VA · Alexandria · Updated October 15, 2026

Occupational Therapist jobs in Alexandria, VA

Occupational Therapists in the Alexandria area earn a median of $50.49 per hour, about $105,010 a year, and the middle half of them earn between $42.59 and $60.52. That ranks 30th of 354 U.S. metro areas for occupational therapist pay, and 202nd of 327 once local prices are factored in. 1 open role with published pay is listed for Alexandria and its metro area. Your free pay report adds named employers and the roles open near Alexandria.

Open Occupational Therapist roles near Alexandria

Roles in other cities of the Washington-Arlington-Alexandria area.

More open Occupational Therapist roles in Alexandria

4 more open roles from employers in Alexandria. Each employer’s range arrives with your free pay report.

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Named employers near Alexandria, what they pay and the roles open now. Free for candidates, email only.

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Occupational Therapist pay in Alexandria, VA

The metro median is 4% above the Virginia statewide median of $48.34 per hour. Nationally the median is $47.28 per hour. BLS counts about 2,250 occupational therapists employed in the Washington-Arlington-Alexandria metro area, 0.7 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.73).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$37.24$77,46021% below U.S. median
Lower quartile$42.59$88,59010% below U.S. median
Median$50.49$105,0107% above U.S. median
Upper quartile$60.52$125,88028% above U.S. median
Top 10%$67.14$139,65042% above U.S. median

How Alexandria ranks

  • 30th of 354 U.S. metro areas by median hourly pay
  • 202nd of 327 after adjusting for local prices

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Occupational Therapists (SOC 29-1122), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Alexandria

  • Overall prices in Washington-Arlington-Alexandria run 9% above the U.S. average (index 108.9, U.S. = 100).
  • Housing is the biggest driver: 51% above the U.S. average (index 151.1).
  • Adjusted for local prices, a $50.49 median hour buys what $46.37 buys at the national price level, 2% below the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

Estimate your Alexandria paycheck

Estimated weekly gross$1,818
  • Per year: $90,882
  • Per month: $7,574

Gross pay before taxes and benefits, from BLS pay levels for the Washington-Arlington-Alexandria metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Alexandria

ItemFederal rate
Lodging per night$110
Meals and incidentals per day$68
Per week (7 nights, 7 days)$1,246
13-week assignment$16,198

Travel occupational therapist assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free (this is the standard rate that applies here). Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.

Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).

Hospitals in Alexandria

CMS lists 2 hospitals in Alexandria, 2 of the 2 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
Inova Alexandria Hospital
Alexandria, VA
Acute careNonprofit5 of 5Yes
Inova Mount Vernon Hospital
Alexandria, VA
Acute careNonprofit4 of 5Yes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Occupational Therapist pay in nearby cities

CityDistanceMedian payPopulation
Washington, DC7 mi$50.49/hr702,250
Rockville, MD19 mi$50.49/hr68,417
Baltimore, MD42 mi$47.77/hr568,271
Richmond, VA92 mi$50.00/hr233,655
Lancaster, PA94 mi$45.82/hr58,441
Harrisonburg, VA100 mi$48.21/hr51,164

Occupational Therapist jobs in Virginia · Occupational Therapist jobs nationwide

License and tax basics in Virginia

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Virginia requires for your role with the Virginia licensing board and with your recruiter before you commit to a start date.

Virginia taxes wage income. Use your own rates in the take-home pay calculator.

Virginia state guide

Other healthcare roles in Alexandria

Alexandria city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in Alexandria, VA?

Occupational Therapists in the Washington-Arlington-Alexandria metro area have a median pay of $50.49 per hour, about $105,010 a year. The middle half earn between $42.59 and $60.52 per hour (BLS, May 2024).

Is Alexandria a good place for occupational therapists once cost of living is counted?

Washington-Arlington-Alexandria ranks 202nd of 327 metro areas for occupational therapist pay after adjusting for local prices, and 30th of 354 before adjusting. Overall prices run 9% above the U.S. average.

Who is hiring occupational therapists in Alexandria?

We list 1 open role with published pay from 1 employer in the Washington-Arlington-Alexandria area. Your free report adds named employers and pay near Alexandria.

Do I need a Virginia license to work in Alexandria as an occupational therapist?

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Virginia requires for your role with the Virginia licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

What is the per diem for a travel assignment in Alexandria?

The federal per diem benchmark in Alexandria is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in Alexandria?

Yes. We place healthcare staff in Alexandria and across Virginia. Tell us your profession and we email the roles open near Alexandria.

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · OT near Alexandria, VA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your OT pay reportAlexandria, VA · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • AmedisysGloucester, VA · 3 postings$58.88/ hr$43–$66
  • Sentara HealthcareHampton, VA · 9 postings$56.92/ hr$46–$68
  • Carilion ClinicRoanoke, VA · 2 postings$46.09/ hr$37–$55
  • VCU Health SystemRichmond, VA · 4 postings$42.09/ hr$33–$51

Median posted pay per hour, with the range each employer published.

2What they are offering now

Low$34Median$56.92High$68

25 OT postings with published pay in Virginia, 20 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 25 OT roles

  1. Occupational Therapist- HomecarePermanent
    $36.87–$55.31/ hour
    Carilion Clinic · Roanoke, VA · posted today
  2. Occupational Therapist- Home CarePermanent
    $36.87–$55.31/ hour
    Carilion Clinic · Radford, VA · posted today

+ 23 more in your report. Each one has pay, shift and start date.

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