Nursing Home Occupational Therapist
How this pay compares
This posting states $55 an hour. Open occupational therapist jobs in Massachusetts post a median of $49 an hour, the middle half $45.04–$52.50, across 62 jobs that state their pay, so this one is above the middle half of what they post. Occupational therapists employed in Massachusetts earn a median of $48.53 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Occupational therapists in Massachusetts: pay by town and employer
Licensed in another state?
Massachusetts is not issuing OT Compact privileges, so an occupational therapist or OT assistant licensed in another state needs a Massachusetts license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) For a Massachusetts license, apply to the Board of Registration of Allied Health Professionals for a license by endorsement ($100, by its own page): what Massachusetts asks. Every state's OT Compact status.
What Massachusetts requires of an occupational therapist
Occupational Therapist license, from the Board of Registration of Allied Health Professionals.
- An occupational therapist licensed in another state applies by endorsement with the application and fee, an official transcript from an accredited or approved program, evidence of passing the examination the board requires for occupational therapists, and official documentation of a current license in good standing (259 CMR 2.02(3)).
- Staying active: Licenses expire every two years on the licensee's birthday and are renewed by filing a renewal application with the fee before the expiration date (259 CMR 2.04).
Occupational therapist jobs and requirements in Massachusetts · Every state's rule
Physical, occupational, speech and respiratory therapy jobs in our research
- How long these jobs stay listed: Still listed at 7 days 87.1%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
Administers Occupational Therapist procedures upon medical prescription in accordance with Rehabilitation Department policy and under the general supervision of the Rehabilitation Director. Supervises and guides Occupational Therapist Assistants, aides, and students in their resident care responsibilities.
Alliance Health at Marie Esther is a small 36-bed non-profit skilled nursing care located in Marlborough, MA. As the backbone to our multidisciplinary care approach, you have an opportunity to make a real difference in an elder's life.
Alliance Health is a not-for-profit with (7) skilled nursing facilities within MA that offers a comprehensive benefit package including a competitive salary, health, dental, vision, company paid life insurance, tuition reimbursement and a 401K with a company match.
Per diem position
Currently licensed to practice as an Occupational Therapist by the State of Massachusetts.
From Alliance Health at Marie Esther's job posting, checked 12 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Alliance Health at Marie Esther
Alliance Health at Marie Esther is a 78 (source: Medicare Care Compare: Alliance Health at Marie Esther)-bed nursing home in Marlborough, MA, certified by Medicare and Medicaid. Its job board posts jobs for nurses, therapists and caregivers. Source: Medicare Care Compare: Alliance Health at Marie Esther
Based in Marlborough, MAHires in MassachusettsPay on its listings: 100% of its open jobs state an hourly rate
More open jobs at Alliance Health at Marie Esther
- Per Diem Speech Pathologist$60/hr
- CNA Certified Nursing Assistant$20–$25/hr
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- Registered Nurse Weekends$50/hr
- Activities Assistant$17–$19/hr
More physical, occupational, speech and respiratory therapy jobs
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