Occupational Therapist salary in Roanoke, VA
Occupational Therapists in the Roanoke, VA metro area earn a median of $98,010 a year ($47.12 an hour), based on BLS data for 180 workers.
Pay ranges from $68,160 for the lowest-paid 10% to $119,030 for the top 10%. That is 2% lower than the national median of $100,330. Pay here is 3% lower than the Virginia statewide median of $100,710. There are 1.2 occupational therapists per 1,000 jobs here — close to the national average. The average (mean) salary is $96,030, close to the median.
Pay range for occupational therapists in Roanoke, VA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $68,160 | $32.77 |
| 25th percentile | $78,710 | $37.84 |
| Median | $98,010 | $47.12 |
| 75th percentile | $114,090 | $54.85 |
| 90th percentile (top earners) | $119,030 | $57.22 |
| Average (mean) | $96,030 | $46.17 |
Half of occupational therapists earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $8,167.50 |
| Semi-monthly (24 a year) | $4,083.75 |
| Biweekly (26 a year) | $3,769.62 |
| Weekly | $1,884.81 |
| Hourly | $47.12 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Occupational Therapist salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Winchester, VA-WV | $106,540 | 140 |
| Richmond, VA | $105,550 | 740 |
| Lynchburg, VA | $103,060 | 130 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $102,960 | 2,640 |
| Charlottesville, VA | $100,930 | 140 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $99,400 | 830 |
| Blacksburg-Christiansburg-Radford, VA | $98,800 | 50 |
| Harrisonburg, VA | $98,780 | 50 |
| Kingsport-Bristol, TN-VA | $96,790 | 120 |
| Staunton-Stuarts Draft, VA | $86,490 | 80 |
Highest-paying states for occupational therapists
| State | Median salary |
|---|---|
| California | $124,510 |
| Oregon | $112,310 |
| Nevada | $110,520 |
| District of Columbia | $109,170 |
| Washington | $107,670 |
| Maryland | $106,980 |
| Colorado | $106,720 |
| Arkansas | $106,360 |
| Texas | $106,140 |
| Oklahoma | $104,300 |
See Occupational Therapist pay in every state or the Virginia statewide figures.
Related jobs in Roanoke, VA
| Job | Median salary | Hourly |
|---|---|---|
| Registered Nurse | $80,090 | $38.51 |
| Nurse Practitioner | $134,920 | $64.87 |
| Pharmacist | $133,980 | $64.41 |
| Physician Assistant | $135,940 | $65.36 |
| Physical Therapist | $98,770 | $47.49 |
| Family Medicine Physician | $224,410 | $107.89 |
| Respiratory Therapist | $78,820 | $37.89 |
| Speech-Language Pathologist | $91,560 | $44.02 |
| Dental Hygienist | $98,550 | $47.38 |
| Dietitians and Nutritionists | $69,780 | $33.55 |
| Veterinarian | $121,940 | $58.63 |
| General Internal Medicine Physician | $227,320 | $109.29 |
| Obstetricians and Gynecologists | $346,900 | $166.78 |
| Pediatricians, General | $219,960 | $105.75 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Roanoke, VA
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-1122. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a occupational therapist make in Roanoke, VA?
The median salary for occupational therapists in the Roanoke, VA metro area is $98,010 a year, or $47.12 an hour. Pay ranges from $68,160 for the lowest-paid 10% to $119,030 for the top 10%.
How much do the highest-paid occupational therapists make in Roanoke, VA?
The top 10% of occupational therapists in the Roanoke, VA metro area earn at least $119,030 a year. The top 25% earn $114,090 or more.
What is the starting pay for occupational therapists in Roanoke, VA?
Entry-level pay (the 10th percentile) is about $68,160 a year, and a quarter of occupational therapists earn $78,710 or less.
How many occupational therapists work in Roanoke, VA?
About 180 occupational therapists are employed in the Roanoke, VA metro area, not counting the self-employed.