CA · San Mateo · Updated October 15, 2026

Occupational Therapist jobs in San Mateo, CA

Pay for occupational therapists in the San Mateo area centers on $62.00 per hour, or about $128,960 a year. The lower quarter earns under $52.56 and the upper quarter over $71.81. That ranks 5th of 354 U.S. metro areas for occupational therapist pay, and 27th of 327 once local prices are factored in. The CMS hospital directory lists 1 hospital in San Mateo. The free report below lists employers near San Mateo and what they pay.

Occupational Therapist pay in San Mateo, CA

The metro median is 8% above the California statewide median of $57.44 per hour. Nationally the median is $47.28 per hour. BLS counts about 1,510 occupational therapists employed in the San Francisco-Oakland-Fremont metro area, 0.6 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.63).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$49.58$103,1305% above U.S. median
Lower quartile$52.56$109,32011% above U.S. median
Median$62.00$128,96031% above U.S. median
Upper quartile$71.81$149,36052% above U.S. median
Top 10%$77.55$161,30064% above U.S. median

How San Mateo ranks

  • 5th of 354 U.S. metro areas by median hourly pay
  • 27th of 327 after adjusting for local prices
  • 5th of 22 California metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Occupational Therapists (SOC 29-1122), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in San Mateo

  • Overall prices in San Francisco-Oakland-Fremont run 16% above the U.S. average (index 115.6, U.S. = 100).
  • Housing is the biggest driver: 95% above the U.S. average (index 194.7).
  • Adjusted for local prices, a $62.00 median hour buys what $53.63 buys at the national price level, 13% above the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

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Named employers near San Mateo, what they pay and the roles open now. Free for candidates, email only.

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Estimate your San Mateo paycheck

Estimated weekly gross$2,232
  • Per year: $111,600
  • Per month: $9,300

Gross pay before taxes and benefits, from BLS pay levels for the San Francisco-Oakland-Fremont metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in San Mateo

ItemFederal rate
Lodging per night$183
Meals and incidentals per day$86
Per week (7 nights, 7 days)$1,883
13-week assignment$24,479

Travel occupational therapist assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.

Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).

Open Occupational Therapist roles in California

Nearest open roles with published pay. Your free report adds roles in San Mateo as they open.

Per diemPosted today

Occupational Therapist

CommonSpirit Health · Northridge, CA

$52.04–$77.42/ hour
  • PRN
  • Req 99000724544
Top 25% payNew this week
View role
PermanentPosted today

Occupational Therapist

Central Maine Healthcare Corporation · National City, CA

$54.00–$54.00/ hour
  • CONTRACTOR
  • Req 286071
New this week
View role
Per diemPosted 2 days ago

Occupational Therapist II

CommonSpirit Health · Camarillo, CA

$61.35–$72.92/ hour
  • PRN
  • Req 101931225632
Top 25% payNew this week
View role
PermanentPosted 2 days ago

Occupational Therapist

Kaweah Delta Health Care District · Visalia, CA

$50.24–$75.36/ hour
  • Full time
  • Req R26_0000002296
New this week
View role

All Occupational Therapist jobs in California

Hospitals in San Mateo

CMS lists 1 hospital in San Mateo. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
San Mateo Medical Center
San Mateo, CA
Acute careGovernment and federalNot ratedYes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Occupational Therapist pay in nearby cities

CityDistanceMedian payPopulation
Redwood City, CA6 mi$62.00/hr82,982
South San Francisco, CA7 mi$62.00/hr64,660
Palo Alto, CA15 mi$64.77/hr67,658
Mountain View, CA17 mi$64.77/hr87,316
Sunnyvale, CA20 mi$64.77/hr156,792

Occupational Therapist jobs in California · Occupational Therapist jobs nationwide

License and tax basics in California

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what California requires for your role with the California licensing board and with your recruiter before you commit to a start date.

California taxes wage income. Use your own rates in the take-home pay calculator.

California state guide

Other healthcare roles in San Mateo

San Mateo city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in San Mateo, CA?

Occupational Therapists in the San Francisco-Oakland-Fremont metro area have a median pay of $62.00 per hour, about $128,960 a year. The middle half earn between $52.56 and $71.81 per hour (BLS, May 2024).

Is San Mateo a good place for occupational therapists once cost of living is counted?

San Francisco-Oakland-Fremont ranks 27th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 5th of 354 before adjusting. Overall prices run 16% above the U.S. average.

Where do occupational therapists work in San Mateo?

CMS lists 1 hospital in San Mateo, led by San Mateo Medical Center. Ask for the free report to see current openings and pay.

Do I need a California license to work in San Mateo as an occupational therapist?

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what California requires for your role with the California licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

What is the per diem for a travel assignment in San Mateo?

The federal per diem benchmark in San Mateo is $183 a night for lodging and $86 a day for meals and incidentals, about $1,883 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in San Mateo?

Yes. We place healthcare staff in San Mateo and across California. Tell us your profession and we email the roles open near San Mateo.

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What do employers near San Mateo pay occupational therapists? Get the report.

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  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

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Pay report · OT near San Mateo, CA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your OT pay reportSan Mateo, CA · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • Montage HealthMonterey, CA · 4 postings$67.73/ hr$54–$83
  • CommonSpirit HealthNORTHRIDGE, CA · 9 postings$64.73/ hr$48–$81
  • Kaweah Delta Health Care DistrictVisalia, CA · 5 postings$62.80/ hr$50–$75
  • BrightSpring Health ServicesBURBANK, CA · 7 postings$62.50/ hr$60–$65

Median posted pay per hour, with the range each employer published.

2What they are offering now

Low$50Median$62.50High$75

38 OT postings with published pay in California, 35 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 38 OT roles

  1. Occupational TherapistPer diem
    $52.04–$77.42/ hour
    CommonSpirit Health · Northridge, CA · posted today
  2. Occupational Therapist Home HealthPermanent
    $49.78–$74.05/ hour
    CommonSpirit Health · Rancho Cordova, CA · posted today

+ 36 more in your report. Each one has pay, shift and start date.

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