Occupational Therapist salary in Billings, MT
Occupational Therapists in the Billings, MT metro area earn a median of $85,340 a year ($41.03 an hour), based on BLS data for 130 workers.
Pay ranges from $72,600 for the lowest-paid 10% to $105,670 for the top 10%. That is 15% lower than the national median of $100,330. Pay here is 4% lower than the Montana statewide median of $88,990. There are 1.4 occupational therapists per 1,000 jobs here — the job is 1.3× more common than nationally. The average (mean) salary is $89,330, above the median because a few high earners pull it up.
Pay range for occupational therapists in Billings, MT
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $72,600 | $34.90 |
| 25th percentile | $78,420 | $37.70 |
| Median | $85,340 | $41.03 |
| 75th percentile | $101,040 | $48.58 |
| 90th percentile (top earners) | $105,670 | $50.80 |
| Average (mean) | $89,330 | $42.95 |
Half of occupational therapists earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $7,111.67 |
| Semi-monthly (24 a year) | $3,555.83 |
| Biweekly (26 a year) | $3,282.31 |
| Weekly | $1,641.15 |
| Hourly | $41.03 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Occupational Therapist salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Bozeman, MT | $94,880 | 50 |
| Missoula, MT | $87,300 | 40 |
| Great Falls, MT | $80,390 | 40 |
Highest-paying states for occupational therapists
| State | Median salary |
|---|---|
| California | $124,510 |
| Oregon | $112,310 |
| Nevada | $110,520 |
| District of Columbia | $109,170 |
| Washington | $107,670 |
| Maryland | $106,980 |
| Colorado | $106,720 |
| Arkansas | $106,360 |
| Texas | $106,140 |
| Oklahoma | $104,300 |
See Occupational Therapist pay in every state or the Montana statewide figures.
Related jobs in Billings, MT
| Job | Median salary | Hourly |
|---|---|---|
| Registered Nurse | $82,300 | $39.57 |
| Pharmacist | $142,080 | $68.31 |
| Physical Therapist | $97,020 | $46.64 |
| Dental Hygienist | $99,410 | $47.79 |
| Nurse Practitioner | $139,050 | $66.85 |
| Physician Assistant | $141,470 | $68.02 |
| Speech-Language Pathologist | $83,620 | $40.20 |
| Respiratory Therapist | $79,820 | $38.38 |
| Veterinarian | $93,140 | $44.78 |
| General Internal Medicine Physician | $68,850 | $33.10 |
| Dietitians and Nutritionists | $71,780 | $34.51 |
| Dentists, General | $203,330 | $97.76 |
| Chiropractor | $75,650 | $36.37 |
| Family Medicine Physician | $294,040 | $141.37 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Billings, MT
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-1122. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a occupational therapist make in Billings, MT?
The median salary for occupational therapists in the Billings, MT metro area is $85,340 a year, or $41.03 an hour. Pay ranges from $72,600 for the lowest-paid 10% to $105,670 for the top 10%.
How much do the highest-paid occupational therapists make in Billings, MT?
The top 10% of occupational therapists in the Billings, MT metro area earn at least $105,670 a year. The top 25% earn $101,040 or more.
What is the starting pay for occupational therapists in Billings, MT?
Entry-level pay (the 10th percentile) is about $72,600 a year, and a quarter of occupational therapists earn $78,420 or less.
How many occupational therapists work in Billings, MT?
About 130 occupational therapists are employed in the Billings, MT metro area, not counting the self-employed.