Occupational Therapist - Hand Therapist - Northwest Orthopaedic Specialists
How this pay compares
This posting does not state an hourly rate. Open occupational therapist jobs in Washington post a median of $55.88 an hour, the middle half $54–$61.35, across 84 jobs that state their pay. Occupational therapists employed in Washington earn a median of $51.77 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 Washington: pay by town and employer
Licensed in another state?
Washington is not issuing OT Compact privileges yet, so an occupational therapist or OT assistant licensed in another state needs a Washington license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) For a Washington license, apply to the Washington State Department of Health (Occupational Therapy Practice Board) for a license by endorsement ($166, by its own page): what Washington asks. Every state's OT Compact status.
What Washington requires of an occupational therapist
Occupational therapist license, from the Washington State Department of Health (Occupational Therapy Practice Board).
- Applicants credentialed for at least the two preceding years in a state the board deems substantially equivalent need only proof of current licensure; others also need a passing NBCOT exam and must meet Washington's licensure requirements, and every applicant lists all states where credentials are or were held, with verification sent directly to the department (WAC 246-847-125).
- Staying active: Licenses renew every two years on the practitioner's birthday, with 24 hours of continuing education or continued competency every two years (WAC 246-847-065, 246-847-990).
Occupational therapist jobs and requirements in Washington · 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
Integrity Rehab Group is an industry leading therapy management company that partners with physician practices across the nation. In partnering with Northwest Orthopaedic Specialists we have become a preferred outpatient orthopedic therapy service provider to the Spokane Valley, WA community. To further support the needs of this community we are looking to add an experienced Occupational Therapist/Hand Therapist to our team that is committed to providing a remarkable patient experience through advancing our vision of coordinating patient-centered care with an emphasis on comprehensive evidence-based treatment. This is enhanced through building integral relationships with our physician partners. Together, we strive to provide exceptional patient outcomes and a positive atmosphere for patient healing while promoting a collaborative and supportive work environment.
Competitive Compensation: $85,000 - $100,000
Company Benefits
- Sign On Incentives
- Tuition Reimbursement
- 40 Min Scheduling
- Annual continuing education benefit $1500, free MedBridge subscription, mentorship, and flexible work schedules
- A comprehensive benefits package with PTO, holiday pay, health/pharmacy/dental/vision, 401k match
- Opportunities for physician interaction including clinic shadowing and surgery observation
- Therapy license renewal reimbursement
- Leadership development coursework and mentorship
- CHT Fellowship
- Life Insurance: will cover 1 x your base salary
- Voluntary Short –Term and Long-Term Disability insurance available
- Employee Assistance Program that provides support, resources, and information for personal and work-life issues
Requirements
- Current or pending Washington OT license
- Minimum 1 Year Hand Therapy work experience required
- Graduate of an accredited occupational therapy program
- CPR certified
This annual salary ranges within the specified amounts depending on experience, credentials, certifications, and other qualifications. Full-time positions may also have the opportunity to participate in bonus programs or other incentive plans.
Washington pay range
$82,000 - $100,000 USD
Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.
From Upstream Rehabilitation's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Upstream Rehabilitation
Upstream Rehabilitation hires therapists, front-office staff and allied health staff in 27 states.
Hires in 26 statesPay on its listings: shown on each listing that states it
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