Top 10 Occupational Therapists in San Antonio, Texas (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.

Occupational therapy helps children master the everyday skills that make childhood work — gripping a pencil, managing big feelings, tolerating new textures, getting dressed, eating, toileting, and navigating a busy classroom. San Antonio families have an unusually rich set of options, from sensory-gym clinics on the north side to hospital-affiliated rehabilitation at Methodist Children's, to the Brighton Center, a Texas Early Childhood Intervention (ECI) provider that treats babies and toddlers right in their homes and childcare settings. Whether your child is working through sensory processing differences, fine-motor delays, autism, ADHD, Down syndrome, cerebral palsy, or self-regulation challenges, there's a Bexar County OT suited to the way your family lives — including bilingual, Spanish-speaking care.

To build this guide, we reviewed San Antonio-area occupational therapy practices and verified that each is currently operating, then captured the specialties, locations, 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 — including Texas Medicaid, CHIP, and STAR Kids where applicable.

Top 10 Occupational Therapy Providers in San Antonio, TX

How to Choose an Occupational Therapist in San Antonio

The right OT depends on your child's specific goals, your family's language, 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 programs (SOS/SOFFI), or handwriting curricula like Learning Without Tears.
• Match the specialty to the need. Sensory processing, handwriting, feeding, reflex integration, and self-regulation are distinct focus areas. Ask whether the therapist regularly treats your child's concern.
• Consider ECI for the under-3 set. If your child is birth to three, a Texas ECI provider like the Brighton Center can deliver OT in your home or childcare on a sliding-fee scale.
• Confirm insurance and cost up front. Verify in-network status with your plan — including Texas Medicaid, CHIP, or STAR Kids — plus copays and visit limits, or ask about superbills if the practice is private-pay.
• Consider the setting. Clinics with sensory gyms offer specialized equipment; in-home and community OT builds skills into real-life routines. Choose what fits your child best.
• 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: What is your experience with my child's needs? Do you offer services in Spanish? How will you set and measure goals? How often are sessions, and for how long? How will you coach me at home? What's your approach if progress stalls?

Occupational Therapy Resources in San Antonio

• Texas Early Childhood Intervention (ECI) — Free or sliding-scale developmental and occupational therapy services for children birth to age three; the Brighton Center serves Bexar County families in home and community settings.
• Texas Medicaid, CHIP & STAR Kids — Public coverage and managed care that fund medically necessary OT for eligible children, including those with disabilities.
• Methodist Children's, University Health & CHRISTUS Children's — Major San Antonio systems offering pediatric rehabilitation and multidisciplinary evaluations.
• UT Health San Antonio / local university clinics — Teaching programs that can be a resource for evaluations and community services.
• Your child's school district — Texas public schools provide OT services through IEPs and 504 plans for eligible students.

Frequently Asked Questions

How much does occupational therapy cost in San Antonio, Texas?

Out-of-pocket pediatric occupational therapy in San Antonio generally runs about $100–$200 per session at private practices, with evaluations costing more. Many providers accept commercial insurance, Texas Medicaid, and CHIP, which can reduce your cost to a copay or to $0 for covered, medically necessary services. Confirm rates directly with the provider.

Does Texas Medicaid or ECI cover occupational therapy in San Antonio?

Yes. Texas Medicaid and CHIP cover medically necessary occupational therapy for eligible children, and STAR Kids managed-care plans coordinate OT for children with disabilities. For children from birth to age three, Texas Early Childhood Intervention (ECI) provides developmental and occupational therapy services on a sliding-fee scale, with the Brighton Center serving Bexar County families. 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 integration, motor planning and coordination, feeding, and self-care tasks like dressing and toileting. OTs often support children with autism, ADHD, sensory processing differences, Down syndrome, cerebral palsy, and developmental delays.

How long are occupational therapy sessions for children?

Most pediatric OT sessions in San Antonio last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Hospital-affiliated programs like Methodist Children's may require a physician referral and schedule on their own intake timelines.

Do San Antonio occupational therapists offer in-home or community-based therapy?

Yes. Several San Antonio-area OT providers — including High Five Kids Therapy, Circle of Care, Pediatric Therapy Specialists, and the Brighton Center (a Texas ECI provider that treats children in homes, childcare, and community settings) — offer in-home, community, or teletherapy services in addition to clinic-based care.

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, eating, or toileting, avoids age-appropriate play, or has difficulty with attention and self-regulation. A pediatrician referral or a direct evaluation can clarify whether OT would help.

Find More Therapists in San Antonio

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