Occupational Therapist Jobs in Virginia
Occupational Therapist jobs in Virginia are in consistent demand, with openings concentrated in hospital systems, inpatient rehabilitation, school-based services, and pediatric outpatient clinics at every level from new graduate through senior clinician. The heaviest hiring activity runs through Northern Virginia, Richmond, and the Hampton Roads area, where large employers like Inova Health System, VCU Health, and Sentara Healthcare maintain ongoing occupational therapist needs. The most sought-after specialties in Virginia include pediatrics, hand therapy, and neurological rehabilitation. Find a role that fits below and apply directly.
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Showing 5 of 107+ Occupational Therapist jobs
Join a supportive, therapist-owned practice where you’ll have the flexibility to build a schedule and caseload that works for you. Our part-time and PRN opportunities are designed for experienced pediatric OTs who value clinical autonomy, individualized care, and a collaborative work environment.
Why Join Fairfax Pediatric Therapy?
- Flexible scheduling based on your availability
- Manageable caseload focused on quality, not volume
- Clinical autonomy to provide individualized care
- Administrative support for scheduling and billing
- Collaborative multidisciplinary team of OTs, SLPs, and music therapists
What You’ll Do
Provide individualized occupational therapy services to pediatric clients, including evaluations, treatment, documentation, and caregiver collaboration. Our caseload includes children with a variety of sensory, motor, self-care, regulation, feeding, and developmental needs.
Qualifications
- Current Virginia Occupational Therapist license
- At least 1 year of pediatric occupational therapy experience required
- Strong communication and interpersonal skills
- Ability to work independently and collaborate effectively with families and team members
Schedule
Flexible part-time or PRN scheduling based on your availability, with the opportunity to transition into a full-time role in the future.
About Fairfax Pediatric Therapy
Fairfax Pediatric Therapy is a therapist-owned pediatric outpatient clinic serving children and families in Northern Virginia. We value quality over volume and aim to create an environment where therapists have the flexibility, autonomy, and support to do their best clinical work.
If you’re an experienced pediatric OT looking for a flexible opportunity where you can focus on meaningful work with children and families, we’d love to hear from you.
Pay: $65.00 - $75.00 per hour
Benefits:
- Flexible schedule
- Opportunities for advancement
- Professional development assistance
Experience:
- pediatric occupational therapy: 1 year (Required)
License/Certification:
- Virginia Occupational Therapist license (OTR/L) (Preferred)
Work Location: In person
Join a supportive, therapist-owned practice where you’ll have the flexibility to build a schedule and caseload that works for you. Our part-time and PRN opportunities are designed for experienced pediatric OTs who value clinical autonomy, individualized care, and a collaborative work environment.
Why Join Fairfax Pediatric Therapy?
- Flexible scheduling based on your availability
- Manageable caseload focused on quality, not volume
- Clinical autonomy to provide individualized care
- Administrative support for scheduling and billing
- Collaborative multidisciplinary team of OTs, SLPs, and music therapists
What You’ll Do
Provide individualized occupational therapy services to pediatric clients, including evaluations, treatment, documentation, and caregiver collaboration. Our caseload includes children with a variety of sensory, motor, self-care, regulation, feeding, and developmental needs.
Qualifications
- Current Virginia Occupational Therapist license
- At least 1 year of pediatric occupational therapy experience required
- Strong communication and interpersonal skills
- Ability to work independently and collaborate effectively with families and team members
Schedule
Flexible part-time or PRN scheduling based on your availability, with the opportunity to transition into a full-time role in the future.
About Fairfax Pediatric Therapy
Fairfax Pediatric Therapy is a therapist-owned pediatric outpatient clinic serving children and families in Northern Virginia. We value quality over volume and aim to create an environment where therapists have the flexibility, autonomy, and support to do their best clinical work.
If you’re an experienced pediatric OT looking for a flexible opportunity where you can focus on meaningful work with children and families, we’d love to hear from you.
