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
1District of Columbia$115,2001.20×~5% effective
2California$113,3001.18×~5% effective
3Hawaii$110,4001.15×~5% effective
4New York$110,4001.15×~5% effective
5Alaska$108,5001.13×No state tax
6New Jersey$108,5001.13×~5% effective
7Massachusetts$107,5001.12×~5% effective
8Connecticut$105,6001.10×~5% effective
9Washington$105,6001.10×No state tax
10Maryland$103,7001.08×~5% effective
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1District of Columbia$115,200$84,499
2California$113,300$83,106
3Hawaii$110,400$80,978
4New York$110,400$80,978
5Alaska$108,500$85,010
6New Jersey$108,500$79,585
7Massachusetts$107,500$78,851
8Connecticut$105,600$77,458
9Washington$105,600$82,738
10Maryland$103,700$76,064
11Colorado$100,800$73,937
12New Hampshire$100,800$78,977
13Oregon$100,800$73,937
14Rhode Island$98,900$72,543
15Virginia$98,900$72,543
16Nevada$97,900$76,705
17Arizona$96,000$70,416
18Delaware$96,000$70,416
19Florida$96,000$75,216
20Illinois$96,000$70,416
21Minnesota$96,000$70,416
22Vermont$95,000$69,683
23Maine$93,100$68,289
24Pennsylvania$93,100$68,289
25Texas$93,100$72,944
26Utah$93,100$68,289
27Georgia$90,200$66,162
28North Carolina$90,200$66,162
29Idaho$89,300$65,502
30Michigan$89,300$65,502
31Montana$89,300$65,502
32Wisconsin$89,300$65,502
33Wyoming$89,300$69,967
34New Mexico$88,300$64,768
35North Dakota$88,300$64,768
36South Carolina$88,300$64,768
37Tennessee$88,300$69,183
38Indiana$87,400$64,108
39Kansas$87,400$64,108
40Nebraska$87,400$64,108
41Ohio$87,400$64,108
42South Dakota$87,400$68,478
43Iowa$86,400$63,374
44Louisiana$86,400$63,374
45Missouri$86,400$63,374
46Alabama$84,500$61,981
47Kentucky$84,500$61,981
48Oklahoma$84,500$61,981
49Arkansas$82,600$60,587
50West Virginia$82,600$60,587
51Mississippi$80,600$59,120
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

Salary range across states

For Physical Therapists, the estimated median salary ranges from $80,600 in Mississippi to $115,200 in District of Columbia — a 43% range. State-by-state variation reflects local cost of living, employer density, and labor market dynamics.

No-state-tax states

Nine US states have no state income tax: Alaska, Washington, New Hampshire, Nevada, Florida, Texas, Wyoming, Tennessee, South Dakota. For high earners, this can mean $5,000-15,000+ extra per year in take-home pay vs neighboring states with similar gross salaries. New Hampshire taxes interest/dividends only (phasing out).

But: many no-state-tax states make up revenue with higher property tax (Texas) or sales tax (Tennessee). And cost of living varies — Texas urban metros (Austin, Houston) have grown expensive while Florida coastal areas command premium real estate prices.

Cost of living matters more than nominal salary

California pays the most for Physical Therapists on a nominal basis — but housing in coastal California (SF, LA, San Diego) eats 35-50% of net income for median earners. A Physical Therapist earning $113,300 in California often has less spendable income than one earning $93,100 in Texas.

Use our cost-of-living comparison tool to see specific city pairs. For state-level take-home, use our state-specific Paycheck Calculator.

Other Healthcare jobs to compare

Frequently Asked Questions

Which state pays the most for Physical Therapists?
Based on cost-of-living-adjusted estimates, District of Columbia pays the most with an estimated median of $115,200/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, New Hampshire, Nevada, Florida 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 District of Columbia can easily exceed $172,800, while an entry-level role in a low-cost state might be $56,420.