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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: $100,330

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 $100,330. 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: $100,330

Projected job growth: 14.8%

10th Percentile: $71,690

25th Percentile: $82,510

75th Percentile: $116,670

90th Percentile: $131,950

Projected job growth: 14.8%

State data

State Median Salary Bottom 10% Top 10%
Alabama $94,050 $76,670 $123,870
Alaska $103,680 $82,320 $133,860
Arizona $103,660 $78,160 $131,950
Arkansas $106,360 $65,160 $144,250
California $124,510 $85,550 $158,560
Colorado $106,720 $81,390 $157,820
Connecticut $102,440 $76,360 $127,630
Delaware $102,130 $71,280 $138,640
District of Columbia $109,170 $81,760 $129,810
Florida $99,360 $66,230 $117,950
Georgia $104,010 $75,290 $128,610
Hawaii $102,870 $78,670 $118,240
Idaho $97,760 $69,440 $152,880
Illinois $99,700 $73,360 $132,180
Indiana $97,020 $69,550 $119,950
Iowa $89,910 $64,610 $109,200
Kansas $99,170 $66,720 $120,950
Kentucky $97,650 $71,030 $119,250
Louisiana $98,490 $61,070 $126,630
Maine $84,310 $63,750 $114,100
Maryland $106,980 $76,650 $132,300
Massachusetts $100,930 $73,140 $127,380
Michigan $89,910 $66,580 $105,720
Minnesota $93,050 $71,770 $108,790
Mississippi $94,930 $73,200 $113,950
Missouri $97,290 $71,880 $120,130
Montana $88,990 $76,110 $110,910
Nebraska $93,740 $70,370 $107,780
Nevada $110,520 $85,720 $139,260
New Hampshire $83,900 $64,150 $115,050
New Jersey $103,410 $78,690 $159,230
New Mexico $99,170 $69,230 $133,050
New York $96,390 $64,770 $133,700
North Carolina $92,940 $62,230 $118,300
North Dakota $83,200 $66,890 $106,300
Ohio $99,390 $70,080 $123,800
Oklahoma $104,300 $68,530 $134,420
Oregon $112,310 $78,500 $131,340
Pennsylvania $98,440 $69,120 $128,790
Rhode Island $100,040 $75,760 $126,630
South Carolina $101,130 $75,370 $123,110
South Dakota $85,050 $65,820 $106,520
Tennessee $97,700 $68,520 $119,070
Texas $106,140 $76,350 $135,200
Utah $97,150 $75,570 $126,970
Vermont $93,340 $69,120 $118,110
Virginia $100,710 $70,200 $134,570
Washington $107,670 $83,110 $135,290
West Virginia $96,190 $60,870 $129,460
Wisconsin $92,390 $73,610 $110,950
Wyoming $86,170 $57,740 $127,790

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.