Updated October 16, 2026

PERM occupation, SOC 29-1122.00, #296 of 1,410 by filings

Occupational Therapists

3,009 H-1B LCAs

Biggest sponsor: THE STEPPING STONES GROUP LLC · 8% of its filings
Busiest state: CA · 29% of its filings
Major group: Healthcare practitioners · SOC 29

Weighing an offer for this job?

Where it falls among certified offers, and the four wage levels DOL sets for it by area.

Compare my offer DOL's wage levels for this job

This rate is level with the field

Over 96 decided filings, this rate can't be told apart from the field in either direction.

Why

The 95% interval runs up to a 7.3% denial rate, which still covers the 3.20% the field as a whole records.

Median wage

$83,200

all PERM $103,272

Filings

105

#296 of 1,410

Approval

97.9%

field 96.8%

Median days

490

13 slower than the field

What it pays

Where its median offer sits among every occupation, then the whole ladder of certified offers by year and by state.

Position in the field 535 occupations with 30+ decided

Median offered wage

$83,200above 60%

$18k $500k

Approval rate

97.9%ahead of 65%

49% 100%

Median days to decision

490 daysahead of 7%

323d 536d

Each bar counts occupations at that value. More

Each bar counts occupations at that value. PERM runs two labour markets through one process, which is why the wage axis is two humps rather than a bell. The line marks this one.

DOL PERM disclosure files

Who files it

The sponsors and firms with the most PERM filings under this code, the places the work sits, and who the workers were.

Sponsors filing it

THE STEPPING STONES GROUP LLC 8 filings
Grandison Management, Inc. 6 filings
MAXICARE THERAPY, LLC 4 filings
Aegis Therapies, Inc. 3 filings
RCM Technologies Inc. 3 filings
Reach for the Stars Learning Center 3 filings

How this is counted

The employers with the most applications under this code. 27 of 105 filings, 26% of the total.

Firms filing it

Corporate Immigration Partners, P.C. 6 filings
Musillo Unkenholt, LLC 6 filings
A. Kaltenbach Law, A.P.C. 5 filings
LAW OFFICES OF GERARDO L. DEAN, LLC 5 filings
Lorenzo M. Lleras, P.A. 5 filings
Frenkel, Hershkowitz & Shafran LLP 4 filings

How this is counted

The law firms named on the most applications under this code. 31 of 105 filings, 30% of the total.

Where the jobs are

California 30
New York 20
Texas 9
Massachusetts 8
Washington 6
Maryland 5

How this is counted

The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. These 6 states cover 78 of 105 filings.

Where the work is

Boston, MA 8
Brooklyn, NY 6
Bronx, NY 4
Las Vegas, NV 4
New York, NY 3
Wellsville, NY 3

How this is counted

The worksite city on the application, which is where the job is. These 6 cities cover 28 of 105 filings.

Newspapers it advertised in

The New York Times

12 cases
The Boston Globe

8 cases
The Washington Post

7 cases
Las Vegas Review Journal

4 cases
Los Angeles Daily News

4 cases
The Seattle Times

4 cases

How this is counted

The newspaper or professional journal named for each case's two print ads, one count per paper per case, however the filer spelled it.

Additional steps it used

Job search websites

98 cases
Local or ethnic newspapers

71 cases
The employer's website

59 cases
Radio or TV ads

44 cases
Employee referral programs

22 cases
Campus placement offices

10 cases

How this is counted

The steps a professional job needs beyond the job order and the ads, by the number of cases that name each.

How long before filing it began

Under 30 days

0.0%
30 to 59 days

0.0%
60 to 89 days

24%
90 to 119 days

25%
120 to 149 days

20%
150 to 180 days

30%
Over 180 days

1.0%

How this is counted

Days from the first recruitment step to the filing. 20 C.F.R. § 656.17(e) puts the job order and ads 30 to 180 days before filing.

Where every PERM employer recruits

The job itself

What O*NET says the work is, what the market pays it by BLS's survey, its outlook, and DOL's wage levels year by year.

