A clinical supervisor listening to a supervisee across a break-room table.

    Salary / OT / Missouri

    OT salary in Missouri

    What OT roles are advertised at, and the Missouri factors that change the number.

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    How much does a OT earn in Missouri?

    OT roles we recruit across the US are advertised at roughly $78k – $108k, typically $78k entry, $92k mid-career and $108k at senior or supervisory level. In Missouri, where an individual offer lands inside that range is driven by licensure, setting, caseload and local cost of living rather than a state-wide average. Two distinct metro markets that rarely share candidates; searches need to be run separately.

    OT advertised pay by experience

    Entry
    $78k
    First role after certification
    Mid-career
    $92k
    Two to five years, full caseload
    Senior
    $108k
    Supervisory scope or specialist skill

    What changes a OT offer in Missouri

    • LPC, LCSW and LMFT are licensed by the Division of Professional Registration.
    • Setting: Pediatric clinics, School districts, Hospitals and rehab price differently for the same credential.
    • Caseload cap and billable or productivity target, which decide whether a bonus is real.
    • Metro cost of living within the state; a city premium is not the same as a better offer.
    • Scarcity: Consistently short in pediatrics and school contracts, especially where sensory integration or feeding experience is needed.

    Why we do not publish a MO average

    We publish what we actually see advertised on roles we recruit. We do not hold a statistically valid state-level survey, so quoting a Missouri average would be guesswork dressed as data. For official state wage estimates, use the federal source and treat it as a floor for negotiation, not a target.

    Bureau of Labor Statistics wage data

    Last reviewed August 2026.

    Live OT roles in Missouri

    No live OT roles in Missouri right now. Tell us your license status and target setting and we will contact you when the next Missouri search opens.

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    Open OT roles elsewhere in the US

    A clinical director and a hiring lead shaking hands across a meeting-room table.

    Hiring OTs in Missouri

    Pay is the last thing that fixes a stalled search

    Pediatric OT candidates screen hard on evaluation load and documentation time. Roles that quote both fill faster.

    Take a Seat People
    • Behavioral health only
    • Recruiting across all 50 states
    • Pay published on every role
    • Recruitment partnerships, not job spam