MT · Missoula · Updated October 15, 2026

Occupational Therapist jobs in Missoula, MT

Occupational Therapists in the Missoula area earn a median of $40.37 per hour, about $83,970 a year, and the middle half of them earn between $35.71 and $46.79. That ranks 280th of 354 U.S. metro areas for occupational therapist pay, and 295th of 327 once local prices are factored in. The CMS hospital directory lists 2 hospitals in Missoula. The free report below lists employers near Missoula and what they pay.

Occupational Therapist pay in Missoula, MT

The metro median is 1% below the Montana statewide median of $40.60 per hour. Nationally the median is $47.28 per hour. BLS counts about 50 occupational therapists employed in the Missoula metro area, 0.7 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.69).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$35.38$73,59025% below U.S. median
Lower quartile$35.71$74,28024% below U.S. median
Median$40.37$83,97015% below U.S. median
Upper quartile$46.79$97,3201% below U.S. median
Top 10%$48.77$101,4403% above U.S. median

How Missoula ranks

  • 280th of 354 U.S. metro areas by median hourly pay
  • 295th of 327 after adjusting for local prices
  • 2nd of 5 Montana 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 Missoula

  • Overall prices in Missoula run 4% below the U.S. average (index 96.4, U.S. = 100).
  • Housing is the biggest driver: 5% below the U.S. average (index 94.9).
  • Adjusted for local prices, a $40.37 median hour buys what $41.86 buys at the national price level, 11% 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.

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

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Estimate your Missoula paycheck

Estimated weekly gross$1,453
  • Per year: $72,666
  • Per month: $6,056

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

Travel assignment per diem in Missoula

ItemFederal rate
Lodging per night$152
Meals and incidentals per day$74
Per week (7 nights, 7 days)$1,582
13-week assignment$20,566

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 Montana

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

All Occupational Therapist jobs in Montana

Hospitals in Missoula

CMS lists 2 hospitals in Missoula, 1 of the 2 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
St. Patrick Hospital
Missoula, MT
Acute careNonprofit5 of 5Yes
Community Medical Center
Missoula, MT
Acute careNonprofit3 of 5Yes

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
Great Falls, MT135 mi$37.33/hr60,013
Coeur d'Alene, ID142 mi$39.36/hr57,355
Spokane Valley, WA160 mi$46.32/hr108,267
Bozeman, MT164 mi$44.68/hr57,894
Spokane, WA169 mi$46.32/hr230,609
Pasco, WA246 mi$48.90/hr81,724

Occupational Therapist jobs in Montana · Occupational Therapist jobs nationwide

License and tax basics in Montana

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

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

Montana state guide

Other healthcare roles in Missoula

Missoula city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in Missoula, MT?

Occupational Therapists in the Missoula metro area have a median pay of $40.37 per hour, about $83,970 a year. The middle half earn between $35.71 and $46.79 per hour (BLS, May 2024).

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

Missoula ranks 295th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 280th of 354 before adjusting. Overall prices run 4% below the U.S. average.

Where do occupational therapists work in Missoula?

CMS lists 2 hospitals in Missoula, led by St. Patrick Hospital. Ask for the free report to see current openings and pay.

Do I need a Montana license to work in Missoula as an occupational therapist?

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

The federal per diem benchmark in Missoula is $152 a night for lodging and $74 a day for meals and incidentals, about $1,582 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in Missoula?

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

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

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    Pay for your role at other hospitals

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

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    What they are offering now

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Pay report · OT near Missoula, MT
Valorem Health Shift ReportFrom your recruiting team · [email protected]

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

1Pay for your role at other hospitals

  • 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
  • Kaweah Delta Health Care DistrictVisalia, CA · 5 postings$62.80/ hr$50–$75

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

2What they are offering now

Low$35Median$48.37High$65

328 OT postings with published pay in the US, 261 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 1 OT roles

  1. Occupational Therapist | Hand Therapy / Certified Hand Therapist | Outpatient TherapyPermanent
    $39.75–$59.50/ hour
    Logan Health · Kalispell, MT · posted 14 days ago

Each one has pay, shift and start date.

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