Outpatient OT (Guide & Directory)
Here you'll learn all about outpatient occupational therapy. You can also find an outpatient OT near you!
You’ll find that there are many health conditions that occupational therapy (OT) practitioners can help you manage and treat. In essence, occupational therapy will help you participate in day-to-day activities when an injury or diagnosis makes it hard to do so.
Let’s get going!
Find an outpatient OT near you
You can use the OT Directory to find an outpatient OT in your area.
Haley Van Escobar
MOTR/L, CHT, PMP
Occupational Therapist
Hand Therapy Learning Lab
Seabeck, Washington
Coaching, Ergonomics, Hand Therapy, Knowledge Translation, Orthopedics & Musculoskeletal, Trauma & PTSD
Nicole Arguello
OTD, OTR/L
Woven Care
Pueblo, Colorado
Monika Lukasiewicz
OTR/L
Occupational Therapist
MollyLu P-LLC
Mesa, Arizona
Aging in Place, Amyotrophic Lateral Sclerosis (ALS), Assistive Technology, Chronic Conditions, Chronic Pain, Coaching, Dementia, Ehlers-Danlos Syndrome, Fitness, Health Data, Health Policy, Health Promotion, Home Modifications, Insomnia & Sleep, Intellectual and Developmental Disabilities (IDD), Knowledge Translation, Lifestyle Medicine, Leadership, Low Vision Rehabilitation, Maternal Health, Nature-based, Neurodiversity, Parkinson’s, Prevention, Population Health, Social Determinants of Health, Stroke, Trauma & PTSD
Angela Robertson
OTR/L, ADHD-RSP
Occupational Therapy With Angela, LLC
Baltimore, Maryland
ADHD, Anxiety, Autism, Chronic Conditions, Coaching, Cognitive Rehabilitation, Depression & Mood Disorders, Health Promotion, Insomnia & Sleep, Intellectual and Developmental Disabilities (IDD), Lifestyle Medicine, Leadership, Maternal Health, Medication Management, Multi-tiered System of Supports, Neurodiversity, Obsessive-Compulsive Disorder (OCD), Prevention, Trauma & PTSD
Jessica shrum
COTA-L
HEALTHPRO
Herrin, Illinois
Aging in Place, Anxiety, Coaching, Fitness, Feeding and Eating, Knowledge Translation, Leadership, Maternal Health
Melissa S Kimmerling
EdD, MOT, OTR/L
Administrator
Augustana University
Papillion, Nebraska
Aging in Place, Autism, Ergonomics, Home Modifications, Leadership, Neurorehabilitation, Parkinson’s, Seating and Mobility, Stroke, Hippotherapy
Jason Kreuzman, MS, OTR/L
MS, OTR/L
Researcher
RewireOT
Ellisville, Missouri
Chronic Pain, Functional Neurological Disorder (FND), Neurorehabilitation, Postural Orthostatic Tachycardia Syndrome (POTS), Anxiety, Ehlers-Danlos Syndrome, Neurodiversity
Theresa Bautista
OTR, OTD
WeDiverge LLC
Houston, Texas
ADHD, Autism, Intellectual and Developmental Disabilities (IDD), Neurodiversity
Stephanie Olszewski
MOT, OTR/L, CASDC
Diverge Community Services
Flat Rock, Michigan
ADHD, Anxiety, Autism, Chronic Pain, Ehlers-Danlos Syndrome, Intellectual and Developmental Disabilities (IDD), Nature-based, Neurodiversity, Postural Orthostatic Tachycardia Syndrome (POTS), Sexuality/Intimacy, TBI, Trauma & PTSD, Vestibular & Balance Rehab, Home Modifications, Prevention
Samantha Valasek
OTD, OTR/L, ADHD-RSP, CTTS
Spectrum Psych LA
Los Angeles, California
ADHD, Anxiety, Autism, Chronic Conditions, Chronic Pain, Coaching, Ergonomics, Health Promotion, Insomnia & Sleep, Lifestyle Medicine, Leadership, Neurodiversity, Obsessive-Compulsive Disorder (OCD), Sexuality/Intimacy, Trauma & PTSD
Paul Pettyjohn
OTR/L, CPAMS, MLD/CDT, CAPS
Monterey Park, California
