Occupational Therapy Clinics in Fort Worth, TX

Occupational Therapy Clinics in Fort Worth, TX

  • 4011 Benbrook Hwy, Suite B, Fort Worth, TX 76116 (west Fort Worth, near Benbrook)
  • (817) 386-5500
  • cowtownpediatrixclinic.com
  • Sensory integration, fine motor, motor planning, handwriting, activities of daily living, visual-perceptual skills, and emotional regulation; experience with autism, ADHD, and dysgraphia
  • In-network with BCBS, Cigna, American Specialty Health, and Curative
  • What they're known for: A west-side clinic pairing OT with speech under one roof, with a clear sensory-integration and emotional-regulation focus. The in-network BCBS and Cigna options make it an accessible first call for many Fort Worth families managing autism, ADHD, or handwriting struggles.
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  • 4524 Boat Club Rd, Suite 180, Fort Worth, TX 76135 (Lake Worth area, northwest Fort Worth)
  • (817) 764-3825
  • littleredwagontherapy.com
  • Sensory integration, fine motor, handwriting (Handwriting Without Tears), feeding (SOS approach), self-care, neurodevelopmental treatment (NDT), and primitive reflex integration
  • Accepts most major insurance plans (specific carriers not named)
  • What they're known for: A northwest Fort Worth practice with a deep toolkit — HWT for handwriting, the SOS approach for feeding, NDT, and reflex integration — plus teletherapy. The breadth makes it a strong fit for children who need sensory, motor, and feeding goals addressed together.
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  • 4537 Heritage Trace Pkwy, Bldg 11A, Fort Worth, TX 76244 (far north Fort Worth / Alliance area)
  • (817) 442-0222
  • pediaplex.net
  • Sensory integration, fine motor, handwriting, motor planning, visual-motor skills, self-help, feeding, and autism support; delivered as 1:1 sessions
  • In-network with Aetna, Cigna, ComPsych, Curative, Magellan, Oscar, Scott & White, and UnitedHealthcare (does not accept Medicare or Tricare)
  • What they're known for: A north Fort Worth multidisciplinary clinic offering 1:1 OT alongside speech and ABA, well suited to children on the autism spectrum who benefit from coordinated sensory, motor, and behavioral support in one place.
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  • 1719 8th Ave, Fort Worth, TX 76110 (Near Southside medical district)
  • (682) 885-4063
  • cookchildrens.org
  • Pediatric occupational therapy, feeding therapy, hand therapy, and serial casting; hospital-affiliated, by referral
  • What they're known for: Fort Worth's flagship pediatric hospital brings specialized OT services — including hand therapy and serial casting for tone management — that are difficult to find in stand-alone clinics. A strong choice for children with complex, post-surgical, or medically involved needs who benefit from hospital-level coordination.
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  • 9660 Bartlett Circle, Fort Worth, TX 76108 (west Fort Worth)
  • (817) 929-5655
  • harrell-ot-peds.com
  • Sensory processing, self- and co-regulation, infant mental health, executive function, motor and coordination skills, and Dynamic Movement Intervention (DMI); clinic, in-home, community, and teletherapy delivery
  • What they're known for: A relationship-focused practice that blends sensory and motor work with infant mental health and co-regulation, and meets children wherever they are — clinic, home, community, or online. A fit for families wanting a developmentally and emotionally attuned, flexible-setting approach.
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  • 7201 Hawkins View Dr, Suite 151, Fort Worth, TX 76132 (southwest Fort Worth)
  • (817) 479-7019
  • monkeymouths.com
  • Sensory integration, fine and gross motor, daily living skills, handwriting, visual-perceptual skills, and primitive reflex integration (MNRI)
  • What they're known for: Best known as a speech clinic, Monkey Mouths also offers OT in southwest Fort Worth, with reflex-integration (MNRI) and sensory work that complements its communication services — convenient for families who want speech and OT coordinated in one location.
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  • 1000 St Louis Ave, Suite 102, Fort Worth, TX 76104 (Near Southside)
  • (817) 921-5020
  • aveanna.com
  • Sensory processing, fine motor, and cognitive/processing skills, delivered through a multidisciplinary pediatric team; clinic and in-home options
  • What they're known for: A larger pediatric home-health and clinic organization offering OT as part of a multidisciplinary team, with the flexibility of both clinic and in-home visits — convenient for families coordinating several services or who need care delivered at home.
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What Does an Occupational Therapist Treat?

Pediatric occupational therapists help children develop the everyday skills they need to play, learn, and grow more independently. That includes fine and gross motor coordination, handwriting, sensory processing and self-regulation, feeding, motor planning and praxis, visual-perceptual skills, and executive functioning. Sessions are typically play-based and tailored to each child's goals. For adults, occupational therapy covers the same question in a different life: managing daily tasks, work and self-care after injury, illness or a change in ability.

Conditions Occupational Therapy Can Help With

Occupational therapy supports children with a wide range of needs, including sensory processing differences, autism, ADHD and attention difficulties, developmental delay and coordination difficulties, feeding challenges, handwriting and fine-motor delays, and emotional-regulation difficulties. Many clinics also offer evaluations and developmental screenings.

