Healthcare · State Rankings

Best US States for Physical Therapists

All 50 states + DC ranked by Physical Therapist salary. State tax structure noted for take-home math.

Top 10 states by salary
#StateEstimated salaryCost mult.State tax
1California$120,0001.18×~5% effective
2Hawaii$117,8001.15×~5% effective
3Massachusetts$115,6001.12×~5% effective
4Maryland$112,6001.08×~5% effective
5New York$112,5001.15×~5% effective
6Alaska$111,0001.13×No state tax
7New Jersey$111,0001.13×~5% effective
8District of Columbia$109,4001.20×~5% effective
9Washington$108,9001.10×No state tax
10Nevada$108,0001.02×No state tax
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1California$120,000$88,020
2Hawaii$117,800$86,406
3Massachusetts$115,600$84,793
4Maryland$112,600$82,592
5New York$112,500$82,519
6Alaska$111,000$86,969
7New Jersey$111,000$81,419
8District of Columbia$109,400$80,245
9Washington$108,900$85,323
10Nevada$108,000$84,618
11Colorado$105,400$77,311
12Oregon$105,400$77,311
13Pennsylvania$104,300$76,504
14Connecticut$102,700$75,330
15Arizona$101,800$74,670
16Delaware$101,800$74,670
17Florida$101,800$79,760
18Minnesota$101,800$74,670
19Texas$99,600$78,037
20Utah$99,600$73,057
21New Hampshire$99,400$77,880
22Louisiana$99,100$72,690
23Rhode Island$98,000$71,883
24Virginia$98,000$71,883
25Alabama$97,600$71,590
26North Carolina$97,500$71,516
27Idaho$96,800$71,003
28Michigan$96,800$71,003
29Wisconsin$96,800$71,003
30Illinois$96,000$70,416
31New Mexico$96,000$70,416
32Tennessee$96,000$75,216
33Indiana$95,400$69,976
34Kansas$95,400$69,976
35Ohio$95,400$69,976
36Vermont$95,300$69,903
37Maine$94,000$68,949
38Kentucky$93,200$68,362
39Georgia$92,000$67,482
40Montana$91,300$66,969
41Wyoming$91,300$71,534
42North Dakota$90,600$66,455
43South Carolina$90,600$66,455
44Nebraska$90,000$66,015
45South Dakota$90,000$70,515
46Iowa$89,300$65,502
47Missouri$89,300$65,502
48Oklahoma$87,900$64,475
49Arkansas$86,600$63,521
50West Virginia$86,600$63,521
51Mississippi$85,200$62,494
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

What moves with you and what does not

Because Physical Therapist is a licensed occupation (State license via the National Physical Therapy Examination (NPTE)), the pay differences between states persist in a way they would not otherwise. Workers cannot freely move to the highest-paying state, so the gap does not close. That is worth knowing both as a barrier and, once you hold the license, as protection.

Tax and what the numbers are worth

Income tax reshuffles this ranking. Alaska, Washington, Nevada appear in the top ten and levy no state income tax, so the gross figures understate take-home there by roughly 3–6% relative to a taxing state at the same salary. Against a high-tax state, that is worth several thousand dollars a year at this occupation's median of $96,000.

The offset is usually property tax. States without an income tax recover the revenue elsewhere, so the advantage is largest for renters and narrows considerably for homeowners. Run both if you plan to buy.

The spread from Mississippi ($85,200) to California ($120,000) is 41%. Cost of living explains most of it — a state paying 25% above the national median for this role usually costs proportionally more to live in, which is why cost-adjusted rankings look different from nominal ones.

Where the field is heading

Nationally, Physical Therapist employment is projected to grow strongly — 11% through 2034, with roughly 13,200 openings a year counting replacements. Growth is rarely evenly distributed: states with the industry concentration driving that growth will feel it first, and the ranking above is a reasonable proxy for where.

Salaries are modelled from BLS national medians adjusted for local price level at a wage elasticity below 1 — pay rises with local costs but not proportionally. See our methodology.

Frequently Asked Questions

Which state pays the most for Physical Therapists?
Based on cost-of-living-adjusted estimates, California pays the most with an estimated median of $120,000/year for Physical Therapists. High-cost states (CA, NY, MA, HI) tend to top the list because employers compensate for local cost of living.
Do no-state-tax states pay better effective?
Often yes after taxes. Alaska, Washington, Nevada, Florida, Texas have no state income tax. A 5% state tax savings on $100K = $5,000 more take-home. But verify cost of living too — Texas pays well and has no tax, but Houston/Austin housing has risen dramatically.
Why do some states pay so much more?
Three factors: (1) cost of living — coastal states cost 15-25% more, employers adjust pay; (2) employer concentration — CA dominates tech, NY finance, MA biotech; (3) regulatory environment — some states have higher unionization or licensing requirements that increase wages.
Are these salaries net or gross?
Gross — before federal income tax (~14% effective at this income), FICA (7.65%), state income tax (varies), and local taxes if applicable. Use our state-specific Paycheck Calculator for exact take-home in any state.
How does experience affect these numbers?
These are medians — entry-level often runs 25-35% below median, senior roles 40-60%+ above. A senior Physical Therapist in California can easily exceed $180,000, while an entry-level role in a low-cost state might be $59,640.