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Occupational Therapist Jobs in South Dakota

Across 32 live Occupational Therapist listings in South Dakota, median advertised pay is $107K (75th percentile $112K), based on the 22 that state a salary; South Dakota ranks 12th of 51 states by median advertised pay; the employers with the most openings are Avera Health (11), Sanford Health (5), Monument Health (4).

32+ positions available

Figures are computed from live listings and reviewed by WeekdayDoc’s physician-led editorial team; data as of October 13, 2026. Posted ranges, not accepted offers. How we compute this

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32 jobs

These 22 roles pay ~$107k median with 5.1/10 median work-life balance — use these as your benchmarks.

Avera Health logo

Occupational Therapist

Avera HealthSioux Falls, SD

Occupational Therapist
$32.25-$48.5 per hour
3w ago
No Nights
Jenkins Living Center logo

Occupational Therapist

Jenkins Living CenterWatertown, SD

Occupational Therapist
Pay not disclosed
30+ days ago
No Nights
PorchLight Services logo

Occupational Therapist

PorchLight ServicesPhilip, SD

Occupational Therapist
$42-$56 per hour
30+ days ago
No Call
Avera Health logo

Occupational Therapist

Avera HealthYankton, SD

Occupational Therapist
$34-$51.25 per hour
30+ days ago
No Nights
Sanford Health logo

Occupational Therapist - Home Health | PRN

Sanford HealthSioux Falls, SD

Occupational Therapist
$34-$52 per hour
30+ days ago
No Nights
Sanford Health logo

Occupational Therapist - Outpatient Rehab | Full-Time

Sanford HealthSioux Falls, SD

Occupational Therapist
$34-$46.5 per hour
30+ days ago
Weekdays OnlyNo NightsNo Weekends
Aegis Therapies logo

Occupational Therapist / OTR - PRN

Aegis TherapiesEmployer score · SilverAberdeen, SD

Occupational Therapist
Pay not disclosed
30+ days ago
No CallNo Weekends
Sanford Health logo

Occupational Therapist - BHOSC | Full-Time

Sanford HealthRapid City, SD

Occupational Therapist
$30-$46.5 per hour
No Nights
Brookings Health System logo

Occupational Therapist

Brookings Health SystemBrookings, SD

Occupational Therapist
Pay not disclosed
No Nights
Blue Stone Therapy logo

Occupational Therapist

Blue Stone TherapyMadison, SD

Occupational Therapist
$36-$55 per hour
No CallNo Nights
Avera Health logo

Outpatient Occupational Therapist OR Physical Therapist | Lymphadema

Avera HealthSioux Falls, SD

Occupational Therapist
$30.75-$53.75 per hour
No Nights
Avera Health logo

Occupational Therapist (OT) | Pediatrics

Avera HealthSouth Dakota, SD

Occupational Therapist
$34-$51.25 per hour
No Nights

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Occupational Therapist Pay in South Dakota: Live Market and State Comparison

Live occupational therapist listings in South Dakota today, then South Dakota against neighboring states and the top payers over the last 12 months of our own postings — so every state is measured alike. Not a salary survey.

Live listings
32
Live median
$107k
75th $112k · n=22
12-mo median
$101k
Pay rank
#12 of 51
Work-life
4.9/10 · #44
12-mo postings
80

Occupational Therapist roles in South Dakota advertise $4k above the $96k median across the 51 states we can measure, where District of Columbia leads at $158k.

Occupational Therapist median pay and work-life-balance score, South Dakota compared with neighboring states and the highest-paying states
StateMedian pay (12 mo)vs SDWLBPostings (12 mo)
South Dakota (this page)$101k—4.9/1080
District of Columbia#1$158k+$57k4.6/1037
Wyomingborders$111k+$11k4.9/1054
Montanaborders$97k−$4k5.5/1094
Iowaborders$97k−$4k5.5/10222
Nebraskaborders$96k−$4k5.4/10107
Minnesotaborders$91k−$10k5.5/10520
North Dakotaborders$91k−$10k5.3/1066

“borders” = shares a border with South Dakota; “#n” = national pay rank among the 51 measured states. Live figures count the listings on WeekdayDoc today (updated Oct 13, 2026); 12-month figures include postings since closed, so states compare on the same basis.

Most openings on this page:
Avera Health (11), Sanford Health (5), Monument Health (4)
Top-rated employers hiring:
BetterHelp (gold, 96/100), Talkiatry (gold, 95/100), Hiaah (gold, 95/100) (Top Employers work-life index)

A few things worth knowing

About Occupational Therapist jobs in South Dakota.

How much do occupational therapists earn in South Dakota?

A reliable salary estimate is unavailable for this sample of occupational therapists. Compensation varies by role, specialty, location, and schedule. Compare employer-posted pay where disclosed, including its currency and pay period; missing pay is not estimated.

Are there remote or hybrid occupational therapist jobs available?

Some occupational therapists roles offer remote or hybrid flexibility. You can filter for telehealth and work-from-home options, and every listing shows its remote status before you apply.

Which occupational therapist jobs have the best work-life balance?

Every occupational therapist role on WeekdayDoc is scored for burnout risk using call schedule, weekend and night requirements, and remote flexibility. Among current listings, 25% with no on-call and 17% with no weekends. You can sort by work-life-balance score to surface the lowest-burnout roles first.

Who is hiring occupational therapists in South Dakota right now?

Employers currently hiring for occupational therapist roles include Avera Health, Sanford Health, Jenkins Living Center, PorchLight Services, and others. WeekdayDoc aggregates verified openings from these and other organizations, refreshed daily.

How many occupational therapist jobs in South Dakota are available, and how often are they updated?

There are currently 32 occupational therapists positions in South Dakota listed, with new roles added as employers post them. Job descriptions are public. Verified sign-in with Google or email gives free access to regular Apply, full search, and standard Market Insights. Saved jobs, My Search, and the dashboard also require verified sign-in. Eligible featured employer listings allow Apply without signup or email. Basic calculators are public and free; optional AI contract analysis, RVU Billing Optimizer, and Schedule Optimizer reports remain paid.