Groundwork

Market rankings · Virginia

Physical therapy clinics in Virginia

Every metro area, small-town market and county in Virginia, ranked by the Groundwork market score for physical therapy clinics, with competitor counts and household spending for each.

Listings
1,894
481 chain locations (25%)
Official establishments
1,226
+14.3% since 2019
Household spending a year
$4.3B
On medical and dental services
Listings per 10k households
5.6
4% above the U.S.
Spending per listing
$2.2M
6% below the U.S.
Rank among states
#22 of 51
Market score 57 · Upper middle

A site report maps the physical therapy clinics on map listings around any address in Virginia by name and distance, and the spending within reach.

Free10 actions over 3 days, no card

Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

There are 1,894 physical therapy clinics on map listings in Virginia as of September 2026. 481 of them (25%) are chain locations, against 23% across the U.S. That comes to 5.6 for every 10,000 households, 4% above the U.S. rate of 5.4.

Households in Virginia spend about $4.3B a year on medical and dental services, or $1,264 per household, 2% below the U.S. average. Spread across 1,894 physical therapy clinics, that is $2.2M per clinic, 6% below the U.S. figure of $2.4M. The spending figure covers all medical and dental services, not only physical therapy clinics.

The official count of businesses with payroll classed as physical, occupational and speech therapists in Virginia was 1,226 in 2023, up 14.3% from 2019. That is one for every 2,745 households, against one for every 2,482 across the U.S. Across the U.S., the count rose 23.1% over the same years. Since fiscal 2022, 23 SBA-backed loans worth $7.7M have gone to businesses classed as physical, occupational and speech therapists in Virginia.

Among the 50 states and DC, Virginia ranks #22 for physical therapy clinics, with a Groundwork market score of 57 (upper middle). Of the 11 scored metro areas in or partly in Virginia, the Richmond metro area scores highest (67). Of the 3 scored small-town markets in or partly in Virginia, the Bluefield area scores highest (32).

Every market in Virginia for physical therapy clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Virginia, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching Virginia, ranked for physical therapy clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Richmond, VA672354.4$2.8M+5.5%#80 of 386
Washington-Arlington-Alexandria, DC-VA-MD-WV621,4045.9$2.5M+3.3%#105 of 386
2Winchester, VA-WV52397.0$1.7M+6.5%#177 of 386
3Harrisonburg, VA42265.2$2.1M+3.5%#250 of 386
Kingsport-Bristol, TN-VA42725.5$1.8M+2.3%#255 of 386
4Lynchburg, VA36545.2$2M+2.9%#306 of 386
5Virginia Beach-Chesapeake-Norfolk, VA-NC354426.2$1.9M+0.9%#312 of 386
6Staunton-Stuarts Draft, VA34275.2$2.1M+3.2%#316 of 386
7Charlottesville, VA34616.7$1.9M+3.1%#317 of 386
8Blacksburg-Christiansburg-Radford, VA29405.7$1.9M−0.1%#339 of 386
9Roanoke, VA25866.5$1.6M+0.4%#361 of 386

Small-town markets

Small-town markets reaching Virginia, ranked for physical therapy clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Bluefield, WV-VA32204.9$1.9M−3.8%#325 of 400
1Danville, VA30214.8$2M−1.7%#337 of 400
2Martinsville, VA22176.4$1.5M−1.9%#373 of 400
Lake of the Woods, VANot scored42.7$4.6M+10.1%

