Occupational Therapist Pay

Portsmouth vs Richmond: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Portsmouth, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Portsmouth, VA
$99,125
$47.65/hr
Richmond, VA
$108,780
$52.29/hr

Side-by-Side Comparison

MetricPortsmouth, VARichmond, VA
Median Salary$99,125$108,780
Hourly Rate$47.65$52.29
Entry Level (P10)$71,470$79,284
25th Percentile$81,334$86,704
75th Percentile$114,646$122,301
Top Earner (P90)$128,216$126,207
Total Employed17740
Side-by-side bar chart comparing Portsmouth ($99,125) and Richmond ($108,780) occupational therapist salaries.PortsmouthRichmondMedian Salary$99,125$108,780Entry Level (P10)$71,470$79,284Top Earner (P90)$128,216$126,207US Median $103,400

Verdict

Richmond, VA offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Portsmouth.

The salary gap between Portsmouth and Richmond is $9,655 (9.74%). Richmond's median is +5.20% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Portsmouth spans $56,746,Richmond spans $46,923. Portsmouth has a wider pay range, meaning more potential for high earners but also more variation.

Portsmouth
P10 (Entry)$71,470
P25$81,334
Median$99,125
P75$114,646
P90 (Top)$128,216
Richmond
P10 (Entry)$79,284
P25$86,704
Median$108,780
P75$122,301
P90 (Top)$126,207

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($111,161 effective) pays 15.73% more than Portsmouth ($96,051 effective).

Portsmouth
Nominal: $99,125
CoL Index: 103.2
Adjusted: $96,051
Richmond
Nominal: $108,780
CoL Index: 97.858
Adjusted: $111,161

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Portsmouth if…

  • Better top-earner potential ($128,216)
  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Higher median salary ($108,780/year)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $111,161)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Portsmouth grew 7.0% from 2024 to 2025, compared to 23.3% growth in Richmond over the same period.

Portsmouth, VA

+7.0%

$89,873 (2024) → $96,182 (2025)

Richmond, VA

+23.3%

$85,620 (2019) → $105,550 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Portsmouth or Richmond?

Richmond has a higher median occupational therapist salary at $108,780/year, compared to Portsmouth at $99,125/year — a difference of $9,655 (9.74%).

What is the hourly rate difference between Portsmouth and Richmond?

Portsmouth occupational therapists earn $47.65/hr while Richmond hygienists earn $52.29/hr (2026 est.).

Should I relocate from Portsmouth to Richmond as a occupational therapist?

Consider more than just salary when comparing Portsmouth and Richmond. Factor in cost of living (CoL-adjusted: Portsmouth = $96,051, Richmond = $111,161), job availability (17 vs 740 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Portsmouth vs Richmond?

Entry-level (10th percentile) occupational therapists earn $71,470 in Portsmouth and $79,284 in Richmond. The Richmond area offers higher starting salaries.
JM

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.

Clinically reviewed by Sofia Chen, OTR/LData verified by Luis Garcia, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.06% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov