OT Assistant Salary

Alexandria vs Virginia Beach: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Alexandria, VA and Virginia Beach, VA. All figures are 2026 estimates projected from BLS 2025 data.

Alexandria, VA
$89,964
$43.25/hr
Virginia Beach, VA
$67,577
$32.49/hr

Side-by-Side Comparison

MetricAlexandria, VAVirginia Beach, VA
Median Salary$89,964$67,577
Hourly Rate$43.25$32.49
Entry Level (P10)$65,382$59,362
25th Percentile$77,377$61,254
75th Percentile$100,488$78,763
Top Earner (P90)$114,617$83,543
Total Employed26300
Side-by-side bar chart comparing Alexandria ($89,964) and Virginia Beach ($67,577) occupational therapy assistant salaries.AlexandriaVirginia BeachMedian Salary$89,964$67,577Entry Level (P10)$65,382$59,362Top Earner (P90)$114,617$83,543US Median $74,332

Verdict

Alexandria, VA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Virginia Beach.

The salary gap between Alexandria and Virginia Beach is $22,387 (33.13%). Alexandria's median is +21.03% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $49,235,Virginia Beach spans $24,181. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$65,382
P25$77,377
Median$89,964
P75$100,488
P90 (Top)$114,617
Virginia Beach
P10 (Entry)$59,362
P25$61,254
Median$67,577
P75$78,763
P90 (Top)$83,543

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Alexandria ($87,174 effective) pays 26.34% more than Virginia Beach ($68,998 effective).

Alexandria
Nominal: $89,964
CoL Index: 103.2
Adjusted: $87,174
Virginia Beach
Nominal: $67,577
CoL Index: 97.941
Adjusted: $68,998

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Alexandria if…

  • Higher median salary ($89,964/year)
  • Better top-earner potential ($114,617)
  • Better purchasing power (CoL-adjusted: $87,174)
  • You prefer the Virginia area and lifestyle

Choose Virginia Beach if…

  • Larger job market (300 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Alexandria grew 24.5% from 2024 to 2025, compared to 2.9% growth in Virginia Beach over the same period.

Alexandria, VA

+24.5%

$70,280 (2024) → $87,505 (2025)

Virginia Beach, VA

+2.9%

$63,890 (2019) → $65,730 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Alexandria or Virginia Beach?

Alexandria has a higher median occupational therapy assistant salary at $89,964/year, compared to Virginia Beach at $67,577/year — a difference of $22,387 (33.13%).

What is the hourly rate difference between Alexandria and Virginia Beach?

Alexandria occupational therapy assistants earn $43.25/hr while Virginia Beach hygienists earn $32.49/hr (2026 est.).

Should I relocate from Alexandria to Virginia Beach as a occupational therapy assistant?

Consider more than just salary when comparing Alexandria and Virginia Beach. Factor in cost of living (CoL-adjusted: Alexandria = $87,174, Virginia Beach = $68,998), job availability (26 vs 300 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Alexandria vs Virginia Beach?

Entry-level (10th percentile) occupational therapy assistants earn $65,382 in Alexandria and $59,362 in Virginia Beach. The Alexandria area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov