TX · San Antonio · Updated October 15, 2026

Occupational Therapist jobs in San Antonio, TX

The median occupational therapist pay in the San Antonio area is $48.43 per hour ($100,740 a year), with the typical range running from $39.57 to $57.29. That ranks 75th of 354 U.S. metro areas for occupational therapist pay, and 82nd of 327 once local prices are factored in. The CMS hospital directory lists 19 hospitals in San Antonio. Your free pay report adds named employers and the roles open near San Antonio.

More open Occupational Therapist roles in San Antonio

4 more open roles from employers in San Antonio. Each employer’s range arrives with your free pay report.

Per diemPosted 10 days ago

Occupational Therapist (OT)

Genesis Healthcare · San Antonio, TX

Pay range with your report
  • Casual/Per Diem Powerback USD $58.00/Hr.
  • Req 55667
View role

Occupational Therapist pay in San Antonio, TX

The metro median is 1% below the Texas statewide median of $48.93 per hour. Nationally the median is $47.28 per hour. BLS counts about 920 occupational therapists employed in the San Antonio-New Braunfels metro area, 0.8 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.83).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$30.67$63,79035% below U.S. median
Lower quartile$39.57$82,31016% below U.S. median
Median$48.43$100,7402% above U.S. median
Upper quartile$57.29$119,16021% above U.S. median
Top 10%$64.06$133,24035% above U.S. median

How San Antonio ranks

  • 75th of 354 U.S. metro areas by median hourly pay
  • 82nd of 327 after adjusting for local prices
  • 12th of 24 Texas 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 San Antonio, what they pay and the roles open now. Free for candidates, email only.

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What your pay buys in San Antonio

  • Overall prices in San Antonio-New Braunfels run 5% below the U.S. average (index 94.7, U.S. = 100).
  • Housing is the biggest driver: 5% below the U.S. average (index 94.6).
  • Adjusted for local prices, a $48.43 median hour buys what $51.13 buys at the national price level, 8% 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.

Estimate your San Antonio paycheck

Estimated weekly gross$1,743
  • Per year: $87,174
  • Per month: $7,264
  • Texas has no state income tax on wages.

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

Travel assignment per diem in San Antonio

ItemFederal rate
Lodging per night$141
Meals and incidentals per day$74
Per week (7 nights, 7 days)$1,505
13-week assignment$19,565

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 Texas

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

PermanentPosted 16 days ago

Occupational Therapist

CommonSpirit Health · Sugar Land, TX

$36.51–$54.31/ hour
  • Full Time
  • Req 101327546592
View role

All Occupational Therapist jobs in Texas

Hospitals in San Antonio

CMS lists 19 hospitals in San Antonio, 4 of the 7 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
Baptist Neighborhood Hospital Thousand Oaks
San Antonio, TX
Acute careFor-profit5 of 5Yes
San Antonio Va Medical Center (Va South Texas Healthcare System)
San Antonio, TX
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Methodist Hospital
San Antonio, TX
Acute careFor-profit4 of 5Yes
Methodist Hospital Stone Oak
San Antonio, TX
Acute careFor-profit4 of 5Yes
Baptist Medical Center
San Antonio, TX
Acute careFor-profit3 of 5Yes
Christus Santa Rosa Medical Center
San Antonio, TX
Acute careNonprofit3 of 5Yes
University Health System
San Antonio, TX
Acute careGovernment and federal3 of 5Yes
Bandera Family Hospital
San Antonio, TX
Acute careFor-profitNot ratedYes
Children's Hospital Of San Antonio
San Antonio, TX
Children'sNonprofitNot ratedYes
Foundation Surgical Hospital Of San Antonio
San Antonio, TX
Acute careFor-profitNot 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
New Braunfels, TX30 mi$48.43/hr116,477
San Marcos, TX45 mi$50.89/hr74,316
Kyle, TX53 mi$50.89/hr65,833
Austin, TX74 mi$50.89/hr993,588
Cedar Park, TX84 mi$50.89/hr78,380
Leander, TX86 mi$50.89/hr87,511

Occupational Therapist jobs in Texas · Occupational Therapist jobs nationwide

License and tax basics in Texas

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

Texas does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Texas state guide

Other healthcare roles in San Antonio

San Antonio city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in San Antonio, TX?

Occupational Therapists in the San Antonio-New Braunfels metro area have a median pay of $48.43 per hour, about $100,740 a year. The middle half earn between $39.57 and $57.29 per hour (BLS, May 2024).

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

San Antonio-New Braunfels ranks 82nd of 327 metro areas for occupational therapist pay after adjusting for local prices, and 75th of 354 before adjusting. Overall prices run 5% below the U.S. average.

Where do occupational therapists work in San Antonio?

CMS lists 19 hospitals in San Antonio, led by Baptist Neighborhood Hospital Thousand Oaks. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in San Antonio as an occupational therapist?

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

The federal per diem benchmark in San Antonio is $141 a night for lodging and $74 a day for meals and incidentals, about $1,505 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 Antonio?

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

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What do employers near San Antonio 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 San Antonio, TX
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your OT pay reportSan Antonio, TX · employer-reported wage offers in federal filings, July 2025 – June 2026

1Pay for your role at other employers

  • Aegis Therapies, Inc.Dallas, TX · 1 wage offer$53.00/ hr$53–$53
  • Haltom Operations, LLCFort Worth, TX · 1 wage offer$50.00/ hr$50–$50
  • Hunt Memorial Hospital DistrictGreenville, TX · 1 wage offer$50.00/ hr$50–$50
  • Select Physical Therapy Texas Limited PartnershipDallas, TX · 1 wage offer$48.20/ hr$43–$53

Median pay per hour, with the range each employer reported in federal filings.

2What they are offering now

Low$36Median$44.22High$55

6 OT postings with published pay in Texas, 6 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 6 OT roles

  1. Occupational Therapist - OTPermanent
    $76k–$103k/ year
    Select Medical · Irving, TX · posted yesterday
  2. Occupational Therapist, Home HealthPermanent
    $97k–$118k/ year
    AccentCare · Austin, TX · posted 2 days ago

+ 4 more in your report. Each one has pay, shift and start date.

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