High-paying therapy jobs in Roanoke
Therapy involves helping individuals improve their mental and emotional well-being. Therapists work with clients to address issues through counseling and treatment plans. They need strong communication and empathy skills.
The 142 therapy jobs listed below pay well, with salaries between $23.29 and $53.58 per hour. Physical Therapist, Speech Language Pathologist and Occupational Therapist are among the most popular high-paying roles in Roanoke, VA.
Job title
Updated Sep 10, 2026
Job title
Roanoke, VA
Virginia
Job openings (Roanoke)
Speech Language Pathologist
Roanoke
$53.58
per hour
Virginia
$50.29
per hour
Physical Therapist
Roanoke
$49.58
per hour
Virginia
$69.82
per hour
Occupational Therapist
Roanoke
$47.36
per hour
Virginia
$48.55
per hour
Board Certified Behavior Analyst
Roanoke
$91,783
per year
Virginia
$92,604
per year
Physical Therapist Assistant
Roanoke
$29.46
per hour
Virginia
$34.16
per hour
Therapist
Roanoke
$28.13
per hour
Virginia
$35.61
per hour
Registered Behavior Technician
Roanoke
$23.29
per hour
Virginia
$23.04
per hour
Job descriptions below are for educational purposes. Please refer to the employer's job description for complete details.
-
Speech Language Pathologist
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Please refer to the employers job description for complete details.
Speech Language Pathologists diagnose communication disorders, develop treatment plans, and work with patients. Expertise in speech pathology, compassion, and excellent communication skills are crucial.
Speech Language Pathologist jobs take 81 days on average from job posting to starting date. Currently, 26% of job openings are part-time roles.
See 32 jobsAverage pay
Roanoke
$53.58 per hourVirginia
$50.29 per hourSkills
- Speech therapy
- Physiology knowledge
- Medical terminology
- Anatomy knowledge
- Communication skills
-
Physical Therapist
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Please refer to the employers job description for complete details.
Physical Therapists devise rehabilitation plans, guide exercises, and track patient progress. Clinical expertise, strong communication, and a patient-focused approach are vital for improving mobility and health outcomes.
Physical Therapist jobs take 97 days on average from job posting to starting date. Currently, 23% of job openings are part-time roles.
See 35 jobsAverage pay
Roanoke
$49.58 per hourVirginia
$69.82 per hourSkills
- Physical therapy
- Patient care
- Care plans
- Discharge planning
- Outpatient
-
Occupational Therapist
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Please refer to the employers job description for complete details.
Occupational Therapists develop treatment plans, assist patients in regaining skills, and collaborate with healthcare teams. Expertise in therapy practices, strong communication, and empathy are essential for promoting patient recovery.
Occupational Therapist jobs take 73 days on average from job posting to starting date. Currently, 27% of job openings are part-time roles.
See 24 jobsAverage pay
Roanoke
$47.36 per hourVirginia
$48.55 per hourSkills
- Physiology knowledge
- Medical terminology
- Pediatrics
- Anatomy knowledge
- Communication skills
-
Board Certified Behavior Analyst
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Please refer to the employers job description for complete details.
Board Certified Behavior Analysts design behavior plans, conduct assessments, and provide therapy. Expertise in behavioral analysis, strong analytical skills, and ability to implement tailored interventions support client progress.
Board Certified Behavior Analyst jobs take 72 days on average from job posting to starting date. Currently, 49% of job openings offer remote or hybrid positions and 49% of job openings are part-time roles.
See 14 jobsAverage pay
Roanoke
$91,783 per yearVirginia
$92,604 per yearSkills
- Applied behavior analysis
- Communication skills
- Working with people with autism
- Working with people with developmental disabilities
- Experience with children
-
Physical Therapist Assistant
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Please refer to the employers job description for complete details.
Physical Therapist Assistants support therapists, implement treatment plans, and monitor patient progress. Crucial skills include therapeutic expertise, communication abilities, and patient care skills.
Physical Therapist Assistant jobs take 53 days on average from job posting to starting date. Currently, 24% of job openings are part-time roles.
See 13 jobsAverage pay
Roanoke
$29.46 per hourVirginia
$34.16 per hourSkills
- Physical therapy
- Patient care
- Anatomy knowledge
- Care plans
- Outpatient
-
Therapist
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Please refer to the employers job description for complete details.
Therapists evaluate clients, develop treatment plans, and provide therapy sessions. Expertise in therapeutic interventions, empathy, and strong communication skills are critical for success.
Therapist jobs take 62 days on average from job posting to starting date. Currently, 22% of job openings offer remote or hybrid positions and 24% of job openings are part-time roles.
See 12 jobsAverage pay
Roanoke
$28.13 per hourVirginia
$35.61 per hourSkills
- Cosmetology
- Customer service
- Retail sales
- Color theory
- English
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Registered Behavior Technician
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Please refer to the employers job description for complete details.
Registered Behavior Technicians support clinical staff by implementing behavior intervention plans for clients with behavioral issues. They collect data to track progress and maintain consistency in therapy approaches. Core traits include attention to detail and interpersonal communication.
Registered Behavior Technician jobs take 75 days on average from job posting to starting date. Currently, 75% of job openings are part-time roles.
See 12 jobsAverage pay
Roanoke
$23.29 per hourVirginia
$23.04 per hourSkills
- Applied behavior analysis
- Experience with children
- Working with people with autism
- Working with people with developmental disabilities
- Behavioral therapy