Pay: $65.00 - $75.00 per hour
Benefits:
- Flexible schedule
- Opportunities for advancement
- Professional development assistance
Experience:
- pediatric occupational therapy: 1 year (Required)
License/Certification:
- Virginia Occupational Therapist license (OTR/L) (Preferred)
Work Location: In person
See All 107+ Occupational Therapist Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find Occupational Therapist JobsOccupational Therapist Jobs by City in Virginia
Where Virginia roles are concentrated, by current openings.
Occupational Therapist Job Market in Virginia
A snapshot from current Virginia openings, updated as new roles post.
Who's Hiring
- Ivy Rehab Network13
- Voyage Health10V
- HiredFirst9H
- TransPerfect Health6
- Talented Medical Solutions5
Top Industries Hiring
- Healthcare & Medical Services
- Technology & Software
What Virginia Employers Look For
The qualifications that appear most often in occupational therapist jobs across Virginia.
- Active Virginia occupational therapist license issued by the Virginia Board of Medicine
- Master's or doctoral degree in occupational therapy from an ACOTE-accredited program
- Passed the NBCOT certification examination prior to or upon hire
- Experience with pediatric, neurological, or orthopedic patient populations preferred
- Proficiency with electronic health records and clinical documentation systems
- Strong interpersonal skills for collaboration with multidisciplinary care teams
Occupational Therapist Jobs in Virginia: Frequently Asked Questions
How do you become a occupational therapist in Virginia?
To become a licensed occupational therapist in Virginia, you must earn a graduate degree from an accredited occupational therapy program and pass the NBCOT certification examination. Licensure is issued by the Virginia Board of Medicine, and you apply directly through that board after passing the exam. Virginia also participates in occupational therapy licensure compacts, so therapists licensed in certain other states may qualify for expedited endorsement rather than starting the full application from scratch.
How much do occupational therapists make in Virginia?
Occupational therapists in Virginia earn a median of about $100,710 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $70,200 for the lowest 10% to over $134,570 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Virginia?
Employers hiring occupational therapists in Virginia right now include Ivy Rehab Network, Voyage Health, and HiredFirst, based on current listings on Migrate Mate as of August 2026. Large integrated health systems anchored across Northern Virginia, Richmond, and Hampton Roads account for a significant share of open positions, alongside school divisions and outpatient rehabilitation networks that hire throughout the state.
Which Virginia cities have the most occupational therapist jobs?
Richmond, Virginia Beach, and Fairfax consistently post the most occupational therapist openings in Virginia. Northern Virginia's concentration of large hospital systems and pediatric specialty practices drives volume there, while Richmond and Hampton Roads generate steady demand through academic medical centers, inpatient rehabilitation units, and the extensive network of school-based therapy contracts tied to those metro school divisions.
Are there remote occupational therapist jobs in Virginia?
Yes, but they're rare. Occupational therapy is a hands-on clinical field, so most positions require in-person patient contact. About 8% of occupational therapist openings tied to Virginia are remote or hybrid as of August 2026, which is lower than desk-based professions. The roles most likely to carry remote or hybrid flexibility are telehealth consultations, home health care coordination, and clinical documentation or utilization review positions.
How can I get hired as a occupational therapist in Virginia with little or no experience?
The most realistic entry path is applying directly to Level II fieldwork placements or new-graduate residency programs run by large Virginia health systems such as Inova, Sentara, or VCU Health, which regularly onboard candidates without post-degree experience. School divisions across Northern Virginia and Richmond also hire new graduates for school-based positions, often valuing the OT degree and NBCOT passage over experience. Candidates who complete their Virginia Board of Medicine licensure application promptly after the exam and hold a current NBCOT certification gain a clear edge over unlicensed applicants.
Where can I find and apply to occupational therapist jobs in Virginia?
You can find and apply to occupational therapist jobs in Virginia on Migrate Mate, which lists current Virginia openings updated regularly. Find the roles that fit your experience and specialty, then apply directly to each position from the listing.
See All 107+ Occupational Therapist Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
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