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.

Find Occupational Therapist Jobs

Overview

Open roles94
Top employerIvy Health
Top cityRichmond, VA
Cities hiring49
Work type100% On-site
Top industryHealthcare

Showing 5 of 94+ Occupational Therapist jobs

Occupational Therapist (OT)
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Added 2d ago
Occupational Therapist (OT)
HiredFirst
Burkeville, Virginia
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$43 - $50/hr

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Occupational Therapist/ OT
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Added 3d ago
Occupational Therapist/ OT
Adoration Health
Henrico, Virginia
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$70k - $100k/yr
CPR Certification
201-500

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Occupational Therapist OT
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Added 3d ago
Occupational Therapist OT
Hanover Health & Rehabilitation Center
Mechanicsville, Virginia
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$40 - $53/hr

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Occupational Therapist
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Added 3d ago
Occupational Therapist
BEST HEALTH CARE SERVICES
Prince William County, VA
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$100 - $130/hr
On-Site
51-200

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Occupational Therapist Home Health in Spotslyvania
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Added 4d ago
Occupational Therapist Home Health in Spotslyvania
Talin Home Healthcare
Spotsylvania, Virginia
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$75 - $100/hr

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See All 94 Occupational Therapist Jobs in Virginia

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Occupational Therapist Jobs by City in Virginia

Where Virginia roles are concentrated, by current openings.

Richmond
10 jobs
Alexandria
7 jobs
Fredericksburg
7 jobs
Fairfax
5 jobs
Reston
4 jobs
Virginia Beach
4 jobs
Charlottesville
3 jobs
Suffolk
2 jobs
Leesburg
2 jobs

Occupational Therapist Job Market in Virginia

A snapshot from current Virginia openings, updated as new roles post.

Who's Hiring

Ivy Health8 open roles
HealthPRO Heritage5 open roles
Inova Health System5 open roles

Top Industries Hiring

  • Healthcare & Medical Services
  • Insurance

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 Health, HealthPRO Heritage, and Inova Health System, based on current listings on Migrate Mate as of October 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, Alexandria, and Fredericksburg 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 0% of occupational therapist openings tied to Virginia are remote or hybrid as of October 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 94 Occupational Therapist Jobs in Virginia

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