OT Assistant Salary

Middletown vs Wilmington: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Middletown, DE and Wilmington, DE. All figures are 2026 estimates projected from BLS 2025 data.

Middletown, DE
$69,846
$33.58/hr
Wilmington, DE
$79,931
$38.43/hr

Side-by-Side Comparison

MetricMiddletown, DEWilmington, DE
Median Salary$69,846$79,931
Hourly Rate$33.58$38.43
Entry Level (P10)$51,961$56,203
25th Percentile$60,254$67,084
75th Percentile$74,140$86,115
Top Earner (P90)$81,040$95,924
Total Employed610
Side-by-side bar chart comparing Middletown ($69,846) and Wilmington ($79,931) occupational therapy assistant salaries.MiddletownWilmingtonMedian Salary$69,846$79,931Entry Level (P10)$51,961$56,203Top Earner (P90)$81,040$95,924US Median $74,332

Verdict

Wilmington, DE offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Middletown.

The salary gap between Middletown and Wilmington is $10,085 (14.44%). Wilmington's median is +7.53% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Middletown spans $29,079,Wilmington spans $39,721. Wilmington has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Middletown
P10 (Entry)$51,961
P25$60,254
Median$69,846
P75$74,140
P90 (Top)$81,040
Wilmington
P10 (Entry)$56,203
P25$67,084
Median$79,931
P75$86,115
P90 (Top)$95,924

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Wilmington ($78,595 effective) pays 14.44% more than Middletown ($68,678 effective).

Middletown
Nominal: $69,846
CoL Index: 101.7
Adjusted: $68,678
Wilmington
Nominal: $79,931
CoL Index: 101.7
Adjusted: $78,595

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

Which City Is Right for You?

Choose Middletown if…

  • You prefer the Delaware area and lifestyle

Choose Wilmington if…

  • Higher median salary ($79,931/year)
  • Better top-earner potential ($95,924)
  • Larger job market (10 employed)
  • Better purchasing power (CoL-adjusted: $78,595)
  • You prefer the Delaware area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Middletown grew 3.3% from 2024 to 2025, compared to 8.5% growth in Wilmington over the same period.

Middletown, DE

+3.3%

$65,776 (2024) → $67,937 (2025)

Wilmington, DE

+8.5%

$71,682 (2024) → $77,746 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Middletown or Wilmington?

Wilmington has a higher median occupational therapy assistant salary at $79,931/year, compared to Middletown at $69,846/year — a difference of $10,085 (14.44%).

What is the hourly rate difference between Middletown and Wilmington?

Middletown occupational therapy assistants earn $33.58/hr while Wilmington hygienists earn $38.43/hr (2026 est.).

Should I relocate from Middletown to Wilmington as a occupational therapy assistant?

Consider more than just salary when comparing Middletown and Wilmington. Factor in cost of living (CoL-adjusted: Middletown = $68,678, Wilmington = $78,595), job availability (6 vs 10 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Middletown vs Wilmington?

Entry-level (10th percentile) occupational therapy assistants earn $51,961 in Middletown and $56,203 in Wilmington. The Wilmington area offers higher starting salaries.
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