PermanentPosted today
Occupational Therapist- Homecare
Carilion Clinic · Roanoke, VA
$36.87–$55.31/ hour
New this week
Occupational Therapist jobs in Roanoke, VA
Occupational Therapists in the Roanoke area earn a median of $46.41 per hour, about $96,530 a year, and the middle half of them earn between $37.95 and $49.56. That ranks 152nd of 354 U.S. metro areas for occupational therapist pay, and 119th of 327 once local prices are factored in. 2 open roles with published pay are listed for Roanoke. Tell us your role and we email current openings near Roanoke.
- $46.41median pay per hour, Roanoke
- $38–$50typical range per hour
- 210occupational therapists employed in the metro area
- 2open roles with published pay
Open Occupational Therapist roles in Roanoke
Per diemPosted 30 days ago
Occupational Therapist PRN
Amedisys · Roanoke, VA
$52.50–$65.25/ hour
Top 25% pay
For youUpdated weekly
40+ more Occupational Therapist roles for you in Roanoke, VA
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Get the Roanoke Occupational Therapist pay report
Named employers near Roanoke, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportWho is hiring occupational therapists near Roanoke
| Employer | Roles | Median pay / hour |
|---|---|---|
| Carilion Clinic | 1 | $46.09 |
| Amedisys | 1 | $58.88 |
Occupational Therapist pay in Roanoke, VA
The metro median is 4% below the Virginia statewide median of $48.34 per hour. Nationally the median is $47.28 per hour. BLS counts about 210 occupational therapists employed in the Roanoke metro area, 1.4 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.41).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $31.00 | $64,480 | 34% below U.S. median |
| Lower quartile | $37.95 | $78,940 | 20% below U.S. median |
| Median | $46.41 | $96,530 | 2% below U.S. median |
| Upper quartile | $49.56 | $103,080 | 5% above U.S. median |
| Top 10% | $57.72 | $120,060 | 22% above U.S. median |
How Roanoke ranks
- 152nd of 354 U.S. metro areas by median hourly pay
- 119th of 327 after adjusting for local prices
- 5th of 8 Virginia metro areas
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 Roanoke
- Overall prices in Roanoke run 6% below the U.S. average (index 93.6, U.S. = 100).
- Housing is the biggest driver: 21% below the U.S. average (index 78.5).
- Adjusted for local prices, a $46.41 median hour buys what $49.57 buys at the national price level, 5% above 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 Roanoke paycheck
Estimated weekly gross$1,671
- Per year: $83,538
- Per month: $6,961
Gross pay before taxes and benefits, from BLS pay levels for the Roanoke metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Roanoke
| Item | Federal rate |
|---|---|
| Lodging per night | $119 |
| Meals and incidentals per day | $74 |
| Per week (7 nights, 7 days) | $1,351 |
| 13-week assignment | $17,563 |
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. 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 Roanoke
CMS lists 1 hospital in Roanoke, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Carilion Medical Center Roanoke, VA | Acute care | Nonprofit | 3 of 5 | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Occupational Therapist pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Lynchburg, VA | 43 mi | $46.40/hr | 80,301 |
| Greensboro, NC | 82 mi | $46.20/hr | 307,381 |
| Winston-Salem, NC | 83 mi | $45.77/hr | 255,769 |
| Burlington, NC | 87 mi | $40.56/hr | 61,365 |
| High Point, NC | 89 mi | $46.20/hr | 118,601 |
| Harrisonburg, VA | 100 mi | $48.21/hr | 51,164 |
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.
Other healthcare roles in Roanoke
Roanoke city guide: hospitals, employers and licensing
Common questions
How much do occupational therapists make in Roanoke, VA?
Occupational Therapists in the Roanoke metro area have a median pay of $46.41 per hour, about $96,530 a year. The middle half earn between $37.95 and $49.56 per hour (BLS, May 2024).
Is Roanoke a good place for occupational therapists once cost of living is counted?
Roanoke ranks 119th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 152nd of 354 before adjusting. Overall prices run 6% below the U.S. average.
Who is hiring occupational therapists in Roanoke?
We list 2 open roles with published pay from 2 employers in Roanoke. Your free report adds named employers and pay near Roanoke.
Do I need a Virginia license to work in Roanoke 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 Roanoke?
The federal per diem benchmark in Roanoke is $119 a night for lodging and $74 a day for meals and incidentals, about $1,351 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Does Valorem Health place occupational therapists in Roanoke?
Yes. We place healthcare staff in Roanoke and across Virginia. Tell us your profession and we email the roles open near Roanoke.
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What do employers near Roanoke pay occupational therapists? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
Get your free pay report
150+ Occupational Therapist roles in Virginia, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your OT pay reportRoanoke, VA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Carilion ClinicRoanoke, VA · 2 postings$46.09/ hr$37–$55
- AmedisysGloucester, VA · 3 postings$58.88/ hr$43–$66
- Sentara HealthcareHampton, VA · 9 postings$56.92/ hr$46–$68
- 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
- Occupational Therapist- HomecarePermanent$36.87–$55.31/ hour
- Occupational Therapist- Home CarePermanent$36.87–$55.31/ hour
+ 23 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.