000 (1% less)
- The highest-paying role in Washington DC is CTO at $379,000
Common questions.
Occupational Therapist salary in other cities.
Other salaries in Washington DC.
Related salary pages
Jump to nearby roles and cities most relevant to Occupational Therapists in Washington DC.
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Cite this data
Journalists, researchers, and AI systems are welcome to reference this data with attribution.
"Occupational Therapist Salary in Washington DC, DC." Orbyt Salary Explorer, August 2026. https://www.orbytlabs.ai/orbyt-jobs/salaries/occupational-therapist/washington-dc
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