Physical Therapist Assistant Salary in Middletown, OH: $64,794 (2026)
Quick Answer:A full-time physical therapist assistant in Middletown, OH earns a median $64,794/year (≈ $31.15/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2021). Once you factor in Middletown's price level (9% below national, BEA RPP 90.7), that paycheck buys what $71,438 would nationally. Nominal pay sits 0.9% below the Ohio state average.
Based on BLS state-level estimates · View source
Physical therapist assistants in Middletown, Ohio, can expect to earn a median annual salary of $64,794 in 2026. This figure represents a slight decline compared to the national median of $70,247, a 7.76% difference that reflects the evolving dynamics of the healthcare market, particularly following Medicare changes. The salary range in this area offers a wide spectrum, from $46,547 at the lower end to $82,699 at the upper end. These expectations stem from local estimates based on 2025 BLS data, which have been adjusted for regional cost variances, emphasizing how market conditions affect earnings. This landscape is shaped significantly by the structural divide between outpatient services and skilled nursing facilities, particularly in the aftermath of the Medicare 15% cut, which has reverberated throughout the industry, affecting compensation strategies across different healthcare settings.
About the Middletown Market
Salary estimated from Ohio average ($64,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $46,547 | $22.37 |
| Lower Range (P25) | $56,987 | $27.40 |
| Median (P50)(typical) | $64,794 | $31.15 |
| Upper Range (P75) | $73,969 | $35.57 |
| Top Earners (P90) | $82,699 | $39.76 |
Median Salary Position
7.76% below the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, OH, the physical therapist assistant salary spread from the 10th to 90th percentile is $36,152 (2026 est.). At $64,794, the local median is 7.76% below the national median of $70,247.
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At 40 hours/week in Middletown: You'd be above the median
How Middletown Physical Therapist Assistant Pay Compares
Middletown median: $64,794/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| Ohio Average | $65,382 | -0.90% less |
| National Average | $70,247 | -7.76% less |
Physical Therapist Assistants in Middletown, OH earn a median of $64,794 per year (2026 est.), which is 7.76% lower than the national median of $70,247 and 0.90% below the Ohio state average of $65,382.
Cost-of-Living Adjusted Salary
Middletown has a cost of living 9.30% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Middletown, OH has a cost-of-living index of 90.7 (below the national average of 100). A physical therapist assistant earning $64,794 nominally has purchasing power equivalent to $71,438 in an average-cost city — an effective 10.25% boost.
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2019 BLS Actual
$54,226
2025 BLS Actual
$63,072
2026 Current Est.
$64,794
2019–2027 Growth
+22.8%
Salary Trajectory for Physical Therapist Assistants in Middletown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.73% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $54,226 | Actual |
| 2020 | $55,130 | Actual |
| 2021 | $56,431 | Actual |
| 2022 | $57,897 | Actual |
| 2023 | $59,106 | Actual |
| 2024 | $57,534 | Actual |
| 2025 | $63,072 | Actual |
| 2026(current) | $64,794 | Estimated |
| 2027 | $66,563 | Projected |
Based on 7 years of BLS OEWS data for the Middletown metropolitan area, the median physical therapist assistant salary grew 16.3% from $54,226 (2019) to $63,072 (2025). At a 2.73% compound annual growth rate, salaries are projected to reach $66,563 by 2027 — a total increase of $12,337 (22.75%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Middletown metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.73% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $46,547 – $56,987 |
| 3-5 years (Mid Career) | $56,987 – $64,794 |
| 5+ years (Experienced) | $64,794 – $73,969 |
| 10+ years (Top Earner) | $73,969 – $82,699 |
PTA salary ranges estimated from BLS percentile data. Individual physical therapist assistant compensation varies by employer, certifications, and specialization.
Physical Therapist Assistant Job Market in Middletown
Despite its relatively modest job market, with only nine physical therapist assistants employed, Middletown presents a unique scenario for prospective PTAs when considering physical therapist assistant pay in Middletown, OH. The area's cost of living index sits at 90.7, below the national average, meaning that even with lower salaries, there might be better purchasing power locally. Employers that typically pay the most include outpatient orthopedic clinics and hospital inpatient rehabilitation, where higher productivity expectations and the pressure of supervising PTA work can drive up earnings. The disparity in pay is influenced by the current demand for services, the complexities of settings, and ongoing reimbursement challenges post-Medicare cuts. To maximize compensation in Middletown, PTAs might want to seek positions in outpatient settings, consider additional certifications, or engage in continuing education that aligns with local demand while being mindful of the job expectations tied to their roles.
More salary data for Middletown, OH:
Frequently Asked Questions
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Can physical therapist assistants make $100K in Middletown?
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $63,072 for physical therapist assistantsin the Middletown metropolitan area. A 2.73% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Middletown is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.73%, derived from historical BLS wage trends for physical therapist assistants (SOC 31-2021).
Compiled and verified by Jordan Lee, DPT, a licensed physical therapist assistant with 10+ years of clinical experience. · View source data at BLS.gov