State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.
Physical Medicine and Rehabilitation Physician Salary (2026): Data, Outlook & How to Become One
The median pay for Physical Medicine and Rehabilitation Physicians is $265,930 a year ($127.85/hr), according to BLS OEWS, May 2025. Employment is projected to grow 2.5% through 2034, with about 9,600 openings a year (BLS EP, 2024–2034). Typical entry-level education: Doctoral or professional degree.
- Median pay
- $265,930
- Projected growth
- +2.5%
- Openings a year
- 9,600
- Typical education
- Doctorate
BLS OEWS, May 2025
BLS EP, 2024–2034
BLS EP, 2024–2034
BLS EP, 2024–2034
Also advertised as: MD (Medical Doctor), Medical Director Acute Rehabilitation Unit Physiatrist, Pain Management Physician, Pediatric Physiatrist, Physiatrist, Physical Medicine and Rehabilitation Physician (PM and R Physician).
How much do Physical Medicine and Rehabilitation Physicians make?
Entry / lowest-paid tenth
Lower quartile
Half earn more, half earn less
Upper quartile
Top-paid tenth
| Median annual wage | $265,930 |
|---|---|
| Median hourly wage | $127.85/hr |
| Mean annual wage | $262,040 |
| People employed | 342,720 |
Versus all US occupations
At $265,930, Physical Medicine and Rehabilitation Physicians earn 422% above the $50,980 median across all US occupations, a difference of $214,950 a year.
Versus healthcare practitioners and technical occupations
Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $97,870, this is 172% above the group median.
Pay range
The top 10% earn $452,360 or more while the bottom 10% earn $69,170, a gap of 6.5×. That is an unusually wide spread, which usually tracks specialisation, employer type and years of experience.
Rank in the bank
This median pays more than 98% of the 923 occupations in the NueCareer career bank.
Highest-paying state
North Dakota pays the most at $454,550, and still leads at $510,966 once local prices are taken into account.
Which states pay Physical Medicine and Rehabilitation Physicians the most?
| State | Median | COL-adjusted | Employed |
|---|---|---|---|
| North Dakota | $454,550 | $510,966 | 740 |
| Montana | $438,850 | $463,680 | 580 |
| Maine | $419,410 | $432,159 | 1,340 |
| Wisconsin | $391,740 | $416,324 | 6,350 |
| Minnesota | $367,320 | $372,456 | 5,350 |
| Indiana | $366,190 | $392,365 | 6,760 |
| New Hampshire | $361,300 | $346,854 | 1,000 |
| Alaska | $355,100 | $346,916 | 270 |
| Louisiana | $350,920 | $397,837 | 4,740 |
| Oregon | $347,180 | $335,891 | 4,130 |
Is Physical Medicine and Rehabilitation Physician a growing career?
+2.5% projected growth vs 3.1% for all occupations.
About as fast as average
BLS projects employment of Physical Medicine and Rehabilitation Physicians to change 2.5% over 2024–2034, against 3.1% projected for all occupations. That is 8,600 more jobs.
Annual openings
About 9,600 openings are projected each year, 2.8% of the 340,700 jobs that existed in 2024. Most come from workers leaving the occupation, not from growth alone.
Overall employment of physicians and surgeons is projected to grow 3 percent from 2024 to 2034, about as fast as the average for all occupations.
Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
Projected employment of physicians and surgeons varies by occupation (see table). An increasing number of older adults, who are more likely than younger people to experience health problems and to need complex care, is expected to drive overall employment growth for physicians and surgeons.
In addition, increasing rates of chronic illnesses, such as diabetes, cancer, and heart disease, will result in continued reliance on physicians and surgeons by large numbers of people seeking medical care.
How to become a Physical Medicine and Rehabilitation Physician
Physicians and surgeons typically need a bachelor’s degree as well as a degree from a medical school, which takes an additional 4 years to complete. Depending on their specialty, they also need 3 to 9 years in internship and residency programs. Subspecialization includes additional training in a fellowship of 1 to 3 years.
| Typical entry-level education | Doctoral or professional degree |
|---|---|
| Preparation needed (O*NET job zone) | Considerable preparation |
| Work experience in a related occupation | None |
| Typical on-the-job training | Internship/residency |
What education people in the job have
O*NET incumbent survey: the highest level of education reported by people already working as physical medicine and rehabilitation physicians.
- Doctoral Degree54.9%
- Post-Doctoral Training43.1%
- First Professional Degree1.3%
- Bachelor's Degree0.8%
What does a Physical Medicine and Rehabilitation Physician do?
