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 184 therapy jobs listed below pay well, with salaries between $23.35 and $53.57 per hour. Physical Therapist, Board Certified Assistant Behavior Analyst and Speech Language Pathologist are among the most popular high-paying roles in Roanoke, VA.
Job title
Updated Oct 25, 2026
Job title
Roanoke, VA
Virginia
Job openings (Roanoke)
Audiologist
Roanoke
$113,745
per year
Virginia
$101,649
per year
Speech Language Pathologist
Roanoke
$53.57
per hour
Virginia
$50.34
per hour
Physical Therapist
Roanoke
$49.66
per hour
Virginia
$69.50
per hour
Occupational Therapist
Roanoke
$46.52
per hour
Virginia
$48.47
per hour
Board Certified Behavior Analyst
Roanoke
$92,097
per year
Virginia
$92,930
per year
Board Certified Assistant Behavior Analyst
Roanoke
$59,543
per year
Virginia
$71,851
per year
Physical Therapist Assistant
Roanoke
$28.09
per hour
Virginia
$34.80
per hour
Therapist
Roanoke
$28.03
per hour
Virginia
$35.56
per hour
Registered Behavior Technician
Roanoke
$23.35
per hour
Virginia
$23.24
per hour
Behavior Technician
Roanoke
$22.47
per hour
Virginia
$21.11
per hour
Job descriptions below are for educational purposes. Please refer to the employer's job description for complete details.
-
Audiologist
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Please refer to the employers job description for complete details.
Audiologists work with individuals of all ages to diagnose and manage hearing and balance disorders, providing assessments and rehabilitation services. Key qualifications for this role include specialized audiological training and strong problem-solving skills.
Audiologist jobs take 162 days on average from job posting to starting date. Currently, 40% of job openings are part-time roles.
See jobsAverage pay
Roanoke
$113,745 per yearVirginia
$101,649 per yearSkills
- Physiology knowledge
- Medical terminology
- Anatomy knowledge
- Communication skills
- Speech therapy
-
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 78 days on average from job posting to starting date. Currently, 28% of job openings are part-time roles.
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Roanoke
$53.57 per hourVirginia
$50.34 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 106 days on average from job posting to starting date. Currently, 23% of job openings are part-time roles.
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Roanoke
$49.66 per hourVirginia
$69.50 per hour -
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 78 days on average from job posting to starting date. Currently, 27% of job openings are part-time roles.
See jobsAverage pay
Roanoke
$46.52 per hourVirginia
$48.47 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 73 days on average from job posting to starting date. Currently, 51% of job openings offer remote or hybrid positions and 50% of job openings are part-time roles.
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Roanoke
$92,097 per yearVirginia
$92,930 per year -
Board Certified Assistant Behavior Analyst
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Board-certified assistant behavior analysts implement intervention plans, collect data and collaborate with teams. This role usually requires ABA knowledge, data analysis skills and communication expertise.
Board Certified Assistant Behavior Analyst jobs take 63 days on average from job posting to starting date. Currently, 98% of job openings are part-time roles.
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Roanoke
$59,543 per yearVirginia
$71,851 per year -
Physical Therapist Assistant
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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 54 days on average from job posting to starting date. Currently, 24% of job openings are part-time roles.
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Roanoke
$28.09 per hourVirginia
$34.80 per hour -
Therapist
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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 60 days on average from job posting to starting date. Currently, 22% of job openings offer remote or hybrid positions and 25% of job openings are part-time roles.
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Roanoke
$28.03 per hourVirginia
$35.56 per hourSkills
- Cosmetology
- Customer service
- Retail sales
- Color theory
- English
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Registered Behavior Technician
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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 79 days on average from job posting to starting date. Currently, 78% of job openings are part-time roles.
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Roanoke
$23.35 per hourVirginia
$23.24 per hour -
Behavior Technician
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Please refer to the employers job description for complete details.
Behavior Technicians implement treatment plans, support clients with behavioral challenges, and collect data. Behavioral expertise, empathy, and strong observational skills are essential.
Behavior Technician jobs take 66 days on average from job posting to starting date. Currently, 54% of job openings are part-time roles.
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Roanoke
$22.47 per hourVirginia
$21.11 per hour