Occupational Therapy Clinics in Rochester, NY
Occupational Therapy Clinics in Rochester, NY
- 250-B Lucius Gordon Dr, Suite 3B, West Henrietta, NY 14586 (serves the greater Rochester area)
- (585) 322-5999
- flowercityot.com
- Developmental delays, sensory and emotional regulation, fine and visual motor skills, motor planning, activities of daily living, autism, ADHD, Tourette/tic disorders (CBIT), and handwriting
- What they're known for: A neurodiversity-affirming, family-centered clinic in West Henrietta that pairs hands-on therapy with caregiver coaching. Its CBIT (Comprehensive Behavioral Intervention for Tics) offering is relatively uncommon locally, making it a notable option for children with tic disorders alongside more typical sensory and fine-motor needs.
- Serving the greater Rochester area (in-home and community-based; no public street address)
- rochesterotservices.com
- Pediatric and adolescent OT addressing physical, sensory, and emotional needs, plus life-skills development
- What they're known for: An in-home and community-based practice that brings OT into the child's own environment — a good fit for older children and teens working on life skills, and for families who prefer therapy embedded in daily routines rather than a clinic.
- 1057 East Henrietta Rd, Suite 500, Rochester, NY 14623 (Henrietta)
- (585) 258-3811
- sbstherapycenter.com
- Sensory processing, fine motor skills, handwriting, and feeding therapy
- Accepts Excellus BCBS, BCBS BlueCard, MVP, UnitedHealthcare Commercial, Cigna, Aetna, and Lifetime Benefit Solutions/RMSCO
- What they're known for: A multidisciplinary Henrietta clinic offering OT alongside speech and physical therapy, convenient for families coordinating more than one discipline. Note: this practice is rebranding to "Sprout Therapy Group" at the same location, so you may see either name; confirm current insurance participation when booking.
- 1000 Elmwood Ave, Suite 400, Rochester, NY 14620 (also 3199 West Ridge Rd, Rochester, NY 14626)
- (585) 271-0680
- rhsc.org
- Pediatric occupational therapy alongside speech and physical therapy, including Early Intervention (birth–3) and Preschool/CPSE (3–5) services
- Accepts a variety of insurances (specifics not stated — confirm your plan directly)
- What they're known for: An Al Sigl member agency and one of Rochester's cornerstone providers, RHSC integrates OT with speech and PT and participates in New York's Early Intervention and preschool (CPSE) programs — a strong fit for younger children who benefit from coordinated, multidisciplinary care.
- 2099 West Ridge Rd, Rochester, NY 14626 (Greece)
- (607) 235-3980
- childrenstherapynetwork.org
- Pediatric occupational therapy delivered in-home, in-clinic, or virtually
- What they're known for: A flexible multidisciplinary network on the west side offering OT across multiple settings — in the home, at the clinic, or via telehealth — which helps families choose the environment where their child engages best.
- 149 N Main St, Fairport, NY 14450 (serves Monroe, Wayne, and Ontario counties)
- (585) 377-2230
- brightstart.biz
- Occupational therapy plus speech, special education, physical therapy, an autism program, and social work for children birth to age five
- What they're known for: A Fairport-based Early Intervention and preschool (CPSE) agency that delivers OT as part of a full early-childhood team — a comprehensive option for families of infants, toddlers, and preschoolers, including those served outside Monroe County in Wayne and Ontario.
- 4245 East Ave, Rochester, NY 14618 (Pittsford/Brighton border)
- (585) 389-2525
- naz.edu
- Pediatric (and adult) sensory processing occupational therapy
- Available regardless of insurance; donation-based; a prescription is required
- What they're known for: A university teaching clinic where care is delivered by OT students under licensed supervision in seasonal seven- to eight-week sessions. Because it is donation-based and open regardless of insurance, it can be an accessible route to sensory-focused OT for families facing cost or coverage barriers.
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 Rochester
The right OT depends on your child's age, diagnosis, and your family's preferences. Here's what to weigh:
- Check credentials. Look for a registered, New York–licensed occupational therapist (OTR/L). For specialized needs, ask about training in sensory integration, feeding, handwriting programs, or tic interventions like CBIT.
- Match the specialty to the need. Sensory processing, fine-motor and handwriting, feeding, and life-skills work are distinct areas. Ask how often the therapist treats your child's specific concern.
- Explore publicly funded services first. For children birth to three, New York's Early Intervention Program can provide OT at no cost when eligible; for ages three to five, your district's CPSE may authorize preschool OT. Agencies like Bright Start, RHSC, and Mary Cariola participate in these systems.
- Confirm insurance and cost up front. Verify in-network status and visit limits, and ask about superbills or alternative models — Nazareth's clinic, for example, is donation-based and open regardless of insurance but requires a prescription.
- Consider the setting. In-home and community-based OT suits children who do best in familiar environments; clinics offer specialized sensory gyms and equipment.
- Ask about caregiver coaching. Progress accelerates when parents reinforce strategies at home. Ask how the therapist will involve you and track goals.
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 Rochester
- Monroe County Early Intervention Program Free developmental evaluations and OT for eligible children birth to age three, coordinated through the county Department of Public Health.
- Committee on Preschool Special Education (CPSE) Through your local school district, provides OT and related services at no cost for eligible children ages three to five.
- Al Sigl Community of Agencies A network of Rochester member agencies supporting children and adults with disabilities, including providers of pediatric OT.
- Nazareth University York Wellness & Rehabilitation Institute A donation-based, supervised sensory processing OT clinic open regardless of insurance (prescription required).
- Your child's school district Public schools provide OT services through IEPs and 504 plans for eligible students.
Frequently Asked Questions
How much does occupational therapy cost in Rochester, NY?
Private-pay pediatric occupational therapy in the Rochester area generally runs about $100–$200 per session, with evaluations costing more. Many providers accept commercial insurance and New York Medicaid, which can reduce your cost to a copay or to $0 for covered, medically necessary services. Some programs use alternative models — for example, Nazareth University's sensory processing clinic is donation-based and available regardless of insurance — so confirm rates directly with the provider.
Does New York Early Intervention cover occupational therapy in Rochester?
Yes. New York's Early Intervention Program (EIP) provides occupational therapy at no cost to families for eligible children from birth to age three, coordinated through the Monroe County Department of Public Health. For children ages three to five, the Committee on Preschool Special Education (CPSE) in your school district can authorize OT at no cost when a child qualifies. Rochester preschool and EI agencies such as Bright Start Pediatric Services and Rochester Hearing & Speech Center participate in these programs.
What does pediatric occupational therapy help with?
For children, occupational therapy helps them 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, and self-care tasks like dressing. Rochester OTs often support children with autism, ADHD, sensory processing differences, tic disorders, and developmental delays.
How long are occupational therapy sessions for children?
Most pediatric OT sessions in Rochester last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Some programs run on different schedules — for example, Nazareth University's sensory processing clinic offers seasonal seven- to eight-week sessions.
Do Rochester occupational therapists offer in-home or community-based therapy?
Yes. Several Rochester-area OT providers — including Rochester Occupational Therapy Services and Children's Therapy Network — offer in-home or community-based services, treating children in homes, daycares, schools, and community settings in addition to clinic-based care across Monroe County.
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, an Early Intervention referral, 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.