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2026 Best Occupational Therapy Majors: Education & Other Requirements

Imed Bouchrika, PhD

by Imed Bouchrika, PhD

Chief Data Scientist & Ranking Editor

What can you do with an occupational therapy major? 

An occupational therapy major prepares you to help patients regain independence in daily life after injury, illness, or disability. Graduates can pursue roles as licensed occupational therapists, therapy aides, or rehabilitation specialists. With further education, the degree also opens pathways to advanced practice in pediatrics, geriatrics, and mental health support. 

According to the U.S. Bureau of Labor Statistics (BLS), employment for occupational therapists is projected to grow 12% from 2022 to 2032—much faster than average. This growth reflects rising demand for skilled professionals who can support aging populations and those with chronic conditions.

Where can you work with an occupational therapy major? 

An occupational therapy major allows graduates to work in diverse environments. Occupational therapists are needed in hospitals, rehabilitation centers, outpatient clinics, schools, and nursing homes. Some also find opportunities in home health care and private practice. The field’s flexibility makes it possible to specialize in areas like pediatrics, sports injury recovery, or mental health support. 

According to BLS data, nearly 27% of occupational therapists are employed in hospitals, while 25% work in therapy offices and clinics. This wide range of options ensures graduates can choose a setting that matches their professional goals and lifestyle.

How much can you earn with an occupational therapy major? 

Earning potential with an occupational therapy major is strong compared to many healthcare roles requiring similar education. The median annual wage for occupational therapists was $93,180 in 2023, according to the BLS. The top 10% in the field earned more than $120,000 per year, showing significant room for growth with experience and specialization. 

Earnings vary depending on location and work setting—therapists in nursing care facilities and home health services often earn higher wages than those in schools or outpatient clinics. With continued demand and opportunities for advancement, an occupational therapy degree provides both financial stability and career longevity.

What Jobs Can You Get With an Occupational Therapy Degree?

The most direct outcome of an occupational therapy degree is becoming a licensed occupational therapist. However, OT training can also support specialization in pediatrics, geriatrics, neurological rehabilitation, home health, schools, research, education, and program leadership. Students should remember that job eligibility depends on degree level, certification, licensure, and state requirements.

RoleTypical focusCommon work settings
Occupational TherapistHelps clients regain or improve daily function after injury, illness, disability, or developmental challenges.Hospitals, outpatient clinics, schools, rehabilitation centers, private practices
Pediatric Occupational TherapistSupports children with developmental delays, sensory needs, motor challenges, autism spectrum disorders, or school participation difficulties.Schools, pediatric clinics, early intervention programs, hospitals
Geriatric Occupational TherapistHelps older adults maintain independence, manage chronic conditions, reduce fall risks, and adapt daily routines.Nursing care facilities, home health, rehabilitation centers, hospitals
Rehabilitation SpecialistWorks on functional recovery after surgery, injury, neurological conditions, or major illness.Hospitals, outpatient rehab centers, community programs
Occupational Therapy AssistantSupports treatment delivery under the supervision of an occupational therapist, with the required assistant-level training and certification.Clinics, hospitals, schools, long-term care, home health
OT Academic or ResearcherTeaches future practitioners or contributes to studies that improve rehabilitation methods and patient outcomes.Colleges, universities, research centers, healthcare systems

Occupational therapists work across several major employment settings. The largest share—29%—work in hospitals, where they support patients recovering from illness, injury, or surgery. Another 28% work in private offices of physical, occupational, and speech therapists, and audiologists, showing the importance of outpatient care. Educational services employ 13% of OTs, home healthcare services employ 8%, and nursing care facilities employ 7%.

Students considering specialized healthcare roles may also compare OT with other advanced credentials. Research.com’s guide on what you can do with a nurse midwifery graduate certificate is useful for understanding how graduate healthcare pathways can lead to different patient populations and scopes of practice.

Which States Pay Occupational Therapists the Highest Salaries?

