Help patients develop or regain daily living and working skills after injury or illness. Median salary in Billings: $91K/year. Data from BLS, O*NET, and H-1B disclosures.
Figures represent annual base salary in Billings, Montana. Reviewed by SalaryOptics Editorial · How we calculate this →
Analysis derived from the salary, COL, tax, and labor-market figures above — specific to this role and city.
Adjusted for Billings's cost-of-living index (98), the median Occupational Therapist salary buys the equivalent of $92,857 in a US-average-cost city. That's $2,857 more purchasing power than the national median — a meaningful real-wage advantage.
Only 12% of Occupational Therapist positions offer remote flexibility, meaning the Billings salary above represents what local employers actually pay — not a remote-anywhere rate. Geographic constraints reinforce the local market, so the salary range above is more directly applicable than for remote-friendly roles.
Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $91K by 2030.
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The median Occupational Therapist salary in Billings, MT is $91,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Billings–MT metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.
Entry-level Occupational Therapists in Billings with 0–2 years of experience typically earn between $73,000 and $91,000 annually. Mid-career professionals with 3–7 years command $91,000 to $111,000, while senior-level practitioners with 8+ years of experience regularly earn $111,000 to $133,000 or more.
Billings has a cost of living index of 98 compared to the US national average of 100. This means your salary goes approximately 2% further in Billings than the national average. Montana has a 6.75% state income tax rate.
Master's in Occupational Therapy; NBCOT certification. 12% of these roles offer some remote flexibility.