Occupational Therapy Clinics in San Francisco, CA
Occupational Therapy Clinics in San Francisco, CA
- 312 West Portal Ave, San Francisco, CA 94127 (West Portal)
- (415) 800-7674
- coastsf.com
- Sensory integration, gross and fine motor skills, handwriting, feeding, emotional regulation, and social dyads for children ages 2–14; clinic, home, and school services
- What they're known for: A full-spectrum pediatric OT practice in West Portal that pairs sensory-integration work with social dyads and emotional-regulation support, delivered wherever the child does best — clinic, home, or school — across a wide childhood age range.
- 2398 Pine St, San Francisco, CA 94115 (Lower Pacific Heights)
- (415) 913-7676
- connectedkidzsf.com
- Sensory processing, gross and fine motor skills, and visual processing; speech services also available
- What they're known for: A sensory-gym clinic where children can climb, swing, and move while building motor and sensory-processing skills. Having speech available in the same practice is convenient for families who need more than one discipline.
- 342 Miramar Ave, San Francisco, CA 94112 (community-based — home, school, and parks)
- (614) 558-0357
- worldofot.com
- Evaluation, individualized occupational therapy, and caregiver support
- What they're known for: A community-based practice that deliberately works in the child's natural environments — home, school, and even neighborhood parks — with a strong emphasis on coaching caregivers so skills carry over into daily routines.
- 1426 Fillmore St, Ste 317, San Francisco, CA 94115 (Western Addition/Fillmore)
- (510) 394-5630
- peerplaysfbay.com
- Occupational therapy (NDT, sensory integration, DIR/Floortime), social skills groups, sensory-friendly haircuts, and teen life-skills programming
- What they're known for: A sensory-gym practice with an unusually thoughtful range of offerings — from DIR/Floortime and social-skills groups to sensory-friendly haircuts and teen life-skills work — making it a fit for families looking beyond standard 1:1 sessions.
- 1916 Lawton St, San Francisco, CA 94122 (Outer Sunset)
- interconnect-therapy.com
- Occupational therapy for regulation, sensory needs, and motor coordination; also offers ABA, speech, and social groups
- What they're known for: A multidisciplinary clinic in the Outer Sunset where OT sits alongside ABA, speech, and social groups — convenient for families who want several services coordinated under one team rather than scattered across the city.
- 585 8th Ave, San Francisco, CA 94118 (Inner Richmond)
- (415) 422-0095
- playwrite.org
- Sensory integration, fine motor skills, handwriting, self-regulation, feeding (SOS approach), reflex integration, and visual-motor skills; clinic plus home/school consultation
- What they're known for: A Richmond-district clinic with a deep specialty bench — including SOS feeding and reflex integration — and a name that signals its core strength in handwriting and the fine-motor foundations of school readiness.
- 98 Bosworth St, San Francisco, CA 94112 (Glen Park/Outer Mission)
- (415) 551-0975
- ottp-sf.org
- Mental-health-based, activity-based occupational therapy for youth
- What they're known for: A nonprofit with a distinctive mental-health focus, using meaningful activities to help youth build skills and resilience — a meaningful option for families seeking OT that addresses emotional and behavioral health alongside function.
- 1710 Scott St, San Francisco, CA 94115 (Western Addition)
- (415) 359-2443
- ccy.jfcs.org
- Sensory processing, sensory-motor development, feeding, autism and ADHD support, developmental delay, and early-childhood mental health; clinic plus school consultation
- What they're known for: Part of Jewish Family and Children's Services, this nonprofit integrates OT with early-childhood mental health and developmental support — a strong fit for young children whose sensory and emotional needs overlap. Services are open to families of all backgrounds.
- Teletherapy serving San Francisco (no physical SF clinic)
- (844) 695-4677
- kinspirehealth.com
- Sensory processing, ADHD, autism, motor delays, feeding, handwriting, regulation, and executive function
- What they're known for: A concierge, fully virtual OT model that coaches caregivers to deliver therapy strategies at home — a practical option for San Francisco families with packed schedules or those who prefer treatment embedded in everyday routines rather than a clinic visit.
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 San Francisco
The right OT depends on your needs, your schedule, and your budget. Here's what to weigh:
- Check credentials. Look for a registered and licensed occupational therapist (OTR/L) in California. For specialized needs, ask about training in sensory integration, feeding (for example, SOS), DIR/Floortime, or handwriting programs.
- Match the specialty to the need. Sensory processing, fine-motor and handwriting, feeding, and social-skills work are distinct strengths. Ask how often the therapist treats your child's specific concern.
- Plan for the San Francisco cost reality. Many clinics are private-pay; confirm session rates, in-network status, and whether you'll receive a superbill for PPO reimbursement. Ask about Medi-Cal, California Children's Services, and Golden Gate Regional Center funding if relevant.
- Consider the setting. A sensory gym offers equipment for big-movement work; home, school, and teletherapy models bring care into the child's natural environment. Several San Francisco providers offer more than one.
- 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 safe 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?
- Are you in-network, or do you provide a superbill?
- How will you coach me at home?
- What progress should we expect, and by when?
Occupational Therapy Resources in San Francisco
- Golden Gate Regional Center Coordinates services and California Early Start (birth to age three) for San Francisco children with developmental disabilities; can fund qualifying occupational therapy.
- California Early Start The statewide early intervention program for infants and toddlers, accessed locally through the Golden Gate Regional Center.
- UCSF Benioff Children's Hospital Pediatric OT evaluations, feeding and developmental clinics, and multidisciplinary care across the Bay Area.
- OTTP-NorCal A nonprofit offering mental-health-based occupational therapy for youth.
- JFCS Center for Children and Youth Nonprofit OT, feeding, and early-childhood mental-health services for families of all backgrounds.
- San Francisco Unified School District Public schools provide occupational therapy services through IEPs and 504 plans for eligible students.
Frequently Asked Questions
How much does occupational therapy cost in San Francisco, California?
Out-of-pocket pediatric occupational therapy in San Francisco generally runs about $150–$275 per session at private practices, with evaluations costing more. Many local clinics are private-pay and provide a superbill for out-of-network reimbursement. Hospital and nonprofit programs — such as UCSF Benioff Children's, OTTP-NorCal, and the JFCS Center for Children and Youth — may offer additional payment pathways, and the Golden Gate Regional Center can fund OT for qualifying children. Confirm rates directly with the provider.
Does insurance cover occupational therapy in San Francisco?
It varies by practice. Many San Francisco OT clinics are private-pay and provide superbills for out-of-network reimbursement, while medically necessary OT may be covered by Medi-Cal or California Children's Services for eligible children. The Golden Gate Regional Center funds occupational therapy for qualifying children through California Early Start and ongoing services. Because coverage and in-network status differ widely, 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. 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 San Francisco last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Some clinics also offer intensive models or social-skills groups that follow a different schedule.
Do San Francisco occupational therapists offer in-home, school, or teletherapy?
Yes. Several San Francisco-area OT providers — including COAST SF, World of OT, PlayWrite Therapy, and Kinspire Health — offer community-based, home, school, or fully virtual services, treating children in the environments where they live, learn, and play 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 or feeding, 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.
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.