Occupational therapist pay can vary widely by state, city, employer type, experience, and specialty. According to recent data, California is the top-paying state, with occupational therapists earning an average annual salary of $105,738. Other high-paying states include Alaska ($98,525), Nevada ($95,125), Hawaii ($94,336), and Washington ($89,446).

StateAverage annual salaryDecision note
California$105,738Highest listed average, but students should weigh salary against cost of living.
Alaska$98,525Strong pay, with location and access considerations depending on community.
Nevada$95,125May appeal to OTs seeking high pay outside the highest-cost coastal markets.
Hawaii$94,336Salary should be evaluated alongside housing, transportation, and island-specific costs.
Washington$89,446Can offer strong healthcare and rehabilitation markets, depending on region.

Salary alone should not decide where you work. California may offer a six-figure average, but the cost of living can reduce take-home value. Metropolitan areas such as San Jose, CA and San Francisco, CA may offer salaries above the state average, but housing and commuting costs can be high. Students should compare salary, job availability, licensure requirements, cost of living, and preferred patient population before relocating.

The same decision logic applies when comparing credentials in other healthcare careers. For instance, Research.com’s overview of CMA vs RMA shows why credentials, employer expectations, and career goals matter as much as pay figures.

What Is the Job Outlook for Occupational Therapy Majors?

The occupational therapy outlook remains favorable because OTs support independence, rehabilitation, school participation, aging-in-place, and quality of life. The U.S. Bureau of Labor Statistics describes occupational therapy employment as growing faster than the average for all occupations, and the field is projected to see 12% job growth through 2032.

Demand is connected to several durable needs: an aging population, chronic health conditions, disability support, post-surgical recovery, school-based services, and home health care. OTs help clients adapt to physical, developmental, cognitive, or environmental barriers, which makes the profession relevant across hospitals, schools, clinics, nursing care facilities, and homes.

Students comparing OT with broader healthcare programs should also explore what majors are in health science. Health science can be a strong undergraduate foundation for OT, but it can also support alternative healthcare pathways if a student changes direction.

Current trends affecting future occupational therapists

  • More care outside hospitals: Home health, outpatient care, and community-based services can increase demand for OTs who understand real-life environments.
  • Aging-related needs: Older adults may need help with mobility, self-care, memory challenges, home safety, and chronic condition management.
  • School-based support: Educational services remain an important employment area, especially for children with developmental, sensory, or motor needs.
  • Evidence-based practice: Employers increasingly expect clinicians to document outcomes and use research-supported interventions.
  • Technology and adaptive tools: Assistive devices, telehealth, digital documentation, and home modifications are changing how OTs deliver and coordinate care.

Is Occupational Therapy a Rewarding Career?

Occupational therapy can be rewarding for people who want a healthcare career centered on independence, problem-solving, and long-term patient progress. OTs help clients do the daily activities that matter to them, such as dressing, eating, writing, returning to work, participating in school, managing a home, or using adaptive tools after an injury or diagnosis.

The work also offers variety. An OT may work with a child who struggles with fine motor skills, an adult recovering from a stroke, an injured worker returning to job tasks, or an older adult adapting a home for safety. That range can keep the profession engaging, but it also requires patience, documentation discipline, emotional resilience, and strong communication.

Students should compare OT with other hands-on healthcare roles before committing to graduate school. For example, Research.com’s comparison of medical assistant vs phlebotomist can help clarify how training length, patient interaction, and daily responsibilities differ across healthcare support careers.

Occupational therapy also offers stability for many graduates. About 9,800 job openings are projected each year, and OTs can work in hospitals, schools, rehabilitation centers, home health, private practices, and long-term care environments. The career may be especially satisfying for students who want both clinical challenge and visible patient impact.

Projected job openings for occupational therapists

What Are the Licensing and Certification Requirements for Occupational Therapy?

Licensure is required to practice as an occupational therapist. While details vary by state, the standard pathway includes an accredited graduate OT degree, supervised fieldwork, the NBCOT exam, and state licensure. Students should confirm requirements in the state where they plan to work because renewal rules, continuing education expectations, and application procedures are not identical everywhere.

