WA · Spokane · Updated October 15, 2026

Occupational Therapist jobs in Spokane, WA

Pay for occupational therapists in the Spokane area centers on $46.32 per hour, or about $96,350 a year. The lower quarter earns under $39.79 and the upper quarter over $51.15. The CMS hospital directory lists 6 hospitals in Spokane. That ranks 158th of 354 U.S. metro areas for occupational therapist pay, and 206th of 327 once local prices are factored in. The free report below lists employers near Spokane and what they pay.

Open Occupational Therapist roles near Spokane

Roles in other cities of the Spokane-Spokane Valley area.

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

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Occupational Therapist pay in Spokane, WA

The metro median is 6% below the Washington statewide median of $49.21 per hour. Nationally the median is $47.28 per hour. BLS counts about 280 occupational therapists employed in the Spokane-Spokane Valley metro area, 1.1 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.12).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$37.79$78,60020% below U.S. median
Lower quartile$39.79$82,76016% below U.S. median
Median$46.32$96,3502% below U.S. median
Upper quartile$51.15$106,3908% above U.S. median
Top 10%$57.35$119,29021% above U.S. median

How Spokane ranks

  • 158th of 354 U.S. metro areas by median hourly pay
  • 206th of 327 after adjusting for local prices
  • 8th of 8 Washington 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 Spokane

  • Overall prices in Spokane-Spokane Valley run in line with the U.S. average (index 100.3, U.S. = 100).
  • Housing is the biggest driver: 3% below the U.S. average (index 97.1).
  • Adjusted for local prices, a $46.32 median hour buys what $46.16 buys at the national price level, 2% 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 Spokane paycheck

Estimated weekly gross$1,668
  • Per year: $83,376
  • Per month: $6,948
  • Washington has no state income tax on wages.

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

Travel assignment per diem in Spokane

ItemFederal rate
Lodging per night$126
Meals and incidentals per day$86
Per week (7 nights, 7 days)$1,484
13-week assignment$19,292

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).

Hospitals in Spokane

CMS lists 6 hospitals in Spokane, 1 of the 4 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
Spokane Va Medical Center
Spokane, WA
Acute Care - Veterans AdministrationGovernment and federal4 of 5Yes
Deaconess Medical Center
Spokane, WA
Acute careNonprofit3 of 5Yes
Prov Sacred Hrt Med Ctr & Childs Hosp.
Spokane, WA
Acute careNonprofit3 of 5Yes
Providence Holy Family Hospital
Spokane, WA
Acute careNonprofit3 of 5Yes
Shriners Hospital For Children
Spokane, WA
Children'sNonprofitNot ratedNo
Inland Northwest Behavioral Health
Spokane, WA
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
Spokane Valley, WA9 mi$46.32/hr108,267
Coeur d'Alene, ID30 mi$39.36/hr57,355
Pasco, WA125 mi$48.90/hr81,724
Richland, WA130 mi$48.90/hr64,372
Kennewick, WA131 mi$48.90/hr86,728
Yakima, WA164 mi$51.68/hr97,390

Occupational Therapist jobs in Washington · Occupational Therapist jobs nationwide

License and tax basics in Washington

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

Washington 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.

Washington state guide

Other healthcare roles in Spokane

Spokane city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in Spokane, WA?

Occupational Therapists in the Spokane-Spokane Valley metro area have a median pay of $46.32 per hour, about $96,350 a year. The middle half earn between $39.79 and $51.15 per hour (BLS, May 2024).

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

Spokane-Spokane Valley ranks 206th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 158th of 354 before adjusting. Overall prices run in line with the U.S. average.

Who is hiring occupational therapists in Spokane?

We list 1 open role with published pay from 1 employer in the Spokane-Spokane Valley area. Your free report adds named employers and pay near Spokane.

Do I need a Washington license to work in Spokane as an occupational therapist?

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

The federal per diem benchmark in Spokane is $126 a night for lodging and $86 a day for meals and incidentals, about $1,484 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in Spokane?

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

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

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    What they are offering now

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

Your OT pay reportSpokane, WA · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • AmedisysFederal Way, WA · 2 postings$75.50/ hr$67–$84
  • MultiCareYakima, WA · 14 postings$61.35/ hr$44–$78
  • Seattle Children'sSeattle, WA · 3 postings$60.17/ hr$48–$72
  • Cole Sky Therapy PLLCBellevue, WA · 2 wage offers$42.21/ hr$42–$42

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

2What they are offering now

Low$44Median$60.76High$78

22 OT postings with published pay in Washington, 15 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 22 OT roles

  1. Outpatient Pediatric Occupational TherapistPermanent
    $49.36–$78.25/ hour
    MultiCare · Puyallup, WA · posted 8 days ago
  2. Pediatric Occupational TherapistPermanent
    $49.36–$78.25/ hour
    MultiCare · Gig Harbor, WA · posted 8 days ago

+ 20 more in your report. Each one has pay, shift and start date.

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