Entry-Level Occupational Therapist Salary in Ankeny, IA: $65,312 (2026)
Quick Answer:New occupational therapists entering the Ankeny, IA job market in 2026 can expect a starting salary around $65,312 (BLS 10th-percentile benchmark for SOC 29-1122, projected from 2025 OEWS data). Stripping out Ankeny's local price level (BEA RPP 90.4 — 10% below national), a first-year paycheck buys what $72,248 would in average-cost America. Most reach the city median ($89,615) within a few years of clinical practice.
Based on BLS state-level estimates · View source

Newly minted occupational therapists can expect to see starting compensation in Ankeny, Iowa, at approximately $65,312 annually in 2026. This entry-level occupational therapist salary Ankeny reflects a significant gap compared to the median salary for the area, which stands at $89,615. However, early-career professionals can look forward to growth in their wages, with anticipated increases to around $73,986 by their first few years in the field. Given the growing demand for healthcare professionals and the robust 3.06% annual growth rate projected for occupational therapy positions, Ankeny presents a moderately favorable market for new graduates starting their careers.
About the Ankeny Market
Salary estimated from Iowa average ($82,000) adjusted for local cost of living.
Career Earnings Timeline in Ankeny
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Ankeny
Entry-level occupational therapists in Ankeny, IA typically start between $65,312 and $73,986 per year (2026 est.). The full salary range spans $54,689 from the 10th to 90th percentile, with the local median at $89,615 — 13.33% below the national median.
Return on Investment
The average occupational therapy program cost in Iowa of $90,000 represents just 137.80% of the starting occupational therapist pay ($65,312/year) in Ankeny. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on ACOTE-accredited Master's and Doctoral occupational therapy programs. Tuition varies between public in-state and private institution programs; MOT programs typically run 2-3 years post-bachelor's.
OT, OTR Salary Negotiation Tips for New Graduates in Ankeny
- 1Research the Ankeny market: entry-level occupational therapist pay ranges from $65,312 to $73,986, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the occupational therapy field — employers in IA often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Ankeny, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Ankeny for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Ankeny's below-average cost of living means your starting salary goes further here compared to many larger metro areas.
Occupational Therapist Compensation Range
The occupational therapist wage spread in Ankeny is $54,689 ( 83.73%) between entry-level and top earners. Starting at $65,312, experienced hygienists can earn up to $120,001.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$50,210
2025 BLS Actual
$63,373
2026 Current Est.
$65,312
2019–2027 Growth
+34.1%
Salary Trajectory for Occupational Therapists in Ankeny (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $50,210 | Actual |
| 2020 | $50,679 | Actual |
| 2021 | $53,640 | Actual |
| 2022 | $55,974 | Actual |
| 2023 | $57,645 | Actual |
| 2024 | $50,175 | Actual |
| 2025 | $63,373 | Actual |
| 2026(current) | $65,312 | Estimated |
| 2027 | $67,311 | Projected |
Entry-level occupational therapist compensation (10th percentile) in Ankeny, IA grew 26.2% over 7 years based on actual BLS metropolitan area surveys, rising from $50,210 in 2019 to $63,373 in 2025. By 2027, starting salaries are projected to reach $67,311. New graduates entering the Ankeny job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Ankeny 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.
Starting Your occupational therapy Career in Ankeny
Several healthcare employers in Ankeny seek to attract new graduate occupational therapists, making the job market vibrant for recent entries into the field. Hospital systems often offer residency programs focused on specialty certifications, which can help boost starting pay for those who pursue these advanced qualifications. School districts hire new grad occupational therapists for contracts that accommodate summer breaks, providing unique opportunities for work-life balance. Skilled nursing facilities (SNFs) actively recruit new professionals, though they often come with the pressure of meeting productivity demands. To enhance starting pay, gaining credentials such as a Master’s (MOT) or Doctorate (OTD) from an ACOTE-accredited program, passing the NBCOT national exam, obtaining a state OT license, and considering optional board certifications like CHT can be advantageous. Entering the profession today, as practitioners now require at least a master's degree established in the profession since 2007, can lead to promising salary progressions, notably for those who pursue niche specialties like hand therapy, which commands a premium.
More salary data for Ankeny, IA:
Frequently Asked Questions
What is the starting salary for occupational therapists in Ankeny in 2026?
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Is occupational therapy school worth it in Ankeny?
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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
Entry-level 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 10th percentile (entry-level) is used as the starting salary benchmark for new occupational therapy graduates. A 3.06% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Ankeny. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for Ankeny 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