Occupational Therapy Clinics in Portland, OR
Occupational Therapy Clinics in Portland, OR
- 8339 SW Beaverton Hillsdale Hwy, Portland, OR 97225
- (503) 245-5639
- pediatric-ot.com
- Sensory integration, handwriting, social skills, postural and core development, Therapeutic Listening, DIR/Floortime, the Early Start Denver Model (ESDM) for autism, and Interactive Metronome
- What they're known for: A southwest Portland clinic with a deep toolbox of evidence-based and specialized approaches — including ESDM and Interactive Metronome — making it a strong fit for children with autism or significant sensory and regulation needs.
- 12650 SE Stark St, Portland, OR 97233
- (503) 477-9527
- pdxpediatrics.com
- Sensory and primitive-reflex integration, Therapeutic Listening, Wilbarger deep-pressure protocol, vestibular work, Brain Gym, HANDLE, and Bal-A-Vis-X; serves birth–21+
- Accepts most insurances
- What they're known for: A Southeast Portland, play-based clinic with a sensory- and reflex-integration focus and an unusually wide age range — plus acceptance of most insurances, which helps with access.
- 5200 S Macadam Ave #120, Portland, OR 97239
- (971) 204-8839
- knplayot.com
- Sensory and emotional regulation, fine motor skills, executive function, social skills, handwriting, ADHD, and autism
- What they're known for: A South Waterfront clinic with a strong emphasis on regulation and executive function — a good match for children with ADHD or autism who need support with attention, emotions, and daily routines.
- 1425 N Killingsworth St, Portland, OR 97217
- (503) 575-9402
- brightspotkids.com
- Sensory processing, self-regulation, social-emotional skills, and fine and gross motor development; play-based
- What they're known for: A North Portland, play-based practice focused on sensory processing and social-emotional growth — welcoming for younger children who do best when therapy feels like play.
- 8028 E Burnside St, Portland, OR 97215
- (503) 502-7515
- wholecircletherapy.com
- Sensory integration, executive function, emotional regulation, fine motor and handwriting, praxis, DIR/Floortime, feeding and picky eating, and autism support (also offers speech)
- What they're known for: An east-side clinic with a broad scope spanning sensory, motor, feeding, and executive-function work — and speech services on site — convenient for families who want coordinated, multidisciplinary care.
- 2205 NE Columbia Blvd Ste E, Portland, OR 97211
- (503) 895-1320
- childrensintensivetherapy.com
- Developmental delay, ADHD, sensory integration, feeding and oral motor, handwriting, fine and gross motor skills, and social skills; experience with Down syndrome, cerebral palsy, and autism; individual and group sessions
- What they're known for: A Northeast Portland outpatient clinic offering both individual and group OT across a wide range of pediatric needs — a fit for children with developmental, motor, or sensory goals who benefit from intensive, coordinated support.
- Serving Portland, OR and surrounding communities (in-home and community-based; no fixed clinic)
- (503) 683-7700
- gatherandgrowpdx.com
- Early neurodevelopment, sensory and feeding support, care for high-risk and NICU infants, and developmental delay; serves birth to age 2
- What they're known for: An in-home and community-based practice specializing in the earliest years — including high-risk and NICU graduates — bringing developmental support directly into a baby's natural routines and environment.
- 10130 NE Skidmore St, Portland, OR 97220 (multi-site: also Oregon City, Canby, Hillsboro, and Wilsonville)
- (503) 766-5149
- nt4kids.org
- Pediatric occupational therapy, physical therapy, speech, and mental health services; serves birth through adolescence
- What they're known for: A multi-site nonprofit offering OT alongside PT, speech, and mental health under one organization — convenient for families across the metro who want several disciplines coordinated in one place.
- 8880 SW Nimbus Ave Ste C, Beaverton, OR 97008
- (503) 352-0240
- nhws.us
- Developmental delay, sensory processing, autism, social skills, fine motor and handwriting, and executive function
- What they're known for: A Beaverton practice offering both in-person and teletherapy options across a broad range of pediatric OT needs — convenient for west-side families who value flexible delivery.
- 700 SW Campus Dr, 7th fl, Portland, OR 97239
- (503) 494-3151
- ohsu.edu
- Self-care skills, fine motor development, hand-eye coordination, adaptive devices, and the Neonatal Transition Clinic
- What they're known for: Based in the Child Development and Rehabilitation Center (CDRC) at Oregon's academic children's hospital, OHSU Doernbecher provides team-based OT and specialized programs like the Neonatal Transition Clinic — a strong choice for children with complex or medically involved needs.
- 5441 S Macadam Ave Ste R, Portland OR 97239
- 207-240-4345
- connectplaygrowot.com
- Pediatric occupational therapy for everyday skills — dressing, making friends, succeeding at school — with personalized plans built around each child's strengths
- What they're known for: A child-centered practice that partners with the family on the plan rather than handing one over.
