Top 10 Occupational Therapists in Portland, Oregon (2026)

Verified June 2026. Listings reflect publicly available information from provider websites and directories. Always confirm current services, availability, and insurance directly with the provider.

Pediatric occupational therapy helps children build the everyday skills that let them learn, play, and grow with confidence — from sensory processing and self-regulation to fine motor control, handwriting, feeding, and executive function. Whether your child has a sensory processing difference, autism, ADHD, a developmental delay, or simply needs help with the building blocks of daily life, the Portland metro offers a strong network of pediatric OT providers. Options span sensory-integration specialists, play-based clinics, in-home and community-based therapists, multidisciplinary practices, and OHSU Doernbecher Children's Hospital, with locations from inner Portland out to Beaverton.

Before you call a private clinic, it helps to know what Oregon offers at no or low cost. For children from birth to age three, Oregon's Early Intervention/Early Childhood Special Education (EI/ECSE) program — delivered through county and Education Service District (ESD) programs — provides free developmental evaluations and early supports, transitioning into school-based services at age three. The Oregon Health Plan (OHP/Medicaid) also covers medically necessary occupational therapy for eligible children. To build this guide, we reviewed Portland-area pediatric OT practices and verified that each is currently operating, then captured the specialties, locations, insurance, and service models that matter most to families. We list every provider that met our verification bar; the order below reflects breadth of services and accessibility, not a paid or scored ranking. Use it as a starting point, then reach out to the practices that fit your child's needs and your insurance.

Top 10 Occupational Therapy Providers in Portland, OR

How to Choose a Pediatric Occupational Therapist in Portland

The right OT depends on your child's 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 pediatric 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?

Pediatric 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.

Find More Therapists in Portland

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Related Resources on DrSensory

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• Autism Spectrum Disorder (ASD)