Occupational Therapy Clinics in Richmond, VA

Out-of-pocket pediatric occupational therapy in the Richmond area generally runs about $100–$200 per session at private practices, with evaluations costing more. Many providers accept commercial insurance, TRICARE, and Virginia Medicaid (Cardinal Care, including Anthem HealthKeepers Plus and Aetna Better Health), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Mobile and hospital-affiliated models may be priced differently, so confirm rates directly with the provider.

Many Virginia plans cover occupational therapy when it is medically necessary, and Virginia Medicaid under Cardinal Care — including managed-care plans such as Anthem HealthKeepers Plus and Aetna Better Health of Virginia — covers OT for eligible children. TRICARE also covers medically necessary OT for military families, and several Richmond clinics (including the Ivy Rehab for Kids locations) accept it. Some practices are out-of-network and provide a superbill for reimbursement, so verify benefits before starting.

Pediatric OT helps children build the skills they need for daily life: fine motor and handwriting skills, sensory processing and self-regulation, visual-motor integration, motor planning and coordination, feeding, reflex integration, 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 Richmond last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Some clinics also offer screenings or hybrid in-home models that adjust the structure to fit the child and family.

Yes. Several Richmond-area OT providers — including Treehouse Pediatric Therapy, First Priority Occupational Therapy, RCG Health Network, and Aveanna Healthcare — offer in-home, virtual, or hybrid services, treating children in homes, private schools, and community settings in addition to clinic-based care. School Based Pediatric Therapies of Richmond delivers OT within Chesterfield-area schools.

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 CHoR at VCU evaluation, or a direct evaluation can clarify whether OT would help.

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.