- 2029 NE Cesar E Chavez Blvd, Portland OR 97212
- 971-888-5265
- groundplaytherapy.com
- Pediatric occupational therapy using play-based activities to build the skills a child needs to play, learn and grow
- What they're known for: A clinic that publishes families' own accounts of finding the right therapist, for parents who are still deciding whether occupational therapy is the answer.
- 1336 NW Flanders St, Portland OR 97209
- 503-882-0988
- holisticcommunitytherapy.com
- Occupational therapy and mental wellness services for adults living with cognitive change, brain injury or mental illness; seen at home, in the community or virtually
- What they're known for: Therapy aimed at the practical business of keeping up with daily life, delivered where the client actually lives it rather than in a clinic room.
- 2870 NW Cornell Rd, Portland OR 97210
- 503-720-4634
- steps2grow.com
- Pediatric occupational therapy with parent coaching, supporting both typical and atypical development
- What they're known for: Therapy paired with coaching for the parent, so the work continues between appointments rather than only inside them.
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 Portland
The right OT depends on your needs, age, and your family's preferences. Here's what to weigh:
- Check credentials. Look for a licensed occupational therapist (OT) in Oregon. For specialized needs, ask about relevant experience and certifications (for example, sensory integration training, DIR/Floortime, or feeding-specific training).
- Match the specialty to the need. Sensory integration, handwriting, feeding, and executive function are distinct focus areas. Ask how often the therapist treats your child's specific concern.
- Confirm insurance and cost up front. Verify in-network status, copays, and visit limits, or ask about superbills if the practice is out-of-network. Several Portland clinics accept the Oregon Health Plan (OHP).
- Consider the setting. Clinics offer specialized sensory-gym equipment; in-home and community-based OT helps very young children build skills in their natural routines. Some providers offer teletherapy too.
- Ask about caregiver coaching. Progress accelerates when parents practice strategies between visits. Ask how the therapist will involve you and track goals.
- Trust the rapport. Your child should feel comfortable and engaged. Many practices offer a brief consultation — use it to gauge fit before committing.
Questions to ask during a consultation
- What is your experience with my child's diagnosis?
- How will you set and measure goals?
- How often are sessions, and for how long?
- How will you coach me at home?
- What outcomes should we expect, and by when?
Occupational Therapy Resources in Portland
- Oregon Early Intervention/Early Childhood Special Education (EI/ECSE) Free developmental evaluations and early supports for children birth to age three, delivered through county and Education Service District (ESD) programs, with transition to school-based services at age three.
- Oregon Health Plan (OHP/Medicaid) Covers medically necessary occupational therapy for eligible children; many Portland practices accept OHP or its coordinated care plans.
- OHSU Doernbecher Children's Hospital (CDRC) Pediatric OT evaluations, the Neonatal Transition Clinic, and multidisciplinary care for children with complex needs.
- Randall Children's Hospital (Legacy Emanuel) Pediatric development and rehabilitation services for families across the metro.
- Your child's school district Public schools provide occupational therapy services through IEPs and 504 plans for eligible students.
Frequently Asked Questions
How much does pediatric occupational therapy cost in Portland, Oregon?
Out-of-pocket pediatric occupational therapy in the Portland area typically runs about $130–$220 per session at private practices, while hospital-affiliated programs such as OHSU Doernbecher may bill differently. Many Portland providers accept commercial insurance and the Oregon Health Plan (OHP/Medicaid), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Always confirm rates and coverage directly with the provider.
Does insurance cover occupational therapy in Oregon?
Many Oregon health plans cover occupational therapy when it is medically necessary, and the Oregon Health Plan (OHP/Medicaid) covers OT for eligible children. Coverage limits, prior-authorization rules, and visit caps vary by plan, so verify benefits before starting. Some Portland practices are private-pay or out-of-network and can submit claims or provide a superbill for reimbursement.
What conditions does pediatric occupational therapy treat?
Pediatric occupational therapists treat sensory processing differences, fine motor and handwriting difficulties, self-regulation and emotional challenges, executive-function and attention concerns, feeding and picky eating, and the daily-living and self-care skills affected by conditions such as autism, ADHD, developmental delay, and Down syndrome. The goal is greater independence in everyday activities.
How long are pediatric occupational therapy sessions?
Most pediatric OT sessions in Portland last 45 to 60 minutes, with frequency depending on the child's goals — often once or twice a week. Evaluations usually take 60 to 90 minutes. Many sessions are play-based, which helps younger children stay engaged while building skills.
Do Portland occupational therapists offer in-home visits?
Yes. Some Portland-area OT providers offer in-home or community-based care — for example, Gather and Grow PDX serves infants and toddlers in the home and community, and New Horizons Wellness Services offers teletherapy in addition to in-person care. In-home OT can be especially helpful for very young children and for building skills in natural routines.
What is sensory integration therapy?
Sensory integration therapy is an OT approach that helps children who over- or under-respond to sensory input — touch, movement, sound, or body awareness — process those signals more effectively. Through purposeful, play-based activities in a controlled environment, therapists help children improve regulation, attention, motor coordination, and participation in daily life. Several Portland clinics specialize in this approach.
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.