Top 10 Occupational Therapists in San Jose, California (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 build the everyday skills that make childhood work — holding a pencil, managing big feelings, tolerating new textures, getting dressed, and navigating a busy classroom. For families across San Jose, the options are strong and varied: from sensory-integration clinics in Almaden and Cambrian, to feeding-focused practices using the SOS approach, to mobile therapists who come to your home, daycare, or school. Whether your child is working through sensory processing differences, fine-motor delays, autism, ADHD, retained primitive reflexes, or self-regulation challenges, there's a South Bay OT suited to the way your family lives.

To build this guide, we reviewed San Jose-area occupational therapy practices and verified that each is currently operating, then captured the specialties, locations, and service models that matter most. A few of the strongest pediatric OT providers serving San Jose are based in neighboring South Bay cities — Campbell, Cupertino, and Mountain View — and we've noted their real locations while making clear they serve San Jose families. One practical note: many South Bay clinics are private-pay or out-of-network and provide a superbill rather than billing insurance directly. 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, and ask whether your child may qualify through the San Andreas Regional Center or California Early Start.

Top 10 Occupational Therapy Providers in San Jose, CA

How to Choose an Occupational Therapist in San Jose

The right OT depends on your child's needs, your schedule, and your budget. Here's what to weigh:

• Check credentials. Look for a licensed occupational therapist (OTR/L) in California. For specialized needs, ask about training in sensory integration, the SOS feeding approach, DIR/Floortime, or primitive reflex integration.
• Match the specialty to the need. Sensory processing, feeding, handwriting, and self-regulation are distinct areas. Ask how often the therapist treats your child's concern.
• Confirm insurance and cost up front. Many South Bay practices are private-pay or out-of-network — verify status or ask for a superbill. A few, like Pediatric Play Therapy, accept a broad list of commercial and Medi-Cal managed-care plans.
• Ask about funding sources. Children under three may qualify for California Early Start through the San Andreas Regional Center, and some services are covered by Medi-Cal or regional center funding.
• Consider the setting. In-home and mobile OT suits young children and busy families; clinics offer specialized sensory gyms. Several San Jose providers offer both.

Questions to ask during a consultation: What is your experience with my child's diagnosis? Are you private-pay or do you bill insurance, and do you provide superbills? How will you set and measure goals? How often are sessions, and for how long? How will you coach me at home?

Occupational Therapy Resources in San Jose

• San Andreas Regional Center (SARC) — Coordinates California Early Start services for children birth to three and ongoing support for those with qualifying developmental disabilities in Santa Clara County.
• California Early Start — The statewide early-intervention program offering free developmental evaluations and services for infants and toddlers with delays or disabilities.
• Stanford Children's Health & Santa Clara Valley Medical Center — Hospital-based pediatric OT evaluations and multidisciplinary clinics for children with complex or co-occurring medical needs.
• SJSU Department of Occupational Therapy — A university program that contributes to local clinical training and community resources for families.
• 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 occupational therapy cost in San Jose, CA?

Private-pay pediatric occupational therapy across the South Bay generally runs about $150–$275 per session, with evaluations costing more, reflecting Silicon Valley's higher cost of practice. Many San Jose OT clinics are out-of-network and provide a superbill, while some are in-network with commercial plans or accept Medi-Cal managed-care plans. Confirm rates directly with the provider.

Does insurance cover occupational therapy in California?

Many California plans cover occupational therapy when it is medically necessary, and Medi-Cal and its managed-care plans cover OT for eligible children. Some San Jose practices are out-of-network and provide a superbill for reimbursement, while a few are in-network with regional IPAs and commercial plans. Children under three may also receive OT through California Early Start, coordinated locally by the San Andreas Regional Center. 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, primitive reflex retention, and developmental delays.

How long are occupational therapy sessions for children?

Most pediatric OT sessions in San Jose 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 group sessions that structure therapy differently.

Do San Jose occupational therapists offer in-home or mobile therapy?

Yes. Several South Bay OT providers — including PEDS Therapy and TheraPeeps — deliver mobile or in-home services, treating children in homes, daycares, and schools, with some covering up to about 30 miles around San Jose. In-home therapy is common across the region and especially helpful for young children.

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 direct evaluation can clarify whether OT would help; children under three can also be assessed through California Early Start.

Find More Therapists in San Jose

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Related Resources on DrSensory

• Browse Occupational Therapists by City
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• Autism Spectrum Disorder (ASD)