  • Complete an accredited graduate OT program: Students must earn an occupational therapy degree that meets professional education standards.
  • Finish required fieldwork: Supervised clinical education gives students hands-on experience with clients and care teams.
  • Pass the NBCOT exam: The National Board for Certification in Occupational Therapy exam is a key step before licensure.
  • Apply for state licensure: Applicants usually submit transcripts, exam results, fees, and any required background information.
  • Maintain the license: Practicing OTs must meet renewal and continuing education requirements set by their state board.

Students considering doctoral-level clinical education in other fields may find it useful to compare motivations across professions. Research.com’s guide on why pursue a DNP explains how doctoral education can support advanced practice, leadership, and patient outcomes in nursing.

Should Occupational Therapists Consider Complementary Certifications?

Complementary certifications can be useful when they support a clear career goal, but they should not distract from the core requirements for OT licensure. A future or current OT might consider additional credentials in areas such as administration, billing, specialty practice, assistive technology, or leadership if those skills match their work setting.

For example, therapists who plan to manage a clinic, supervise documentation workflows, or understand reimbursement may benefit from administrative training. Research.com’s guide to medical billing and coding online schools can help readers understand one nonclinical skill area that may support healthcare operations. However, students should prioritize accredited OT education, fieldwork, the NBCOT exam, and state licensure first.

How to Choose the Right Pre-OT Major

The best major depends on your academic strengths, prerequisite plan, target OT programs, and backup options. A student who loves science may thrive in biology or neuroscience. A student drawn to children and families may prefer education or human development. A student who wants the broadest healthcare base may choose health science. What matters most is whether the major helps you complete prerequisites, maintain a competitive GPA, and gain meaningful exposure to occupational therapy.

If your priority is...Consider these majorsBe careful about...
Strong science preparationBiology, neuroscience, exercise science, kinesiologyProtecting your GPA in rigorous science-heavy schedules.
Behavioral health or mental health OTPsychology, sociology, human development and family studiesMaking room for anatomy, physiology, and other science prerequisites.
School-based OTEducation, psychology, human development and family studiesConfirming that the program supports pre-health advising and OT prerequisites.
Rehabilitation-focused practiceRehabilitation science, exercise science, kinesiology, occupational scienceChecking whether the major is available at your institution and recognized by OT advisors.
Flexibility across healthcare careersHealth science, public health, biologyAvoiding a generic plan with no clinical experience or clear graduate-school strategy.

Steps to choose wisely

  1. List OT programs you may apply to. Compare prerequisites before choosing your undergraduate major.
  2. Map courses semester by semester. Make sure anatomy, physiology, psychology, statistics, and other requirements fit without delaying graduation.
  3. Ask about observation or volunteer expectations. Some programs value documented exposure to OT settings.
  4. Check accreditation and licensure alignment. Do not assume a degree title automatically meets professional requirements.
  5. Compare total cost. Include undergraduate tuition, graduate tuition, fees, fieldwork expenses, and lost work time.
  6. Protect your GPA. A prestigious major is not helpful if it makes you less competitive for OT school.
  7. Keep a backup plan. Choose a major that also supports related healthcare, education, research, or community roles.

Common Mistakes Pre-OT Students Should Avoid

  • Choosing a major based only on the title: “Health,” “therapy,” or “rehabilitation” in the name does not guarantee that all OT prerequisites are covered.
  • Ignoring accreditation: Always verify that graduate OT programs meet professional standards required for licensure.
  • Focusing only on tuition: Fees, fieldwork travel, books, housing, and lost wages can change the real cost.
  • Assuming online courses always count: Some programs may have rules about online labs, prerequisites, or transfer credits.
  • Waiting too long to get experience: Observation, volunteering, or work in rehabilitation and care settings can clarify whether OT is the right fit.
  • Overlooking state licensure rules: Requirements can vary, so students should check the state where they want to practice.
  • Assuming salary outcomes are guaranteed: Pay depends on location, setting, experience, specialty, and cost of living.
  • Using rankings as the only decision tool: Program fit, cost, fieldwork quality, outcomes, and prerequisite alignment matter more than brand name alone.