Aging in Place, Burns, Cancer, Cerebral Palsy, Chronic Conditions, Chronic Pain, Ergonomics, Fitness, Functional Neurological Disorder (FND), Hand Therapy, Health Promotion, Home Modifications, Lymphedema, NICU, Orthopedics & Musculoskeletal, Prevention, Stroke, TBI
Annie Crockett
MS, OTR/L
Feelings and Function
Towson, Maryland
ADHD, Autism, Chronic Conditions, Chronic Pain, Cognitive Rehabilitation, Lifestyle Medicine, Neurodiversity, Trauma & PTSD
Rachel Yashouafar
OTR/L
Therapy Clubhouse
Westlake Village, California
ADHD, Autism, Cerebral Palsy, Coaching, Feeding and Eating, Intellectual and Developmental Disabilities (IDD), Neurodiversity
Michelle R Burlyga
OTR/L
Center for Developing Minds
San Jose, California
ADHD, Anxiety, Autism, Cognitive Rehabilitation, Medication Management, Neurodiversity, Trauma & PTSD
Rebecca Beckley
OTD, OTR/L
Good Health Physical Therapy & Wellness
Portland, Oregon
ADHD, Anxiety, Chronic Conditions, Chronic Pain, Ehlers-Danlos Syndrome, Health Promotion, Knowledge Translation, Neurodiversity, Postural Orthostatic Tachycardia Syndrome (POTS)
Rachel Shelton
M.S., OTR/L
Windsor Unified School District
Santa Rosa, California
Autism
Amanda M Fonner
OTR/L
Educator
Mercy Hospital Jefferson
Festus, Missouri
Anxiety, Burns, Cancer, Chronic Conditions, Chronic Pain, Cognitive Rehabilitation, Dementia, Depression & Mood Disorders, Ehlers-Danlos Syndrome, Functional Neurological Disorder (FND), Hand Therapy, Health Promotion, Low Vision Rehabilitation, Lymphedema, Multiple Sclerosis, Neurodiversity, Neurorehabilitation, Orthopedics & Musculoskeletal, Parkinson’s, Social Determinants of Health, Stroke, TBI, Trauma & PTSD, Vestibular & Balance Rehab
Andrea Zyla
OTR/L
MaxAbility Therapy Services - Bellevue
Bellevue, Nebraska
Autism
Madison Spillman
COTA/L, BS
Winner, South Dakota
Kathryn Willer
OTR/L
Lewiston, Maine
ADHD, Autism, Feeding and Eating
Mary Schmitz
OTD, OT/L, ECHM
Mohave Valley School District
Fort Mohave, Arizona
ADHD, Aquatic Therapy, Autism, Cerebral Palsy, Chronic Conditions, Health Policy, Health Promotion, Home Modifications, Intellectual and Developmental Disabilities (IDD), Knowledge Translation, Leadership, Multi-tiered System of Supports, Neurodiversity, Prevention, Population Health, Seating and Mobility, Social Determinants of Health, Trauma & PTSD
Sarah Anne Hart
OTD, OTR/L, RYT-200
Hart and Haven LLC
Denver, Colorado
ADHD, Augmentative and Alternative Communication, Autism, Chronic Conditions, Coaching, Lifestyle Medicine, Neurodiversity, Obsessive-Compulsive Disorder (OCD), Social Determinants of Health, Trauma & PTSD
Shaunna Kotka
OTD, OTR/L, CLT-LANA, CMT
Administrator
Open Grounds Inc.
Marina del Rey, California
ADHD, Anxiety, Cancer, Chronic Conditions, Chronic Pain, Cognitive Rehabilitation, Dementia, Depression & Mood Disorders, Dystonia, Ehlers-Danlos Syndrome, Fitness, Health Promotion, Home Modifications, Insomnia & Sleep, Knowledge Translation, Lymphedema, Medication Management, Neurodiversity, Neurorehabilitation, Obsessive-Compulsive Disorder (OCD), Orthopedics & Musculoskeletal, Parkinson’s, Prevention, Population Health, Postural Orthostatic Tachycardia Syndrome (POTS), Rare Diseases, Rheumatic Diseases, Social Determinants of Health, Sports Medicine & Performance, Stroke, TBI, Trauma & PTSD
Marissa
OTR/L, OTD, AMPS, CEAS, LRC
Educator
True North Occupational Therapy
Nacka
ADHD, Anxiety, Assistive Technology, Autism, Chronic Conditions, Coaching, Ergonomics, Fitness, Health Promotion, Insomnia & Sleep, Lifestyle Medicine
Getting started: Do you need a referral from a doctor?
