Occupational Therapist salary in Wilmington, NC
Occupational Therapists in the Wilmington, NC metro area earn a median of $86,420 a year ($41.55 an hour), based on BLS data for 260 workers.
Pay ranges from $64,290 for the lowest-paid 10% to $113,380 for the top 10%. That is 14% lower than the national median of $100,330. Pay here is 7% lower than the North Carolina statewide median of $92,940. 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 $89,390, above the median because a few high earners pull it up.
Pay range for occupational therapists in Wilmington, NC
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $64,290 | $30.91 |
| 25th percentile | $78,210 | $37.60 |
| Median | $86,420 | $41.55 |
| 75th percentile | $104,330 | $50.16 |
| 90th percentile (top earners) | $113,380 | $54.51 |
| Average (mean) | $89,390 | $42.98 |
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 | $7,201.67 |
| Semi-monthly (24 a year) | $3,600.83 |
| Biweekly (26 a year) | $3,323.85 |
| Weekly | $1,661.92 |
| Hourly | $41.55 |
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 |
|---|---|---|
| Greenville, NC | $101,360 | 130 |
| Rocky Mount, NC | $100,780 | 40 |
| Hickory-Lenoir-Morganton, NC | $100,160 | 120 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $99,400 | 830 |
| Charlotte-Concord-Gastonia, NC-SC | $98,450 | 1,140 |
| Greensboro-High Point, NC | $96,820 | 270 |
| Winston-Salem, NC | $93,780 | 260 |
| Goldsboro, NC | $86,870 | 30 |
| Jacksonville, NC | $85,540 | 40 |
| Raleigh-Cary, NC | $84,080 | 680 |
| Asheville, NC | $83,660 | 210 |
| Durham-Chapel Hill, NC | $83,160 | 390 |
| Burlington, NC | $82,640 | 80 |
| Pinehurst-Southern Pines, NC | $81,450 | 50 |
| Fayetteville, NC | $81,240 | 200 |
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 North Carolina statewide figures.
Related jobs in Wilmington, NC
| Job | Median salary | Hourly |
|---|---|---|
| Registered Nurse | $80,970 | $38.93 |
| Pharmacist | $151,790 | $72.98 |
| Physical Therapist | $98,770 | $47.49 |
| Physicians, All Other | $252,960 | $121.62 |
| Dental Hygienist | $96,700 | $46.49 |
| Nurse Practitioner | $124,990 | $60.09 |
| Speech-Language Pathologist | $82,410 | $39.62 |
| Physician Assistant | $131,270 | $63.11 |
| Dentists, General | $185,720 | $89.29 |
| Respiratory Therapist | $81,020 | $38.95 |
| Veterinarian | $131,670 | $63.30 |
| Dietitians and Nutritionists | $62,080 | $29.85 |
| Nurse Anesthetist | $218,830 | $105.21 |
| Optometrist | $163,800 | $78.75 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Wilmington, NC
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 Wilmington, NC?
The median salary for occupational therapists in the Wilmington, NC metro area is $86,420 a year, or $41.55 an hour. Pay ranges from $64,290 for the lowest-paid 10% to $113,380 for the top 10%.
How much do the highest-paid occupational therapists make in Wilmington, NC?
The top 10% of occupational therapists in the Wilmington, NC metro area earn at least $113,380 a year. The top 25% earn $104,330 or more.
What is the starting pay for occupational therapists in Wilmington, NC?
Entry-level pay (the 10th percentile) is about $64,290 a year, and a quarter of occupational therapists earn $78,210 or less.
How many occupational therapists work in Wilmington, NC?
About 260 occupational therapists are employed in the Wilmington, NC metro area, not counting the self-employed.