How to Choose an Occupational Therapist in Fort Worth

The right OT depends on your child's specific goals, your schedule, and your coverage. Here's what to weigh:

  • Check credentials. Look for a licensed occupational therapist (OTR/L) in Texas. For specific needs, ask about extra training — for example, sensory integration certification, feeding (SOS), handwriting programs, or reflex integration.
  • Match the specialty to the need. Sensory processing, handwriting, feeding, executive function, and self-regulation are distinct focus areas. Ask whether the therapist regularly treats your child's concern.
  • Confirm insurance and cost up front. Verify in-network status, copays, and visit limits — including for Texas Medicaid, CHIP, and STAR Kids — or ask about self-pay rates and Good Faith Estimates for practices that are out-of-network.
  • Consider the setting. Clinics with sensory gyms offer specialized equipment; mobile and in-home OT brings therapy into real-life routines. Choose what fits your child best.
  • Ask about caregiver coaching. The best outcomes come when families carry strategies into daily life. Ask how the therapist will involve you and measure progress.
  • Trust the rapport. Your child should feel safe and engaged. Use an intro call or first session to judge fit.

Questions to ask during a consultation

  1. What is your experience with my child's needs?
  2. How will you set and measure goals?
  3. How often are sessions, and for how long?
  4. How will you coach me at home?
  5. What's your approach if progress stalls?

Occupational Therapy Resources in Fort Worth

  • Texas Early Childhood Intervention (ECI) — Tarrant County Developmental evaluations and OT services for children birth to age three on a sliding-fee scale, with no family turned away for inability to pay.
  • Cook Children's Health Care System Pediatric OT evaluations, hand therapy, serial casting, and multidisciplinary clinics across North Texas.
  • Texas Medicaid, CHIP & STAR Kids Public coverage for medically necessary OT for eligible children; STAR Kids serves children with disabilities and complex needs.
  • TWU School of Occupational Therapy (Denton/Dallas) A university program in the region that can be a resource for evaluations and community services.
  • Your child's school district Fort Worth ISD and surrounding districts provide OT services through IEPs and 504 plans for eligible students.

Frequently Asked Questions

How much does occupational therapy cost in Fort Worth, Texas?

Out-of-pocket pediatric occupational therapy in the Fort Worth area generally runs about $100–$200 per session at private practices, with evaluations costing more. Many providers accept commercial insurance and Texas Medicaid (including STAR Kids managed care), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Some clinics are self-pay only and provide a Good Faith Estimate, so confirm rates directly with the provider.

Does insurance cover occupational therapy in Texas?

Many Texas plans cover occupational therapy when it is medically necessary, and Texas Medicaid, CHIP, and STAR Kids cover OT for eligible children. Some Fort Worth practices — such as AL-Inclusive Therapy Services — are self-pay only and provide a Good Faith Estimate for out-of-network reimbursement. Coverage limits and prior-authorization rules vary by plan, so verify benefits before starting.

What does pediatric occupational therapy help with?

Pediatric OT helps children build the skills they need for daily life: fine motor and handwriting skills, sensory processing and self-regulation, visual-motor and visual-perceptual integration, motor planning and coordination, feeding and oral-motor skills, and self-care tasks like dressing. OTs often support children with autism, ADHD, sensory processing differences, and developmental delays.

How long are occupational therapy sessions for children?

Most pediatric OT sessions in Fort Worth last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Some clinics also offer intensive or burst models that compress more therapy into a shorter period.

Do Fort Worth occupational therapists offer in-home or mobile therapy?

Yes. Several Fort Worth-area OT providers offer in-home or mobile services. AL-Inclusive Therapy Services delivers mobile, in-home OT (plus teletherapy), Full Bloom Pediatric Therapy treats children in the clinic, home, and community, and Aveanna Healthcare provides both clinic and in-home pediatric care — useful for children who do best in their natural environment.

How do I know if my child needs occupational therapy?

Consider an OT evaluation if your child struggles with handwriting or fine motor tasks, is over- or under-sensitive to sensory input, has trouble with self-care like dressing or feeding, avoids age-appropriate play, or has difficulty with attention and self-regulation. A pediatrician referral, a Texas ECI referral for children under three, or a direct evaluation can clarify whether OT would help.

How long is the wait for a first appointment?

It varies by practice rather than by city, so it is worth asking when you call — a clinic with a long wait for weekly therapy will often book an evaluation much sooner, and some hold cancellation slots. Because of that, most families contact more than one practice on this page rather than waiting on the first. If your child is under three, your state's early intervention program runs on its own timeline and is worth starting in parallel.

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Medical disclaimer. This directory is for general informational purposes. A listing is not an endorsement, referral, or recommendation, and inclusion does not mean we have verified a provider’s credentials, licensure, or insurance. Confirm those directly with the provider before booking. DrSensory is not affiliated with the practices listed.