KY · Louisville · Updated October 15, 2026

Occupational Therapist jobs in Louisville, KY

The median occupational therapist pay in the Louisville area is $42.32 per hour ($88,030 a year), with the typical range running from $37.63 to $49.63. That ranks 244th of 354 U.S. metro areas for occupational therapist pay, and 222nd of 327 once local prices are factored in. The CMS hospital directory lists 8 hospitals in Louisville. Your free pay report adds named employers and the roles open near Louisville.

More open Occupational Therapist roles in Louisville

3 more open roles from employers in Louisville. Each employer’s range arrives with your free pay report.

Occupational Therapist pay in Louisville, KY

The metro median is 4% below the Kentucky statewide median of $43.87 per hour. Nationally the median is $47.28 per hour. BLS counts about 820 occupational therapists employed in the Louisville/Jefferson County metro area, 1.2 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.22).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$34.71$72,20027% below U.S. median
Lower quartile$37.63$78,27020% below U.S. median
Median$42.32$88,03010% below U.S. median
Upper quartile$49.63$103,2305% above U.S. median
Top 10%$55.74$115,94018% above U.S. median

How Louisville ranks

  • 244th of 354 U.S. metro areas by median hourly pay
  • 222nd of 327 after adjusting for local prices
  • 3rd of 6 Kentucky 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.

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

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What your pay buys in Louisville

  • Overall prices in Louisville/Jefferson County run 7% below the U.S. average (index 93.1, U.S. = 100).
  • Housing is the biggest driver: 21% below the U.S. average (index 78.6).
  • Adjusted for local prices, a $42.32 median hour buys what $45.47 buys at the national price level, 4% below 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.

Estimate your Louisville paycheck

Estimated weekly gross$1,524
  • Per year: $76,176
  • Per month: $6,348

Gross pay before taxes and benefits, from BLS pay levels for the Louisville/Jefferson County metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Louisville

ItemFederal rate
Lodging per night$142
Meals and incidentals per day$80
Per week (7 nights, 7 days)$1,554
13-week assignment$20,202

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 Kentucky

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

PermanentPosted yesterday

Occupational Therapist

CommonSpirit Health · Lexington, KY

$32.30–$48.05/ hour
  • Full Time
  • Req 99815406832
New this week
View role
Per diemPosted 3 days ago

Occupational Therapist

CommonSpirit Health · London, KY

$37.22–$55.37/ hour
  • Per Diem
  • Req 101869286400
New this week
View role
PermanentPosted 20 days ago

Occupational Therapist

CommonSpirit Health · Florence, KY

$39.18–$58.28/ hour
  • Part Time
  • Req 101146066480
View role
Per diemPosted 30+ days ago

Occupational Therapist

CommonSpirit Health · Elizabethtown, KY

$37.22–$55.37/ hour
  • Per Diem
  • Req 100180492720
View role

All Occupational Therapist jobs in Kentucky

Hospitals in Louisville

CMS lists 8 hospitals in Louisville, 2 of the 5 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
Louisville Va Medical Center
Louisville, KY
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Baptist Health Louisville
Louisville, KY
Acute careNonprofit4 of 5Yes
Norton Hospitals, Inc
Louisville, KY
Acute careNonprofit2 of 5Yes
Uofl Health - Jewish Hospital And Mary & Elizabeth Hospital
Louisville, KY
Acute careNonprofit2 of 5Yes
University Of Louisville Hospital
Louisville, KY
Acute careNonprofit1 of 5Yes
Central State Hospital
Louisville, KY
PsychiatricGovernment and federalNot ratedNo
The Brook Hospital - Dupont
Louisville, KY
PsychiatricNonprofitNot ratedNo
The Brook Hospital - Kmi
Louisville, KY
PsychiatricGovernment 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
Jeffersonville, IN12 mi$42.32/hr52,912
Lexington, KY65 mi$41.90/hr329,437
Columbus, IN74 mi$44.66/hr51,970
Bloomington, IN84 mi$46.66/hr79,986
Owensboro, KY85 mi$39.78/hr60,675
Cincinnati, OH91 mi$46.78/hr314,915

Occupational Therapist jobs in Kentucky · Occupational Therapist jobs nationwide

License and tax basics in Kentucky

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

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

Kentucky state guide

Other healthcare roles in Louisville

Louisville city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in Louisville, KY?

Occupational Therapists in the Louisville/Jefferson County metro area have a median pay of $42.32 per hour, about $88,030 a year. The middle half earn between $37.63 and $49.63 per hour (BLS, May 2024).

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

Louisville/Jefferson County ranks 222nd of 327 metro areas for occupational therapist pay after adjusting for local prices, and 244th of 354 before adjusting. Overall prices run 7% below the U.S. average.

Where do occupational therapists work in Louisville?

CMS lists 8 hospitals in Louisville, led by Louisville Va Medical Center. Ask for the free report to see current openings and pay.

Do I need a Kentucky license to work in Louisville as an occupational therapist?

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Kentucky requires for your role with the Kentucky 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 Louisville?

The federal per diem benchmark in Louisville is $142 a night for lodging and $80 a day for meals and incidentals, about $1,554 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in Louisville?

Yes. We place healthcare staff in Louisville and across Kentucky. Tell us your profession and we email the roles open near Louisville.

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

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  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.

  3. 3
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Pay report · OT near Louisville, KY
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your OT pay reportTop-paying hospitals shown · your Kentucky list by name comes with the full report

1Pay for your role at other hospitals

  • CommonSpirit HealthLEXINGTON, KY · 4 postings$46.30/ hr$32–$58
  • AmedisysVenice, FL · 5 postings$78.48/ hr$52–$89
  • Montage HealthMonterey, CA · 4 postings$67.73/ hr$54–$83
  • CommonSpirit HealthNORTHRIDGE, CA · 9 postings$64.73/ hr$48–$81

Median posted pay per hour, with the range each employer published. Request your Kentucky list

2What they are offering now

Low$34Median$46.30High$58

4 OT postings with published pay in Kentucky, 3 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 4 OT roles

  1. Occupational TherapistPermanent
    $32.30–$48.05/ hour
    CommonSpirit Health · Lexington, KY · posted yesterday
  2. Occupational TherapistPer diem
    $37.22–$55.37/ hour
    CommonSpirit Health · London, KY · posted 3 days ago

+ 2 more in your report. Each one has pay, shift and start date.

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