Questions to Ask Before Choosing an Occupational Therapy Major or Program

  • Does this major include the prerequisites required by my target OT programs?
  • Will I have access to anatomy and physiology labs if they are required?
  • Does the school offer pre-health or pre-OT advising?
  • Can I complete observation hours, volunteering, or related work experience nearby?
  • What is the total cost of the bachelor’s and graduate pathway?
  • Are there accelerated BS/MS or BS/OTD options, and how competitive are they?
  • What happens if I decide not to apply to OT school?
  • Does the graduate program prepare students for the NBCOT exam and state licensure?
  • Where are fieldwork placements located?
  • How does the program support students during clinical training?

Graduate Perspectives on Occupational Therapy Majors

  • Rebecca: "My OT preparation gave me the science background I needed, but the fieldwork is what made the profession real. Working with clients helped me understand how therapy can turn small daily gains into major independence."
  • Jade: "I was surprised by how creative occupational therapy can be. The major taught me to look at tasks, tools, routines, and environments differently so people could participate more fully in everyday life."
  • Luna: "The coursework was challenging, but it strengthened my patience and clinical reasoning. I chose OT because I wanted a career where problem-solving directly improves someone’s daily quality of life."

References and further reading:

  • Barrows, K. (2024). School administrators: An occupational overview [Fact sheet]. Department for Professional Employees, AFL-CIO.
  • National Center for Education Statistics. (2024). A majority of grade 9–12 public schools rate themselves favorably on preparing students for college. U.S. Department of Education.
  • Taie, S., & Lewis, L. (2022, December). Characteristics of 2020–21 public and private K–12 school principals in the United States: Results from the National Teacher and Principal Survey (NCES 2022-112). U.S. Department of Education, National Center for Education Statistics.
  • U.S. Bureau of Labor Statistics. (n.d.). Adult basic and secondary education and ESL teachers. U.S. Department of Labor. Retrieved [date], from
  • Zippia. (n.d.). Occupational therapist jobs. Zippia.

Key Insights

  • The best occupational therapy major is the one that completes OT prerequisites, protects your GPA, and builds relevant patient-care knowledge.
  • Biology, psychology, health science, exercise science, occupational science, rehabilitation science, and neuroscience are among the strongest pre-OT options, but education, sociology, public health, human development, and liberal arts can also work with careful planning.
  • A bachelor’s degree alone does not make you an occupational therapist. Most students need a graduate MOT or OTD program, fieldwork, the NBCOT exam, and state licensure.
  • The traditional timeline is around 6–7 years, though some combined or accelerated programs may reduce it to about 5 years.
  • Costs can be significant because students usually pay for both undergraduate and graduate education. Compare total program cost, not just tuition.
  • Occupational therapy offers broad work settings, including hospitals, private therapy offices, schools, home health, and nursing care facilities.
  • Salary varies by location. California, Alaska, Nevada, Hawaii, and Washington are listed among the highest-paying states, but cost of living matters.
  • Before choosing a major, ask target OT programs about prerequisites, fieldwork, accreditation, transfer credits, licensure preparation, and student support.

Other Things You Should Know About Occupational Therapy Majors

What is required to study occupational therapy in 2026?

In 2026, studying occupational therapy typically requires a bachelor's degree in a related field, completion of prerequisite coursework (such as anatomy, psychology, and kinesiology), and acceptance into a master's or doctoral program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE).

What are the core subjects in an occupational therapy major?

An occupational therapy major typically includes coursework in human anatomy, physiology, psychology, kinesiology, and therapeutic techniques. Students will also study medical terminology and may have clinical practice components to gain hands-on experience, which is crucial for the 2026 curriculum requirements.

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