Diagnose and treat disorders requiring physiotherapy to provide physical, mental, and occupational rehabilitation.
Physicians and surgeons diagnose and treat injuries or illnesses and address health maintenance. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They often counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancerous tumors; and deformities, such as cleft palates.
There are two types of physicians, with similar degrees: M.D. (Medical Doctor) and D.O. (Doctor of Osteopathic Medicine). Both use the same methods of treatment, including drugs and surgery, but D.O.s place additional emphasis on the body's musculoskeletal system, preventive medicine, and holistic (whole-person) patient care. D.O.s are most likely to be primary care physicians, although they work in all specialties.
Day-to-day tasks
- Document examination results, treatment plans, and patients' outcomes.
- Examine patients to assess mobility, strength, communication, or cognition.
- Provide inpatient or outpatient medical management of neuromuscular disorders, musculoskeletal trauma, acute and chronic pain, deformity or amputation, cardiac or pulmonary disease, or other disabling conditions.
- Prescribe physical therapy to relax the muscles and improve strength.
- Consult or coordinate with other rehabilitative professionals, including physical and occupational therapists, rehabilitation nurses, speech pathologists, neuropsychologists, behavioral psychologists, social workers, or medical technicians.
- Prescribe orthotic and prosthetic applications and adaptive equipment, such as wheelchairs, bracing, or communication devices, to maximize patient function and self-sufficiency.
- Assess characteristics of patients' pain, such as intensity, location, or duration, using standardized clinical measures.
- Develop comprehensive plans for immediate and long-term rehabilitation, including therapeutic exercise, speech and occupational therapy, counseling, cognitive retraining, patient, family or caregiver education, or community reintegration.
O*NET core tasks, ordered by reported importance.
Core skills
- Critical Thinking4.1/5
- Reading Comprehension4.0/5
- Active Listening4.0/5
- Speaking4.0/5
- Writing3.8/5
- Monitoring3.8/5
- Active Learning3.6/5
- Science3.3/5
Transferable skills
- Social Perceptiveness4.0/5
- Judgment and Decision Making3.9/5
- Coordination3.8/5
- Complex Problem Solving3.8/5
- Instructing3.6/5
- Service Orientation3.6/5
- Time Management3.5/5
- Persuasion3.3/5
Tools and software
- Medical software · in demand
- Word processing software · in demand
- Electronic mail software
“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.
What personality type suits a Physical Medicine and Rehabilitation Physician?
Interest profile: O*NET Occupational Interests, scored 1–7
Day to day this is work built around investigating, analysing and solving problems with ideas and data, combined with teaching, helping and working directly with other people.
Closest MBTI types
NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.
Physical Medicine and Rehabilitation Physician: frequently asked questions
How much do Physical Medicine and Rehabilitation Physicians make?
Physical Medicine and Rehabilitation Physicians earn a median of $265,930 a year (BLS OEWS, May 2025). That is 422% above the $50,980 median for all US occupations. That works out at $127.85/hr. The middle half earn between $102,930 and $378,770. The top 10% earn $452,360 or more.
Do you need a degree to become a Physical Medicine and Rehabilitation Physician?
Yes, and beyond a bachelor's: BLS lists a doctoral or professional degree as the typical entry requirement for Physical Medicine and Rehabilitation Physicians. BLS also lists internship/residency as typical on-the-job training. In O*NET's survey of people already doing the job, 54.9% hold doctoral degree.
Is Physical Medicine and Rehabilitation Physician a growing career?
It is stable rather than fast-growing: employment is projected to change 2.5% over 2024–2034, about the same as the 3.1% projected across all occupations (BLS EP, 2024–2034). BLS still projects about 9,600 openings a year, mostly from workers retiring or moving to other work.
What does a Physical Medicine and Rehabilitation Physician do?
Physicians and surgeons diagnose and treat injuries or illnesses and address health maintenance. A core O*NET task: document examination results, treatment plans, and patients' outcomes. Employers most often ask for Medical software, Word processing software.
Which states pay Physical Medicine and Rehabilitation Physicians the most?
The highest state medians for Physical Medicine and Rehabilitation Physicians are North Dakota ($454,550), Montana ($438,850), Maine ($419,410) (BLS OEWS, May 2025).
What personality type suits a Physical Medicine and Rehabilitation Physician?
O*NET scores Physical Medicine and Rehabilitation Physicians highest on the Investigative, Social and Realistic interest areas, so the work mixes investigating, analysing and solving problems with ideas and data with teaching, helping and working directly with other people. On NueCareer's MBTI-to-interest mapping the closest types are ISFP, ISTP. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 923 occupations in the bank.