ChooseField
Quick answer · Balanced priorities

Massage Therapists vs Occupational Therapy Assistants: what changes?

Consider Massage Therapists if you want to perform therapeutic massages of soft tissues and joints. Consider Occupational Therapy Assistants if you would rather assist occupational therapists in providing occupational therapy treatments and procedures. Entry credentials differ: Massage Therapists, postsecondary nondegree award; Occupational Therapy Assistants, associate's degree.

Try this next: Compare three local entry-level postings for Massage Therapists and Occupational Therapy Assistants. List the duties, credentials, prior experience, and paid training each employer actually asks for. Try a supervised class or sample project from each field before choosing a program.

BLS 2025 wages and 2025–2035 projections. National medians are not starting offers. Occupation size is not a count of vacancies. View the BLS data.

Compare the practical differences
What this means in practice

The facts most likely to affect your decision

Start with earnings, the route into the job, training, available openings, and a day-to-day reality.

Massage Therapists

National median pay (2025)
$58,450
Route into the job
Postsecondary nondegree award
Prior related experience
No prior related occupation is typically required; employer requirements vary.
Training and licensing
BLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.
Work to investigate
Confer with clients about their medical histories and problems with stress or pain to determine how massage will be most helpful.
Annual openings (2025–2035)
20,400
Know before you choose

The work routinely happens in close physical proximity to other people; personal space is limited.

See the full Massage Therapists brief

Occupational Therapy Assistants

National median pay (2025)
$72,300
Route into the job
Associate's degree
Prior related experience
No prior related occupation is typically required; employer requirements vary.
Training and licensing
BLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.
Work to investigate
Instruct, or assist in instructing, patients and families in home programs, basic living skills, or the care and use of adaptive equipment.
Annual openings (2025–2035)
8,100
Know before you choose

Exposure to illness or infection is a recurring part of the work context, even when safety procedures are followed.

See the full Occupational Therapy Assistants brief
See scores, detailed data, and how the comparison works

How the national numbers differ

1

Occupational Therapy Assistants has the edge on median pay

Occupational Therapy Assistants is at $72,300, compared with $58,450 for Massage Therapists.

2

Massage Therapists has the edge on annual openings

Massage Therapists is at 20,400 annual openings, compared with 8,100 annual openings for Occupational Therapy Assistants.

3

Occupational Therapy Assistants has the edge on projected growth

Occupational Therapy Assistants is at 21.5% projected growth, compared with 15.3% projected growth for Massage Therapists.

68.3/ 100

Massage Therapists

vs
69.4/ 100

Occupational Therapy Assistants

Each available metric is ranked from 0 to 100 against the careers on ChooseField. The weighted average uses this profile: pay 30%, growth 25%, openings 30%, preparation level 15%. Missing values are not scored as zero; their weights are redistributed across available metrics. Occupation size has zero weight: employment is not accessible vacancies. Preparation categories do not measure admission difficulty or years without earnings. The score summarizes national measures; local opportunities and personal fit still need separate consideration.

Detailed evidence

Massage Therapists vs Occupational Therapy Assistants

DimensionMassage TherapistsOccupational Therapy Assistants
Median pay (2025)$58,450$72,300
Pay percentile44.7 percentile62.2 percentile
Projected growth (2025–2035)15.3%21.5%
Annual openings (2025–2035)20,4008,100
2025 employment155,40052,200
How you qualifyPostsecondary nondegree awardAssociate's degree
O*NET preparation groupJob Zone 3Job Zone 3
Related work experienceNo prior related occupation is typically required; employer requirements vary.No prior related occupation is typically required; employer requirements vary.
On-the-job trainingBLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.BLS does not list a separate on-the-job training requirement. Employers may still provide orientation and role-specific training.

The table reports national benchmarks and reviewed work descriptions. It does not rate personal suitability, job security, or physical safety.

Read Massage Therapists briefRead Occupational Therapy Assistants brief

Try another comparison

Massage Therapists vs Nursing Assistants

Compare pay, growth, education, and the tradeoffs that affect the decision.

Massage Therapists
$58,450 · 15.3% growth
Nursing Assistants
$42,260 · 2.6% growth
Compare careers →

Massage Therapists vs Medical Assistants

Compare pay, growth, education, and the tradeoffs that affect the decision.

Massage Therapists
$58,450 · 15.3% growth
Medical Assistants
$45,690 · 12.9% growth
Compare careers →

Occupational Therapy Assistants vs Physical Therapist Assistants

Compare pay, growth, education, and the tradeoffs that affect the decision.

Occupational Therapy Assistants
$72,300 · 21.5% growth
Physical Therapist Assistants
$68,380 · 23% growth
Compare careers →

Occupational Therapy Assistants vs Personal Care Aides

Compare pay, growth, education, and the tradeoffs that affect the decision.

Occupational Therapy Assistants
$72,300 · 21.5% growth
Personal Care Aides
$35,800 · 18.1% growth
Compare careers →
ChooseField compares fields using public labor-market and professional sources.