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Pediatric Occupational Therapy Careers: Job Duties, Skills & Salary

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By: All Allied Health Staff

Updated: December 3, 2025

Home » Specialties » Pediatric Occupational Therapist

Pediatric Occupational Therapist at a Glance

  • What you’ll do: Work with children to improve their cognitive, fine motor skills, and gross motor skills
  • Where you’ll work: Hospitals, physical therapy clinics, schools
  • Degree you’ll need: Master’s degree
  • Median annual salary: $98,340

Is a Pediatric Occupational Therapy Job for You?

Pediatric occupational therapy focuses on helping children develop the skills they need to grow into functional, independent adults. Physical impairment, injuries and a host of other issues can hamper a child’s ability to perform common tasks or progress normally through the stages of social or cognitive development. The longer a child goes without learning these skills, the more the problem compounds as the child ages—which makes the skills of a pediatric occupational therapist critical to their patients.

Patient Profiles

Pediatric occupational therapy can benefit children who fall into several categories, from premature infants, to kids with ADHD, to children struggling to read or write. What areas can pediatric occupational therapy address? Consider the following list:

  • Cognitive skills – remembering letters, shapes and sequences
  • Fine motor skills – finger dexterity, wrist and forearm control, and hand strength
  • Gross motor skills – balance and body coordination
  • Self-care tasks – dressing, bathing and self-feeding
  • Social skills – taking turns, listening and following directions

Equipment and Methods

When working with children, pediatric occupational therapists often incorporate play into practice as a way of motivating them and reducing any anxiety or fears they might feel toward therapy. Play can involve games, toys, puzzles, songs, or physical exercises. In all cases, the goal of pediatric occupational therapy is not only to help children adequately progress but to challenge them appropriately, helping to build self-esteem and confidence when it comes to their capabilities and aptitude.

Pediatric OT Work Setting and Salary

Pediatric occupational therapists work in several kinds of environments:

  • Hospitals
  • Physical therapy clinics
  • Schools
  • Community outreach programs
  • Private facilities that focus on pediatric care and development

Usually, occupational therapists work 40-hour weeks, with some jobs requiring travel to different therapy facilities or even patient homes.

According to the U.S. Bureau of Labor Statistics’ 2024 Occupational Employment Statistics, the median annual salary for pediatric occupational therapists is $98,340. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth. Here are salaries for your state:

Occupational Therapists

National data

Median Salary: $98,340

Projected job growth: 13.8%

10th Percentile: $67,090

25th Percentile: $80,490

75th Percentile: $110,460

90th Percentile: $129,830

Projected job growth: 13.8%

State data

State Median Salary Bottom 10% Top 10%
Alabama $95,410 $73,030 $122,990
Alaska $100,070 $67,280 $134,080
Arizona $102,220 $75,020 $129,010
Arkansas $99,350 $64,480 $141,620
California $119,470 $82,090 $154,800
Colorado $103,970 $79,070 $145,770
Connecticut $102,080 $74,700 $130,680
Delaware $96,080 $64,750 $127,280
District of Columbia $99,290 $78,820 $128,180
Florida $99,070 $73,570 $116,010
Georgia $98,690 $60,530 $125,330
Hawaii $94,550 $80,540 $114,340
Idaho $88,470 $48,840 $117,600
Illinois $98,900 $67,530 $128,810
Indiana $93,500 $63,160 $121,310
Iowa $88,780 $69,560 $115,270
Kansas $97,000 $63,590 $119,100
Kentucky $91,250 $68,140 $115,940
Louisiana $94,030 $56,570 $122,990
Maine $82,200 $63,480 $102,180
Maryland $101,880 $73,570 $129,410
Massachusetts $98,420 $73,020 $122,490
Michigan $84,480 $61,220 $105,710
Minnesota $85,040 $62,790 $105,320
Mississippi $92,330 $68,390 $114,010
Missouri $93,600 $66,460 $113,000
Montana $84,440 $73,840 $106,690
Nebraska $87,010 $73,310 $105,500
Nevada $104,770 $68,330 $150,180
New Hampshire $84,980 $59,770 $108,030
New Jersey $103,340 $66,470 $151,720
New Mexico $99,220 $67,450 $139,150
New York $95,370 $63,120 $139,800
North Carolina $94,580 $64,310 $119,010
North Dakota $79,910 $64,480 $102,900
Ohio $95,880 $67,930 $121,250
Oklahoma $103,510 $74,300 $128,810
Oregon $106,840 $78,730 $128,440
Pennsylvania $94,120 $66,460 $123,090
Rhode Island $99,150 $72,870 $118,660
South Carolina $97,370 $65,530 $115,350
South Dakota $81,430 $61,890 $100,040
Tennessee $96,030 $67,920 $115,280
Texas $101,760 $69,700 $136,380
Utah $93,310 $64,210 $119,450
Vermont $86,420 $67,010 $108,060
Virginia $100,540 $58,440 $133,170
Washington $102,360 $79,810 $130,630
West Virginia $93,260 $56,940 $126,770
Wisconsin $86,660 $71,030 $107,260
Wyoming $89,370 $69,240 $122,930

Source: U.S. Bureau of Labor Statistics (BLS) 2024 median salary; projected job growth through 2034. Actual salaries may vary depending on location, level of education, years of experience, work environment, and other factors. Salaries may differ even more for those who are self-employed or work part time.

Certification and Training

Typically, pediatric occupational therapists must hold a master’s degree from an accredited university and pass a national licensure exam in order to enter the field. Most master’s degree programs in pediatric occupational therapy take two years to complete and incorporate crucial hands-on training as part of the overall curriculum.

The National Board for Certification in Occupational Therapy (NBCOT) provides information on the occupational therapy licensure exam, fees and content. Beyond national licensure, therapists can pursue voluntary certification.

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Change Children’s Lives

Growing into a self-sufficient adult may be easy for some. Others, though, need a hand. Whether that hand teaches them to write better, to speak more clearly or to gain specific physical control, it helps them reach maturity with strength and confidence—qualities vital to making it on their own. Learn more about pediatric occupational therapy schools and degrees, and find the right training program for you.