What the job pays outside PERM BLS May 2025, DOL wage year 2026-27

United States
162,450 jobs
New York-Newark-Jersey City, NY-NJ
Brooklyn, Bronx, New York
Boston-Cambridge-Newton, MA-NH
Boston
Las Vegas-Henderson-North Las Vegas, NV
Las Vegas
Southwest New York nonmetropolitan area
Wellsville

$60k$80k$100k$120k$140k

middle half of pay (BLS)
median
10th to 90th percentile
DOL's Levels I to IV, left to right
median PERM offer

Market pay and DOL wage levels, by area
Area	BLS median	Level I	Level II	Level III	Level IV
United States	$100,330
New York-Newark-Jersey City, NY-NJ	$101,460	$76,960	$91,957	$106,954	$121,950
Boston-Cambridge-Newton, MA-NH	$101,940	$78,208	$89,419	$100,610	$111,821
Las Vegas-Henderson-North Las Vegas, NV	$110,520	$86,466	$99,632	$112,798	$125,965
Southwest New York nonmetropolitan area	$81,880	$57,554	$70,866	$84,157	$97,469

How these figures fit together

BLS surveys employers on what they pay everyone in a job; DOL builds its four levels from the same survey a year later (the July 2026 wage year uses BLS's May 2025 estimates). DOL publishes levels by area, not nationally, so the United States line has none. Levels are hourly in DOL's tables; here they're shown a year at 2,080 hours, as DOL computes them. The metros are the ones holding the most of this job's PERM filings, placed by Census's county files.

The block is the middle half of what employers report paying everyone in this job, citizen or not; the ticks under it are DOL's four prevailing wage levels for that metro, the floors a PERM or H-1B offer is held to. More

BLS Occupational Employment and Wage Statistics; DOL OFLC wage tables

DOL's levels for this job in New York-Newark-Jersey City, NY-NJ, year by year

Each July DOL resets the four levels from BLS's newest survey. A determination keeps the figures of the year it was issued in.

DOL wage levels by wage year, New York-Newark-Jersey City, NY-NJ
Wage year	Level I	Level II	Level III	Level IV
2026-27	$76,960	$91,957	$106,954	$121,950
2025-26	$76,066	$92,706	$109,346	$125,986
2024-25	$75,712	$95,950	$116,189	$136,427
2023-24	$70,325	$87,714	$105,123	$122,512
2022-23	$70,595	$86,091	$101,608	$117,104
2021-22	$70,034	$84,053	$98,093	$112,112

Every area and both wage tables in the wage-level tool.

What the job is

Assess, plan, and organize rehabilitative programs that help build or restore vocational, homemaking, and daily living skills, as well as general independence, to persons with disabilities or developmental delays. Use therapeutic techniques, adapt the individual's environment, teach skills, and modify specific tasks that present barriers to the individual.

Preparation: Extensive Preparation Needed; O*NET Job Zone 5
DOL's education basis: Master's degree; Wage year 2026-27, on DOL's Appendix A list
Jobs, 2025 to 2035: +14.8%; About 10,000 openings a year (BLS)
Typical entry: Master's degree; BLS

Bright Outlook O*NET OnLine lists this job for rapid growth.

The work, most important first

Test and evaluate patients' physical and mental abilities and analyze medical data to determine realistic rehabilitation goals for patients.
Complete and maintain necessary records.
Plan, organize, and conduct occupational therapy programs in hospital, institutional, or community settings to help rehabilitate persons with disabilities because of illness, injury or psychological or developmental problems.
Plan and implement programs and social activities to help patients learn work or school skills and adjust to handicaps.
Select activities that will help individuals learn work and life-management skills within limits of their mental or physical capabilities.
Evaluate patients' progress and prepare reports that detail progress.

The education workers in it report

Bachelor's Degree

14%
Master's Degree

86%

Titles people use for it

Certified Hand Therapist (CHT), Occupational Therapist (OT), Pediatric Occupational Therapist (Pediatric OT), Registered Occupational Therapist (OTR), Assistive Technology Trainer, Early Intervention Occupational Therapist, Home Health Occupational Therapist, Industrial Rehabilitation Consultant.

O*NET also describes Low Vision Therapists, Orientation and Mobility Specialists, and Vision Rehabilitation Therapists under this SOC code.

