PT Assistant Salary

Buffalo vs Middletown: Physical Therapist Assistant Salary (2026)

Compare physical therapist assistant salaries between Buffalo, NY and Middletown, NY. All figures are 2026 estimates projected from BLS 2025 data.

Buffalo, NY
$58,176
$27.97/hr
Middletown, NY
$60,579
$29.12/hr

Side-by-Side Comparison

MetricBuffalo, NYMiddletown, NY
Median Salary$58,176$60,579
Hourly Rate$27.97$29.12
Entry Level (P10)$47,852$45,981
25th Percentile$51,632$53,752
75th Percentile$64,227$69,615
Top Earner (P90)$68,336$78,071
Total Employed3407
Side-by-side bar chart comparing Buffalo ($58,176) and Middletown ($60,579) physical therapist assistant salaries.BuffaloMiddletownMedian Salary$58,176$60,579Entry Level (P10)$47,852$45,981Top Earner (P90)$68,336$78,071US Median $70,247

Verdict

Middletown, NY offers better overall compensation for physical therapist assistants, winning 3 out of 4 metrics compared to Buffalo.

The salary gap between Buffalo and Middletown is $2,403 (4.13%). Middletown's median is -13.76% compared to the US national median of $70,247.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Buffalo spans $20,484,Middletown spans $32,090. Middletown has a wider pay range, suggesting more variation in pay between entry-level and experienced physical therapist assistants.

Buffalo
P10 (Entry)$47,852
P25$51,632
Median$58,176
P75$64,227
P90 (Top)$68,336
Middletown
P10 (Entry)$45,981
P25$53,752
Median$60,579
P75$69,615
P90 (Top)$78,071

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Buffalo ($60,699 effective) pays 16.13% more than Middletown ($52,268 effective).

Buffalo
Nominal: $58,176
CoL Index: 95.844
Adjusted: $60,699
Middletown
Nominal: $60,579
CoL Index: 115.9
Adjusted: $52,268

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Buffalo if…

  • Larger job market (340 employed)
  • Better purchasing power (CoL-adjusted: $60,699)
  • You prefer the New York area and lifestyle

Choose Middletown if…

  • Higher median salary ($60,579/year)
  • Better top-earner potential ($78,071)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physical therapist assistant salaries in Buffalo grew 26.7% from 2019 to 2025, compared to -22.6% growth in Middletown over the same period.

Buffalo, NY

+26.7%

$44,710 (2019) → $56,630 (2025)

Middletown, NY

+-22.6%

$76,175 (2024) → $58,969 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physical therapist assistants more: Buffalo or Middletown?

Middletown has a higher median physical therapist assistant salary at $60,579/year, compared to Buffalo at $58,176/year — a difference of $2,403 (4.13%).

What is the hourly rate difference between Buffalo and Middletown?

Buffalo physical therapist assistants earn $27.97/hr while Middletown hygienists earn $29.12/hr (2026 est.).

Should I relocate from Buffalo to Middletown as a physical therapist assistant?

Consider more than just salary when comparing Buffalo and Middletown. Factor in cost of living (CoL-adjusted: Buffalo = $60,699, Middletown = $52,268), job availability (340 vs 7 employed), commute, and career growth potential.

What do entry-level physical therapist assistants earn in Buffalo vs Middletown?

Entry-level (10th percentile) physical therapist assistants earn $47,852 in Buffalo and $45,981 in Middletown. The Buffalo area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, DPT

Career Analyst

Jordan has 10 years of experience in outpatient physical therapy. They specialize in orthopedic rehabilitation. Jordan works in a private practice setting.

Clinically reviewed by Maria Gonzalez, PTAData verified by Ahmed Khan, DPT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.73% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, DPT, a licensed physical therapist assistant with 10+ years of clinical experience. · View source data at BLS.gov