Occupational Therapist Hourly Pay in Charlotte, NC: $48.78 (2026)
Quick Answer:Hourly pay for a occupational therapist working in Charlotte, NC runs $48.78 at the median for 2026 — annualizing to $101,463 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1122). Weighted against Charlotte's regional price level (BEA RPP 97.3, 3% below national), each hour of work buys what $50.11 nationally would. A 24-hour part-time schedule grosses $60,875 per year.
Official BLS data · View source

In Charlotte, North Carolina, the projected median hourly pay for occupational therapists is $48.78, slightly below the national median of $49.71. This rate provides a solid foundation for both part-time and per-diem occupational therapy opportunities across various settings, including hospitals, skilled nursing facilities, schools, and outpatient clinics. For therapists working three days a week, the ability to earn this hourly wage translates to competitive compensation, especially valuable when engaging in home health visits or early intervention programs. The hourly rate for occupational therapists varies significantly, with entry-level positions earning around $31.57 while experienced professionals can command up to $59.99 per hour, reflecting the diverse range of concentration areas, such as pediatrics or rehabilitation therapy.
Dual career paths within occupational therapy can influence take-home pay significantly. Part-time occupational therapists who work a 24-hour week could bring home approximately $60,000 annually, which is competitive given the flexibility of their work schedule. For those considering per diem positions, occupational therapists can anticipate billing between $50 and $75 per hour, with specialized hand therapists possessing a CHT credential potentially earning $80 to $110 per hour in cash-pay practices. Travel OT contracts offer even greater earning potential, ranging from $1,800 to $2,800 weekly. In Charlotte, hourly rates fluctuate depending on employer types, including skilled nursing facilities and school districts, with some occupational therapists accepting lower wages for the stability of health insurance benefits. For those negotiating pay, understanding market rates and showcasing specialized training from accredited programs can provide leverage in discussions while considering the unique demands of the local healthcare landscape.
Occupational Therapist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $31.57 | $252.54 |
| Lower Range (P25) | $40.15 | $321.22 |
| Median (P50) | $48.78 | $390.23 |
| Upper Range (P75) | $53.98 | $431.86 |
| Top Earners (P90) | $59.99 | $479.93 |
Estimated Annual Income by Work Schedule in Charlotte
Based on $48.78/hr median hourly rate · 2026 est.
At $48.78/hr, a occupational therapist working full-time (40 hr/wk) in Charlotte, NC can expect to earn approximately $101,459 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $58,534. With a cost-of-living index of 97.35 (below the national average), these earnings stretch further in Charlotte.
Hourly Rate Calculator
Schedule Comparison in Charlotte
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,951.13 | $8,455 | $101,459 |
| Part-Time (24 hrs) | $1,170.68 | $5,073 | $60,875 |
| Per Diem (16 hrs) | $780.45 | $3,382 | $40,584 |
Compare OT, OTR Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Occupational Therapist (Charlotte) | $48.78 |
| Occupational Therapy Assistant (National Avg) | $33.15 |
| Physical Therapist (National Avg) | $48.65 |
| Speech-Language Pathologist (National Avg) | $43.80 |
| Recreational Therapist (National Avg) | $27.50 |
Occupational Therapists in Charlotte, NC earn a median of $101,463 per year (2026 est.), which is 1.87% lower than the national median of $103,400 and 13.90% above the North Carolina state average of $89,080.
Occupational Therapist Hourly Pay vs. Cost of Living
Working 24h/week at $48.78/hr = $60,875/year (purchasing power: $62,534).
Working 40h/week (full-time) = $101,459/year (purchasing power: $104,223).
CoL index: 97.348 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$40.75/hr
2025 BLS Actual
$47.33/hr
2026 Current Est.
$48.78/hr
2019–2027 Growth
+23.4%
Hourly Rate Trajectory for Occupational Therapists in Charlotte (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $40.75/hr | Actual |
| 2020 | $39.74/hr | Actual |
| 2021 | $39.25/hr | Actual |
| 2022 | $44.06/hr | Actual |
| 2023 | $47.64/hr | Actual |
| 2024 | $48.96/hr | Actual |
| 2025 | $47.33/hr | Actual |
| 2026(current) | $48.78/hr | Estimated |
| 2027 | $50.27/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for occupational therapists in Charlotte grew 16.1% from $40.75/hr (2019) to $47.33/hr (2025). At a 3.06% projected growth rate, hourly pay is expected to reach $50.27/hr by 2027. Part-time and per-diem occupational therapists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Charlotte 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.
More salary data for Charlotte, NC:
Frequently Asked Questions
What is the hourly rate for occupational therapists in Charlotte in 2026?
How much do part-time occupational therapists make in Charlotte?
Are occupational therapists in Charlotte paid hourly or salary?
How much does a full-time occupational therapist make per year in Charlotte?
Do occupational therapists earn more per hour working part-time in Charlotte?
Related Pages
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.06% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for occupational therapists in Charlotte. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
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