OT Jobs in Virginia
OT jobs in Virginia are in strong demand, concentrated in hospital systems, pediatric clinics, school districts, and skilled nursing facilities, with openings at every level from new graduates to experienced senior clinicians. The busiest hiring markets are Northern Virginia, Richmond, and Virginia Beach, where employers such as Inova Health System, VCU Health, and Sentara Healthcare maintain consistent openings. Hand therapy, pediatric occupational therapy, and school-based practice are among the most in-demand specialties across the state. Find a role that fits below and apply directly.
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A Therapy Company Built by a Therapist, for Therapists
$100/Hour | Paid Upon Receipt of Invoices | No Minimum Caseload | Flexible Scheduling | Danville, Farmville, Dinwiddie, Henrico, New Kent, Charles City, Midlothian, Prince George, Hampton Roads | Middle Peninsula | Northern Neck | Greater Roanoke , Radford and Martinsville Area
If you've ever wished there was a therapy company built by a therapist who truly understands the realities of the job, this may be the place you've been looking for.
At TLC Therapy 4 Kids, we've built the kind of workplace we wished existed—a therapist-owned, therapist-led company where clinicians are respected, supported, and trusted.
Unlike many agencies, TLC is owned and led by a practicing therapist who continues to work directly with children and families every week. We understand the realities of the profession because we're still living them.
After years of seeing talented clinicians burn out from productivity pressures, micromanagement, nonexistent support, and feeling like just another number , she decided to create something different.
Our therapists describe TLC as feeling more like working alongside friends than coworkers. We celebrate each other's successes, support one another through challenges, and genuinely enjoy working together. We work as a team to provide the best possible care for children and families.
We're currently seeking Physical Therapists interested in providing Early Intervention services throughout the Middle Peninsula, Northern Neck, Hampton Roads, and surrounding Virginia communities.
Why Therapists Choose TLC
At TLC Therapy 4 Kids, therapists are treated as respected professionals—not productivity numbers. Our clinicians enjoy the flexibility to build schedules that work for their lives, the autonomy to focus on quality care, and the support of leadership that still provides therapy and understands the realities of the profession.
What truly sets TLC apart is our culture. Therapist voices matter here. We collaborate, support one another, and advocate for our team.
Why Therapists Love Working at TLC
- Industry-leading contractor rates of $100 per hour—among the highest in the region
- Paid promptly upon receipt of invoices—often as quickly as the same day
- No minimum caseload requirements
- Flexible scheduling—you choose when, where, and how much you work
- Clinical autonomy and professional respect
- Leadership that still practices therapy and understands the realities of the job
- No productivity quotas, micromanagement, or unnecessary bureaucracy
- A collaborative, supportive team culture where therapist input matters
- Leadership that advocates for therapists and stands beside the team when challenges arise
- Whether you're looking for a few visits each month or a larger caseload, we'll help you build a schedule that aligns with your availability, income goals, and preferred service area
- We welcome applicants to speak directly with current TLC therapists about their experience working with our team
Hear It From Our Therapists
We're proud of the culture we've built, but we believe our therapists tell the story better than we ever could.
"I love being able to just relax and put the families first! You've made everything so easy to just be a good therapist." — TLC Therapist
"We talked about how great you are and how much of a relief it is to work for you." — TLC Therapist
"You always go above and beyond, and I'm grateful." — TLC Therapist
Make a Difference Where It's Needed Most
- Help children access critical therapy services in communities where provider shortages and long waitlists leave many families without support
- Empower parents and caregivers with the knowledge, confidence, and tools so that they are their child's most powerful teacher and advocate
- Join a team that believes therapy is about more than meeting goals—it's about strengthening families, building confidence, and changing futures
Who We're Looking For
- Licensed Speech Therapists, OTs, PTs
- Therapists passionate about helping children and families
- Clinicians seeking flexibility, autonomy, and genuine team support
- Professionals interested in making a meaningful impact in underserved communities
Choose the Service Area That Works for You
Clinic-Based Opportunities Virginia Beach (Kempsville)
Virtual and In person Early Intervention Opportunities Throughout Danville County, Cumberland County, Henry County, Patrick County, Crater District, Henrico County, New Kent, Charles City, Greater Roanoke Area, Hampton Roads, the Middle Peninsula, and the Northern Neck
Serving communities including: Danville, Martinsville, Radford, Amelia, Farmville, Cumberland, Norfolk, Suffolk, Hampton, Newport News, Isle of Wight Gloucester, Chester, Chesterfield, Midlothian, Mathews, Middlesex, King & Queen, King William, West Point, Kilmarnock, Heathsville, Warsaw, Montross, Colonial Beach, Roanoke Area, Craig & Botecourt County Virginia
Ready to Learn More?