Most states have some form of direct access to outpatient OT, though it is often limited in scope. And many insurance policies still require a doctor’s referral in order to cover OT services. To find out if you need a referral, you typically need to answer these two questions:
Does your state require you to get referred by your doctor?
Does your insurance require you to get a referral?
There is so much variation to these answers, we suggest you reach out directly to your local therapy provider to guide you through this process.
How much does therapy cost?
Again, lots of variety here.
In general, an hour therapy session can range from $55-$400, based on the specialization of the therapist, your location, and if you pay out-of-pocket (meaning you don’t use insurance). (See different OT specializations below.)
If you are seeking coverage through your insurance it is not uncommon to have some type of co-pay or coinsurance. Here is the information on coverage by Medicare.
Because the initial evaluation can take longer and require specialty assessments, it is not uncommon for a therapy clinic to charge more for the first visit.
Don’t hesitate to ask the clinic or therapist about the cost of your insurance at any point before or during occupational therapy. Especially, if there are any financial concerns about affording treatment. There may be options available to you to help cover the cost of therapy if your insurance does not cover treatment.
What is the typical duration (length) and frequency of outpatient OT?
Outpatient occupational therapy can vary tremendously in how often you go, how long each session is, and how many sessions you have during your plan of care, depending on your goals and condition.
A typical course would be a one hour session, 2-3 times a week for 4-8 weeks. But, for ongoing complex diagnoses, you may need to see an OT 1-2 times per week for 6-12 weeks. However, each plan of care duration and frequency look different depending on your diagnosis, your clinician’s clinical judgment, and insurance coverage.
For a deeper look into the typical course of treatment for common OT conditions, see our treatment guides.
If you’re managing a chronic condition, you may be eligible to receive what is called “maintenance therapy”. Maintenance therapy plans vary drastically but they often only involve one therapy visit per week. Maintenance therapy is most commonly provided for individuals with chronic conditions where they are at risk of a decline in function without treatment such as multiple sclerosis (MS), Parkinson’s, dementia, etc. Maintenance therapy is covered under Medicare Part B if certain criteria are met, but it may not be covered under other insurance plans.
Do I need to go to a clinic for outpatient occupational therapy?
Typically, when people think of outpatient occupational therapy they think of traveling to a therapy clinic or even visiting your local hospital to see the therapist.
But, you may be able to receive OT services in your own home. (This is called home-based occupational therapy). Home-based occupational therapy often includes home modifications and recommendations for aging safely at home. This type of therapy is billed differently than what is considered traditional home health which is commonly provided by a home health agency and can involve other clinicians such as a nurse and physical therapist.
OTs are also increasingly providing telehealth options. And, there is a growing number of pediatric therapists who chose to conduct sessions out in nature to leverage the healing power of natural environments.
To find out about options like these, we recommend reaching out to your local therapy clinic.
Why would you need outpatient therapy?
Occupational therapy practitioners help people participate in daily life when an injury or diagnosis makes it difficult to do so.
One way to identify if you need therapy is to ask yourself:
Is a health condition making it difficult to do something that used to be a part of my daily life?
If so, you may be a good fit for OT.
This would also be a good place to note that outpatient OT may be a later chapter in a long rehab journey. When it comes to OT for adults, you may have already seen occupational therapy practitioners in other settings, such as the hospital, inpatient rehab, skilled nursing facility, or in home health. However, some people jump straight to outpatient therapy especially if they had a joint replacement or an orthopedic surgery.
For kids, some may see an OT at school to address academic related difficulties and then an outpatient therapist for other pediatric interventions.
What should I look for in an outpatient occupational therapist?
This is the million-dollar question! While we all have OT training, we also have lots of specializations.
The first question is: are you looking for a pediatric outpatient therapist for your child or for someone who works with adults?
If you’re looking for an OT who works with children, head to our post on pediatric occupational therapy and then our post on pediatric interventions. This will give you an idea of what services OTs offer kids.
