Salary · NC · SOC 29-1122

Occupational Therapist (OT) salary in North Carolina, per year and per hour

BLS data for May 2025. Median, mean, and percentile pay for occupational therapists in North Carolina, with every metro area BLS publishes.

Source: BLS Occupational Employment and Wage Statistics, May 2025 estimates, released May 15, 2026. Publisher page

Quick answer

The median pay for occupational therapists in North Carolina was $92,940 a year, or $44.68 an hour, in May 2025 (BLS). The middle 80% earned $62,230 to $118,300. About 4,490 were employed.

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Occupational Therapist pay in North Carolina vs the US

Occupational Therapist wages in North Carolina and the US, May 2025
Measure	NC annual	NC hourly	US annual
Median (50th percentile)	$92,940	$44.68	$100,330
Mean (average)	$91,360	$43.93	$101,280
10th percentile	$62,230	$29.92	$71,690
25th percentile	$77,510	$37.26	$82,510
75th percentile	$104,820	$50.40	$116,670
90th percentile	$118,300	$56.87	$131,950

Employment in North Carolina: 4,490. Location quotient: 0.87 (1.0 = the national share of jobs).

Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page

Occupational Therapist salary by metro area in North Carolina

Occupational Therapist median wage by metro area, North Carolina
Metro area	Median annual	Median hourly	Employed
Charlotte-Concord-Gastonia, NC-SC	$98,450	$47.33	1,140
Raleigh-Cary, NC	$84,080	$40.42	680
Durham-Chapel Hill, NC	$83,160	$39.98	390
Greensboro-High Point, NC	$96,820	$46.55	270
Wilmington, NC	$86,420	$41.55	260
Winston-Salem, NC	$93,780	$45.09	260
Asheville, NC	$83,660	$40.22	210
Fayetteville, NC	$81,240	$39.06	200
Greenville, NC	$101,360	$48.73	130
Hickory-Lenoir-Morganton, NC	$100,160	$48.15	120
Burlington, NC	$82,640	$39.73	80
Pinehurst-Southern Pines, NC	$81,450	$39.16	50
Jacksonville, NC	$85,540	$41.12	40
Rocky Mount, NC	$100,780	$48.45	40
Goldsboro, NC	$86,870	$41.77	30
Virginia Beach-Chesapeake-Norfolk, VA-NC	$99,400	$47.79	830

Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page

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Occupational Therapist salary in North Carolina

Median pay: $92,940 a year ($44.68 an hour)

Middle 80% earn $62,230 to $118,300 a year

Employed: 4,490

BLS OEWS, May 2025. Source: Rivvi

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<div style="font:14px/1.45 system-ui,sans-serif;color:#222;border:1px solid #E6E6EE;border-radius:12px;padding:14px 16px;max-width:360px;background:#fff"><div style="font-weight:600;font-size:15px;margin-bottom:6px">Occupational Therapist salary in North Carolina</div><div style="margin:2px 0">Median pay: <strong>$92,940</strong> a year ($44.68 an hour)</div><div style="margin:2px 0">Middle 80% earn $62,230 to $118,300 a year</div><div style="margin:2px 0">Employed: 4,490</div><div style="margin-top:8px;font-size:12px;color:#555">BLS OEWS, May 2025. Source: <a href="https://rivvi.ai/salary/occupational-therapist/nc" style="color:#3C38C9">Rivvi</a></div></div>

Questions

How much does an OT make per hour in North Carolina?

The median hourly wage was $44.68 in May 2025, per BLS. The 10th percentile was $29.92 and the 90th was $56.87.

What is the average OT salary in North Carolina?

BLS reports a mean (average) of $91,360 a year and a median of $92,940 for May 2025. The median is the middle wage; the mean is pulled up by the highest earners.

Do occupational therapists in North Carolina earn more than the US median?

The North Carolina median of $92,940 is 7% lower than the US median of $100,330 (BLS, May 2025).

How does North Carolina rank for occupational therapist pay?

North Carolina ranks 42 of 51 states (plus DC) by median annual wage for occupational therapists (BLS, May 2025).

Where do these numbers come from?

The BLS Occupational Employment and Wage Statistics survey, May 2025 estimates, SOC 29-1122. Figures BLS did not publish are left out.