Counties

Counties in Virginia, ranked for physical therapy clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Frederick County, VA8892.5$5M+8.8%#10 of 1,422
2Arlington County, VA83413.7$4.2M+2.1%#30 of 1,422
3Stafford County, VA83193.6$4.2M+8.3%#31 of 1,422
4York County, VA8162.2$6M+1.6%#43 of 1,422
5Spotsylvania County, VA81224.2$3.2M+10.5%#51 of 1,422
6Rockingham County, VA7961.8$6.2M+6.6%#66 of 1,422
7Prince William County, VA76785.0$3M+4.2%#124 of 1,422
8Culpeper County, VA7463.2$4M+9.3%#148 of 1,422
9Manassas city, VA7064.2$3.2M+3.9%#224 of 1,422
10Caroline County, VA6854.2$2.8M+11.3%#263 of 1,422
11Richmond city, VA66373.5$3M+4.6%#304 of 1,422
12Fauquier County, VA66217.9$1.9M+4.8%#315 of 1,422
13Chesterfield County, VA65674.8$2.7M+8.7%#330 of 1,422
14Franklin County, VA6483.5$3.1M+1.9%#340 of 1,422
15Gloucester County, VA6274.6$2.6M+3.6%#396 of 1,422
16Portsmouth city, VA60123.0$3.4M−1.2%#432 of 1,422
17Bedford County, VA59144.2$2.7M+4.4%#477 of 1,422
18Loudoun County, VA591097.6$2.2M+6.4%#487 of 1,422
19Fairfax County, VA582626.3$2.5M+1.7%#508 of 1,422
20Henry County, VA5752.4$3.9M−3.1%#518 of 1,422
21Augusta County, VA54123.9$2.9M+1.8%#605 of 1,422
22Alexandria city, VA54445.8$2.4M+1.0%#612 of 1,422
23Henrico County, VA54705.1$2.4M+2.3%#614 of 1,422
24Warren County, VA5485.2$2.3M+4.8%#621 of 1,422
25Pittsylvania County, VA5372.8$3.4M−1.5%#632 of 1,422
Show all 133 counties
Counties in Virginia, ranked for physical therapy clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Hanover County, VA51296.8$2M+5.6%#699 of 1,422
27Campbell County, VA5083.6$2.9M+0.1%#706 of 1,422
28Hampton city, VA49284.8$2.2M0.0%#739 of 1,422
29James City County, VA49216.6$2M+6.2%#745 of 1,422
30Accomack County, VA4864.2$2.4M+1.4%#766 of 1,422
31Suffolk city, VA45379.8$1.2M+10.4%#865 of 1,422
32Chesapeake city, VA43566.0$2.1M+2.3%#897 of 1,422
33Carroll County, VA4254.0$2.4M+0.5%#919 of 1,422
34Pulaski County, VA4174.8$2.1M−0.6%#950 of 1,422
35Mecklenburg County, VA4064.4$2.2M+1.5%#981 of 1,422
36Albemarle County, VA38378.1$1.6M+5.1%#1,038 of 1,422
37Isle of Wight County, VA38159.5$1.3M+6.7%#1,047 of 1,422
38Greene County, VA3767.5$1.6M+6.6%#1,062 of 1,422
39Fairfax city, VA371718.6$804K+10.8%#1,067 of 1,422
40Charlottesville city, VA34115.6$2.1M−4.4%#1,121 of 1,422
41Waynesboro city, VA3477.1$1.4M+7.5%#1,137 of 1,422
42Halifax County, VA3353.7$2.6M−1.4%#1,141 of 1,422
43Roanoke County, VA33266.5$1.8M+0.2%#1,149 of 1,422
44Shenandoah County, VA32126.7$1.6M+3.6%#1,174 of 1,422
45Falls Church city, VA322133.5$473K+3.3%#1,181 of 1,422
46Virginia Beach city, VA301186.6$1.9M−1.3%#1,206 of 1,422
47Newport News city, VA30506.6$1.6M−1.5%#1,210 of 1,422
48Washington County, VA30198.6$1.2M0.0%#1,220 of 1,422
49Fredericksburg city, VA302723.0$530K+8.6%#1,223 of 1,422
50Montgomery County, VA29226.0$1.9M−1.2%#1,224 of 1,422
51Petersburg city, VA2674.6$1.9M+1.0%#1,260 of 1,422
52Botetourt County, VA2696.8$1.7M+1.5%#1,262 of 1,422
53Colonial Heights city, VA26810.6$1M+3.2%#1,271 of 1,422
54Radford city, VA2459.0$1.1M+7.0%#1,293 of 1,422
55Staunton city, VA2387.1$1.4M+3.8%#1,301 of 1,422
56Roanoke city, VA23337.6$1.3M−0.8%#1,304 of 1,422
57Salem city, VA23109.8$1.1M+1.7%#1,309 of 1,422
58Lancaster County, VA2158.8$1.2M+0.9%#1,335 of 1,422
59Norfolk city, VA21848.8$1.2M−2.9%#1,337 of 1,422
60Lynchburg city, VA20269.1$1.1M+3.0%#1,348 of 1,422
61Winchester city, VA172824.4$426K+1.0%#1,376 of 1,422
62Danville city, VA14147.3$1.2M−2.2%#1,384 of 1,422
63Wythe County, VA14108.0$1.2M−1.2%#1,385 of 1,422
64Martinsville city, VA121221.0$438K+2.8%#1,394 of 1,422
65Tazewell County, VA10127.4$1.3M−4.4%#1,402 of 1,422
66Harrisonburg city, VA92011.5$888K−1.7%#1,407 of 1,422
Prince George County, VANot scored10.8$15.1M+2.0%
Louisa County, VANot scored42.6$4.6M+13.6%
Orange County, VANot scored42.7$4.6M+10.1%
Wise County, VANot scored32.2$4.2M−3.5%
Powhatan County, VANot scored43.5$3.8M+7.0%
Amherst County, VANot scored43.2$3.3M+2.1%
Smyth County, VANot scored43.2$2.9M−3.0%
Dinwiddie County, VANot scored00.0n/a+3.6%
Fluvanna County, VANot scored32.9$4.2M+6.2%
King George County, VANot scored43.9$3.4M+10.5%
Goochland County, VANot scored43.9$3.7M+17.4%
Russell County, VANot scored32.8$3.3M−1.7%
New Kent County, VANot scored11.1$12.7M+21.2%
Page County, VANot scored22.0$4.8M+0.3%
Hopewell city, VANot scored11.1$9M+1.1%
Rockbridge County, VANot scored22.1$5M0.0%
Prince Edward County, VANot scored33.9$2.6M+2.3%
Lee County, VANot scored22.3$3.8M−2.1%
Scott County, VANot scored44.4$2.1M−1.8%
Buchanan County, VANot scored34.0$2.1M−8.7%
Westmoreland County, VANot scored22.5$4.2M+6.5%
King William County, VANot scored22.7$4.3M+9.5%
Southampton County, VANot scored00.0n/a+0.9%
Patrick County, VANot scored11.3$7.8M−0.9%
Buckingham County, VANot scored23.2$3.1M+1.9%
Bristol city, VANot scored45.5$1.7M−5.2%
Manassas Park city, VANot scored23.9$3.3M−3.5%
Appomattox County, VANot scored23.0$3.4M+6.3%
Giles County, VANot scored46.0$1.7M−1.3%
Brunswick County, VANot scored00.0n/a−0.6%
Williamsburg city, VANot scored00.0n/a+2.6%
Nottoway County, VANot scored23.6$2.8M+1.0%
Floyd County, VANot scored23.0$3.4M+2.1%
Grayson County, VANot scored11.6$5.8M−0.3%
Clarke County, VANot scored11.7$7.9M+5.4%
Alleghany County, VANot scored11.6$6.1M−4.2%
Nelson County, VANot scored46.3$1.8M+1.2%
Madison County, VANot scored11.8$6.4M+2.7%
Dickenson County, VANot scored11.7$5.2M−6.0%
Amelia County, VANot scored11.8$5.8M+2.7%
Poquoson city, VANot scored00.0n/a+6.6%
Northumberland County, VANot scored11.8$6.1M+6.1%
Northampton County, VANot scored23.7$2.9M−2.8%
Lunenburg County, VANot scored00.0n/a+0.9%
Charlotte County, VANot scored00.0n/a−1.2%
Greensville County, VANot scored13.1$3.1M−1.8%
Middlesex County, VANot scored12.1$5.2M+2.2%
Sussex County, VANot scored37.9$1.3M−0.4%
Essex County, VANot scored24.5$2.2M+0.5%
Cumberland County, VANot scored00.0n/a+6.9%
Richmond County, VANot scored26.3$1.7M+4.2%
Mathews County, VANot scored12.5$4.5M+0.1%
Franklin city, VANot scored411.6$850K+4.1%
Lexington city, VANot scored313.7$791K+6.2%
Rappahannock County, VANot scored13.4$3.8M+1.6%
Galax city, VANot scored414.5$648K−0.7%
King and Queen County, VANot scored00.0n/a+2.4%
Charles City County, VANot scored00.0n/a−1.8%
Buena Vista city, VANot scored13.9$2.3M+0.9%
Surry County, VANot scored00.0n/a+0.8%
Bland County, VANot scored312.6$792K−1.7%
Covington city, VANot scored13.9$2.1M−1.2%
Emporia city, VANot scored00.0n/a−4.4%
Craig County, VANot scored00.0n/a−1.6%
Bath County, VANot scored15.5$1.9M−2.6%
Norton city, VANot scored637.4$230K−5.5%
Highland County, VANot scored00.0n/a+3.4%