If you’re looking for an outpatient occupational therapist who works with adults, then there are several broad categories:
Orthopedic occupational therapist (who specializes in injuries impacting your joints and muscles)
Sports medicine
Hand therapist or Certified Hand Therapist (CHT) (who specializes in the upper extremity which includes the hand, elbow, shoulder, and sometimes neck)
Pelvic floor therapist (who specializes in incontinence, sexual health, and other issues involving the pelvic floor)
Lymphedema therapist
Neuro occupational therapy (specializing in conditions like Parkinson’s disease, MS, and stroke)
Dementia specialist
Pain specialist
Hippotherapist (who works with horses)
Aquatic therapist (who utilizes a pool)
To see a full list of our possible OT certifications see this post.
If you have a very specific need, we recommend calling the clinic and asking to speak with the therapist before seeing them to determine if they’re the right fit for you. Each therapist has unique knowledge and they want to make sure you get the best care possible. Additionally, each clinic is equipped with different technology. These devices are often called modalities which are used to enhance your recovery.
What to expect on your first visit?
Working with an occupational therapist is a partnership.
On your first visit we will want to discuss with you:
Your goals
What matters to you in the healing process
What difficulties you are having with completing daily tasks and living in your home
Any other factors (like diagnoses) that we need to know about
We may want to see you perform tasks that may be difficult. If there are any physical/cognitive impairments that are limiting you, we also may want to measure them with a standardized OT assessment. If you are concerned about remembering everything, it can be helpful to have a friend or family member come with you. If you had an injury, it can be helpful to the therapist if you bring a copy of your scans or tests you may have had previously such as MRIs, X-rays, CT, nerve conduction studies, etc.
After a thorough evaluation, your therapist will work with you to create a treatment plan that meets your needs. Learn more about OT treatment, with our occupational therapy treatment guides.
Bottomline—why is it worth it to see an OT?
There are lots of health “gurus” out there. But, we are of course totally biased on this site to OT.
OTs are highly trained, our licenses provide a high level of accountability, and that referral from your doctor is an indicator of how closely we work with your entire health care team!
We came to this field to help people like you. People who are going through a complex health situation. We will use all of the tools at our disposal—research, our experience, our network—to help you improve your day to day life.
We look forward to partnering with you!
Outpatient OT Courses
Musculoskeletal Treatment Pathways
Chad E. Cook, PT, PhD, MBA, FAPTA
Approved
What is Therapy & How Do We Measure It?
Megan Cornish, LICSW
Approved
Therapy and Value-based Care Models
Dana Strauss, PT, DPT
Approved
Therapy Credentialing and Billing 101
Kara Welke, OTD, OTR/L, CLT
Approved
Suicide Prevention for OT, PT, and SLP
Christine Weible-Cruz, LCSW
Approved
Healthcare, Therapy, and the Senate
Dan Osborn
Approved
SEO for Therapists
Saroosh Khan
Approved
Osteoarthritis of the Thumb
Preston Lockwood, OTD, OTR/L, CHT
Approved
The Ethics of AI as Therapists – Free OT CEU Course
Megan Cornish, LICSW
Approved
OT and Multiple Sclerosis Treatment
Makeda Jackson, OTD, OTR/L, MSCS
Approved
How OTs and PTs Get Paid
Dana Strauss, PT, DPT
Approved
Therapy Documentation in 2026
Pedro Teixeira, MD, PhD
Approved
How to Plan a Great OT Session
Rachel Egan, OTR/L, MS, CHT, COMT-UE
Approved
Intro to NICU OT
Nicole Bazinet, MS, OTR/L, IBCLC, CNT, NTMTC
Approved
Neuro Recovery After Stroke
Henry Hoffman, MS, OTR/L
Approved
Intro to Mental Health OT
Michelle R Burlyga, OTR/L
Approved
What is OT in 2026?
Angela Macauley, PMP • Katie Jordan, OTD, OTR/L, FAOTA
Approved
AI in Education
Melissa S Kimmerling, EdD, MOT, OTR/L • David Foster, PhD
Approved
Negotiating with Payers
Chad Herzog • John Hutchinson
Approved
OT and Vision Remediation
Alicia Reiser, OTD
Approved
OT and PT Collaboration
Rebeca Segraves, PT, DPT, WCS, CLT
Approved
AI Chat and Clinical Decision Support
Jen Weaver, PhD, OTR/L
Approved
OTA Hot Topics
Amy Mahle, Ed.D., COTA/L, ROH
Approved
OT and Heart Disease
Sabina Khan, PhD, OTD, OTR/L
Approved