Industry-leading pay. Flexible opportunities. Meaningful work. A team that truly has your back.
Whether you're looking for supplemental income, a flexible PRN opportunity, or a larger caseload, we'd love to connect.
Contact us today and discover why so many therapists choose TLC Therapy 4 Kids.
Send your resume to admin@tlctherapy4kids.com or call us at 757-392-7161 if interested.
Pay: $100.00 per hour
Benefits:
- Flexible schedule
Work Location: In person
See All 90 OT Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find OT Jobs in VirginiaOT Jobs by City in Virginia
Where Virginia roles are concentrated, by current openings.
OT Job Market in Virginia
A snapshot from current Virginia openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Chemicals & Materials
- Electronics & Hardware
What Virginia Employers Look For
The qualifications that appear most often in OT jobs across Virginia.
- Active Virginia occupational therapy license issued by the Virginia Board of Medicine
- Master's or doctoral degree in occupational therapy from an accredited program
- Passage of the NBCOT certification exam prior to or shortly after hire
- Clinical fieldwork experience completed in a relevant practice setting
- Strong documentation skills for electronic health records and progress notes
- Ability to collaborate with interdisciplinary care teams in fast-paced environments
OT Jobs in Virginia: Frequently Asked Questions
How do you become a ot in Virginia?
To become an ot in Virginia, you must earn an accredited master's or doctoral degree in occupational therapy, complete the required supervised fieldwork hours, and pass the NBCOT certification exam. You then apply for licensure through the Virginia Board of Medicine, which oversees occupational therapy licensing in the state. Most Virginia employers require your license to be active before your start date.
Which companies hire ots in Virginia?
Employers hiring ots in Virginia right now include Inova Health System, HealthPRO Heritage, and Continuum Therapy Partners, based on current listings on Migrate Mate as of August 2026. Virginia's large integrated health systems, school divisions, and pediatric rehabilitation networks account for the majority of consistent openings across the state.
Which Virginia cities have the most ot jobs?
Richmond, Fairfax, and Norfolk have the most ot openings in Virginia. Northern Virginia's concentration of major health systems and pediatric practices drives volume there, while Richmond's academic medical centers and Virginia Beach's large coastal hospital networks sustain strong hiring in those metros year-round.
Are there remote ot jobs in Virginia?
Yes, but they're rare. Occupational therapy is a hands-on clinical role, so most positions require in-person patient contact. About 36% of ot openings tied to Virginia are remote or hybrid as of August 2026, and those roles tend to be limited to telehealth screenings, documentation, or care coordination functions rather than direct treatment.
How can I get hired as a ot in Virginia with little or no experience?
The most realistic entry path is applying directly to new-graduate positions at large Virginia health systems such as Inova, Sentara, or VCU Health, which regularly onboard new clinicians from accredited programs. School-based positions through Virginia's public school divisions are also accessible entry points for graduates. Completing fieldwork rotations in Virginia facilities builds local connections, and having your NBCOT certification and Virginia license application in progress before graduation gives you a meaningful edge.
Where can I find and apply to ot jobs in Virginia?
You can find and apply to ot jobs in Virginia on Migrate Mate, which lists current openings tied to Virginia employers. Find roles that fit your experience and specialty, then apply directly to the positions that match.
See All 90 OT Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find OT Jobs in Virginia