This section includes information from the O*NET 31.0 Database and O*NET OnLine by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. PERM Tracker has modified some of this information (the shares are rounded and only the top tasks are shown); what changed. USDOL/ETA has not approved, endorsed, or tested these modifications.

Against other jobs

Where this sits in the ranking

Ranked 296 of 1,410 by volume: 295 filed at least as many filings, and 1,114 filed no more.

Just above: Property, Real Estate, and Community Association Managers 106 filings
Just below: Waiters and Waitresses 105 filings

Other healthcare practitioners roles

Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. More

Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. Wages inside a group still swing hard, because the group holds every seniority level and every metro.

The same job on H-1B

3,009 certified H-1B labor condition applications for this occupation since FY2020, offering a median of $73,632 a year; the middle half ran $69,909 to $84,406. By state and year in the salary explorer.

Notes on these numbers

Reading the wage

A floor, not a salary survey: every level and metro mixed. DOL's four wage levels for this job, by area.

What the median is

The median wage employers committed to in federal filings for this occupation. It mixes every experience level and every metro, and it's a floor: the employer must offer at least the prevailing wage DOL determines for the occupation, level and county. Across all PERM filings the middle half of offered wages runs $45,178 to $141,357, so a figure inside that band is unremarkable whichever occupation it belongs to. The levels page reads DOL's OFLC wage search live.

What these numbers don't say

4 notes

The code is the identity: This one is SOC 29-1122.00. Two SOC codes can carry the same job title, so a title that looks duplicated on the ranking is two different occupations. Match on the code when you're checking a specific filing.
A median isn’t an offer: It's the middle of all 105 wages committed to for this occupation across the country, entry level and principal alike. The same role's medians swing hard by worksite, which the state map shows directly.
Approval isn’t about the occupation: The denial rate moves with what happened in the filing rather than with the job title, so nothing here is a property of Occupational Therapists. The measured factors are on the denial risk page, published as separate rates.
Nothing here is pending: All 105 counted here carry a decision date, because every case in DOL's disclosure files does, so a case still waiting is in none of them. The largest filer of this occupation is THE STEPPING STONES GROUP LLC. Where the queue stands today is on the processing times page.

The window these figures cover: DOL's PERM disclosure files for fiscal years 2024 to 2026, through the third quarter of 2026, 373,939 decided cases. Nothing pending is counted here. How each figure is built

Weighing an offer?

Compare it against this median, then check the state map, where the same occupation's medians swing hard by worksite.

Setting one?

All 1,410 occupations sort together on the wages page, and denial rates show how outcome moves with the offered wage.

Filings newer than DOL's last published file can't be attributed to this occupation until DOL publishes them. The live list on the case search page carries them by employer.

Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly

Employers and firms: Derived from DOL's disclosure files · data through Jun 30, 2026 · rebuilt with each quarterly load

O*NET occupation data: O*NET Database, USDOL/ETA (onetcenter.org) · data through Aug 16, 2026 · twice a year

BLS market pay: BLS Occupational Employment and Wage Statistics (bls.gov) · data through May 31, 2025 · yearly, each spring

BLS employment projections: BLS Employment Projections (bls.gov) · data through Dec 31, 2025 · yearly, each autumn

DOL wage tables: DOL OFLC wage data downloads (flag.dol.gov) · data through Jul 1, 2026 · yearly, each july

What each source includes

Case data: Decided PERM cases only. A case still waiting isn't in here, so counts and durations describe finished cases.

Employers and firms: Employers, law firms and occupations ranked from decided cases only.

O*NET occupation data: What O*NET says each occupation is and takes: its description, tasks, Job Zone and the education workers report. A description of the job everywhere, not of any one employer's opening.

BLS market pay: What employers report paying everyone in each job, nationally, by state and by metro, from BLS's yearly survey (May of the year named). Citizens and immigrants alike; not PERM offers.

BLS employment projections: BLS's ten-year projection of each job's employment and yearly openings, and the entry education it calls typical. A projection, not a count.

DOL wage tables: The four prevailing wage levels DOL publishes for every job in every area, each wage year from 2021-22, as DOL's own tables print them. The floors an offer is held to, not what anyone was paid.

Cite this page

Waiting on a PERM case?

When it'll likely be decided
An email when DOL moves it