ND · Fargo · Updated October 15, 2026

Occupational Therapist jobs in Fargo, ND

Pay for occupational therapists in the Fargo area centers on $37.86 per hour, or about $78,760 a year. The lower quarter earns under $35.31 and the upper quarter over $46.63. The CMS hospital directory lists 4 hospitals in Fargo. That ranks 337th of 354 U.S. metro areas for occupational therapist pay, and 297th of 327 once local prices are factored in. Your free pay report adds named employers and the roles open near Fargo.

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Occupational Therapist pay in Fargo, ND

The metro median is 1% below the North Dakota statewide median of $38.42 per hour. Nationally the median is $47.28 per hour. BLS counts about 210 occupational therapists employed in the Fargo metro area, 1.4 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.45).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$30.91$64,29035% below U.S. median
Lower quartile$35.31$73,44025% below U.S. median
Median$37.86$78,76020% below U.S. median
Upper quartile$46.63$96,9901% below U.S. median
Top 10%$49.16$102,2504% above U.S. median

How Fargo ranks

  • 337th of 354 U.S. metro areas by median hourly pay
  • 297th of 327 after adjusting for local prices
  • 2nd of 4 North Dakota 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 Fargo

  • Overall prices in Fargo run 9% below the U.S. average (index 90.9, U.S. = 100).
  • Housing is the biggest driver: 19% below the U.S. average (index 81.1).
  • Adjusted for local prices, a $37.86 median hour buys what $41.66 buys at the national price level, 12% 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 Fargo paycheck

Estimated weekly gross$1,363
  • Per year: $68,148
  • Per month: $5,679

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

Travel assignment per diem in Fargo

ItemFederal rate
Lodging per night$110
Meals and incidentals per day$68
Per week (7 nights, 7 days)$1,246
13-week assignment$16,198

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 (this is the standard rate that applies here). 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).

Hospitals in Fargo

CMS lists 4 hospitals in Fargo, 2 of the 3 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
Fargo Va Medical Center
Fargo, ND
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Sanford Medical Center Fargo
Fargo, ND
Acute careNonprofit4 of 5Yes
Essentia Health
Fargo, ND
Acute careNonprofit3 of 5Yes
Prairie St John's
Fargo, ND
PsychiatricFor-profitNot ratedNo

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
Grand Forks, ND74 mi$37.46/hr59,845
St. Cloud, MN157 mi$40.59/hr72,145
Bismarck, ND186 mi$38.42/hr77,772
Maple Grove, MN202 mi$41.49/hr72,739
Coon Rapids, MN205 mi$41.49/hr63,807
Plymouth, MN206 mi$41.49/hr78,551

Occupational Therapist jobs in North Dakota · Occupational Therapist jobs nationwide

License and tax basics in North Dakota

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

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

North Dakota state guide

Other healthcare roles in Fargo

Fargo city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in Fargo, ND?

Occupational Therapists in the Fargo metro area have a median pay of $37.86 per hour, about $78,760 a year. The middle half earn between $35.31 and $46.63 per hour (BLS, May 2024).

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

Fargo ranks 297th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 337th of 354 before adjusting. Overall prices run 9% below the U.S. average.

Who is hiring occupational therapists in Fargo?

We list 2 open roles with published pay from 1 employer in Fargo. Your free report adds named employers and pay near Fargo.

Do I need a North Dakota license to work in Fargo as an occupational therapist?

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

The federal per diem benchmark in Fargo is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in Fargo?

Yes. We place healthcare staff in Fargo and across North Dakota. Tell us your profession and we email the roles open near Fargo.

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

Your OT pay reportTop-paying employers shown · your North Dakota list by name comes with the full report

1Pay for your role at other employers

  • Essentia HealthFargo, ND · 3 postings$43.70/ hr$35–$52
  • Mercy Hospital of Valley CityWilliston, ND · 1 wage offer$49.56/ hr$50–$50
  • AmedisysVenice, FL · 5 postings$78.48/ hr$52–$89
  • Montage HealthMonterey, CA · 4 postings$67.73/ hr$54–$83

Median pay per hour, with the range each employer published or reported in federal filings. Request your North Dakota list

2What they are offering now

Low$35Median$43.70High$52

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

3Open now: 3 OT roles

  1. Physical/Occupational Therapist - Pelvic Floor/General Practice (FT) - BismarckPermanent
    $73k–$109k/ year
    Essentia Health · Bismarck, ND · posted 10 days ago
  2. Occupational Therapist - Acute Care/General Practice (Casual) - FargoPer diem
    $34.96–$52.44/ hour
    Essentia Health · Fargo, ND · posted 10 days ago

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