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Business phone system for physical, occupational and speech therapy clinics in Virginia

1,226 physical, occupational and speech therapy clinics operated in Virginia in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
1,226CBP 2023
Employees
10,697mid-March 2023
Per 100k residents
13.9U.S. 15.3
State rank
12th of 51by count

The physical therapy clinic industry in Virginia

Virginia had 1,226 physical, occupational and speech therapy clinics in 2023, according to Census County Business Patterns (NAICS 621340, Offices of Physical, Occupational and Speech Therapists, and Audiologists). They employed 10,697 people in mid-March and reported $548.4 million in annual payroll. That is the 12th highest count among the 51 states and DC with published figures. Physical, occupational and speech therapy clinics make up 0.58% of the 210,842 business establishments in the state.

Per 100,000 residents (2024 estimate) Virginia has 13.9 physical, occupational and speech therapy clinics, 9.1% below the national rate of 15.3. The average establishment has 8.7 employees against 9.0 nationally. Payroll per employee is $51,270, 4.5% above the U.S. figure of $49,067.

Physical, occupational and speech therapy clinics: Virginia compared with the U.S., 2023
MeasureVirginiaUnited States
Establishments1,22652,058
Mid-March employees10,697466,903
Annual payroll$548,437,000$22,909,546,000
Employees per establishment8.79.0
Payroll per employee$51,270$49,067
Establishments per 100,000 residents13.915.3

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Virginia's largest markets for physical, occupational and speech therapy clinics

Census published physical therapy clinic counts for 15 metro or micropolitan areas that include part of Virginia. The largest is Washington, DC-VA-MD-WV, with 889 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 33% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Physical, occupational and speech therapy clinics by metro or micropolitan area, Virginia, 2023
AreaEstablishmentsEmployeesPer 100k residents
Washington, DC-VA-MD-WV8897,29013.8
Virginia Beach, VA-NC2662,45814.8
Richmond, VA1671,46112.2
Charlottesville, VA5333423.3
Roanoke, VA5031615.8
Lynchburg, VA4037915.0
Blacksburg, VA2614214.3
Staunton, VA2413418.7
Kingsport, TN-VA211836.7
Harrisonburg, VA1916613.7
Danville, VA149313.8
Winchester, VA-WV12708.0
Bluefield, WV-VA104710.4
Martinsville, VA9—14.2
Lake of the Woods, VA6—15.4

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at physical, occupational and speech therapy clinics in Virginia

48.1% of Virginia's physical, occupational and speech therapy clinics with employees had fewer than five people in March 2023, compared with 56.8% nationally. 74.3% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Physical, occupational and speech therapy clinics in Virginia by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees58948.1%56.8%
5–9 employees32126.2%21.4%
10–19 employees21517.6%14.0%
20–49 employees846.9%6.0%
50 or more employees161.3%1.8%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Why the phone matters for physical, occupational and speech therapy clinics in Virginia

Therapy plans of care involve many visits over several weeks, so clinics spend a large share of phone time scheduling and confirming. Referral sources and payers also call to check on authorizations and progress. That holds for physical, occupational and speech therapy clinics in Virginia as much as anywhere.

Typical inbound and outbound calls for physical, occupational and speech therapy clinics in Virginia:

Business texting for physical, occupational and speech therapy clinics

Reminder texts and quick reschedule replies help keep a full schedule full.

Texting from a local number in Virginia requires carrier registration (10DLC), a one-time $49 fee on Callata.

What a phone system costs a physical therapy clinic in Virginia

Physical, occupational and speech therapy clinics in Virginia average 8.7 employees, so the comparison uses a 9-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 9 users on RingCentral RingEX Core cost $270.00 a month and 9 on Ooma Office Pro cost $224.55. Callata comes to $179.00 a month for 9 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $1,092 less than RingCentral for a physical therapy clinic in Virginia of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 9-person physical therapy clinic
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$179.00$2,148.00
Quo (Starter)$19.00 per user$171.00$2,052.00
Nextiva (Core)$23.00 per user$207.00$2,484.00
Ooma (Office Pro)$24.95 per user$224.55$2,694.60
Dialpad (Standard)$27.00 per user$243.00$2,916.00
RingCentral (RingEX Core)$30.00 per user$270.00$3,240.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Virginia

Virginia has 10 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a physical therapy clinic can hold a number in more than one of them.

Area codes in Virginia by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
540786Eastern1995826
757785Eastern1996948
804781Eastern1973686
703775Eastern1947571
571632Eastern2000703
434509Eastern2001none
276373Eastern2001none
826125Eastern2022540
948101Eastern2022757
68631Eastern2024804

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for physical, occupational and speech therapy clinics in Virginia

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

Porting a number you already use in Virginia is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many physical, occupational and speech therapy clinics are in Virginia?

1,226 in 2023, according to Census County Business Patterns. They employed 10,697 people in mid-March.

Which Virginia metro area has the most physical, occupational and speech therapy clinics?

Washington, DC-VA-MD-WV, with 889 establishments in 2023.

What does a phone system cost a 9-person physical therapy clinic?

$270.00 a month on RingCentral RingEX Core or $224.55 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $179.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Virginia number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.