Occupational Therapy Assistant Salary in Leesburg, VA: $76,406 (2026)
Quick Answer:A full-time occupational therapy assistant in Leesburg, VA earns a median $76,406/year (≈ $36.73/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in Leesburg's price level (3% above national, BEA RPP 103.2), that paycheck buys what $74,037 would nationally. Nominal pay sits 3.2% below the Virginia state average.
Based on BLS state-level estimates · View source

Occupational therapy assistants in Leesburg, Virginia, can expect to earn a median salary of $76,406 in 2026, a modest increase compared to the national median of $74,332. The salary range for this role spans from $54,742 at the 10th percentile to $93,553 at the 90th percentile, illustrating a varied pay landscape influenced by factors such as employment setting and experience. Estimates are based on the 2025 BLS Occupational Employment and Wage Statistics data, adjusted for regional cost variations, reflecting the unique economic conditions in Leesburg. The job market for these professionals incorporates a structural divide between skilled nursing facilities, schools, and hospitals, with shifts in reimbursement rates affecting compensation dynamics post-Medicare cuts.
About the Leesburg Market
Salary estimated from Virginia average ($68,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $54,742 | $26.32 |
| Lower Range (P25) | $65,123 | $31.31 |
| Median (P50)(typical) | $76,406 | $36.73 |
| Upper Range (P75) | $83,198 | $40.00 |
| Top Earners (P90) | $93,553 | $44.98 |
Median Salary Position
2.79% above the national average
2026 Salary Percentile Distribution in Leesburg
In Leesburg, VA, the occupational therapy assistant salary spread from the 10th to 90th percentile is $38,811 (2026 est.). At $76,406, the local median is 2.79% above the national median of $74,332.
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At 40 hours/week in Leesburg: You'd be above the median
How Leesburg Occupational Therapy Assistant Pay Compares
Leesburg median: $76,406/year (2026)
| Compared To | Median Salary | Leesburg Pays |
|---|---|---|
| Virginia Average | $78,932 | -3.20% less |
| National Average | $74,332 | +2.79% more |
Occupational Therapy Assistants in Leesburg, VA earn a median of $76,406 per year (2026 est.), which is 2.79% higher than the national median of $74,332 and 3.20% below the Virginia state average of $78,932.
Cost-of-Living Adjusted Salary
Leesburg has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Leesburg, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $76,406 is competitive, the higher cost of living reduces purchasing power to an effective $74,037 — a 3.1% reduction.
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2019 BLS Actual
$63,227
2025 BLS Actual
$74,318
2026 Current Est.
$76,406
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in Leesburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $63,227 | Actual |
| 2020 | $64,697 | Actual |
| 2021 | $63,453 | Actual |
| 2022 | $66,043 | Actual |
| 2023 | $68,880 | Actual |
| 2024 | $67,943 | Actual |
| 2025 | $74,318 | Actual |
| 2026(current) | $76,406 | Estimated |
| 2027 | $78,553 | Projected |
Based on 7 years of BLS OEWS data for the Leesburg metropolitan area, the median occupational therapy assistant salary grew 17.5% from $63,227 (2019) to $74,318 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $78,553 by 2027 — a total increase of $15,326 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Leesburg metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.81% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $54,742 – $65,123 |
| 3-5 years (Mid Career) | $65,123 – $76,406 |
| 5+ years (Experienced) | $76,406 – $83,198 |
| 10+ years (Top Earner) | $83,198 – $93,553 |
OTA salary ranges estimated from BLS percentile data. Individual occupational therapy assistant compensation varies by employer, certifications, and specialization.
Occupational Therapy Assistant Job Market in Leesburg
The occupational therapy assistant job market in Leesburg is characterized by the presence of 14 professionals currently employed in the area, with a cost-of-living index of 103.2 indicating that living expenses are slightly above the national average. Among the employers, skilled nursing facilities and hospital inpatient rehabilitation centers tend to offer the highest salaries, while school districts may present more stable contracts but typically lower wages. The significant disparity in pay is influenced by productivity expectations, including the implications of the 15% Medicare reimbursement cut that adversely impacted many outpatient clinics and skilled nursing settings. To maximize earning potential, aspiring occupational therapy assistants should consider pursuing roles in high-paying settings, strategically look for weekend or PRN positions that often offer premium pay, and explore opportunities to transition to a Master of Occupational Therapy (MOT) program for career advancement.
More salary data for Leesburg, VA:
Frequently Asked Questions
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Can occupational therapy assistants make $100K in Leesburg?
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $74,318 for occupational therapy assistantsin the Leesburg metropolitan area. A 2.81% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Leesburg is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.81%, derived from historical BLS wage trends for occupational therapy assistants (SOC 31-2011).
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