Markets with fewer than 5 physical therapy clinics on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many physical therapy clinics are in Virginia?

As of September 2026, map listings count 1,894 physical therapy clinics in Virginia. 481 of them (25%) are chain locations. The listings count physical therapy and rehabilitation clinics. Official counts show 1,226 businesses with payroll classed as physical, occupational and speech therapists in 2023, up 14.3% from 2019.

How much do households in Virginia spend on medical and dental services?

About $4.3B a year, or $1,264 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 1,894 physical therapy clinics on map listings, it comes to $2.2M per clinic. That spending covers all medical and dental services, which physical therapy clinics share with other businesses in the trade. It is estimated from the incomes of the 3,365,732 households in Virginia and national spending patterns by income.

How does Virginia compare with the U.S. for physical therapy clinics?

Virginia has 5.6 physical therapy clinics per 10,000 households, 4% above the U.S. rate of 5.4. Spending per clinic is $2.2M, 6% below the U.S. figure of $2.4M. At the U.S. ratio of physical therapy clinics to household spending, Virginia would have about 1,771, against 1,894 on map listings. There is one business with payroll in the industry for every 2,745 households, against one for every 2,482 across the U.S. The official count rose 14.3% from 2019 to 2023, against +23.1% for the U.S.

Which market in Virginia has the highest market score for physical therapy clinics?

Among 11 scored metro areas in or partly in Virginia, the Richmond metro area scores highest, at 67 (upper middle). Among 3 scored small-town markets in or partly in Virginia, the Bluefield area scores highest, at 32 (lower middle). Among 66 scored counties in Virginia, Frederick County scores highest, at 88 (high). Scores compare each market with others of its kind across the U.S.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Virginia scores 57 for physical therapy clinics (upper middle), #22 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Virginia. It maps the physical therapy clinics on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

Physical therapy in other states

All 51 states

Top markets for physical therapy clinics across the U.S. · All business types in Virginia

Screening a site or an acquisition in Virginia?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.