Top 10 Occupational Therapists in Seattle, WA (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.

Pediatric occupational therapy helps children build the everyday skills that let them thrive — fine and gross motor coordination, sensory processing and self-regulation, handwriting, visual-perceptual and executive-function skills, feeding, and self-care. Whether your child has autism, ADHD, a sensory processing difference, a developmental coordination challenge, or simply needs help mastering daily routines, Seattle offers a strong range of pediatric OT providers. The region is anchored by Seattle Children's, the dominant pediatric health system in the Pacific Northwest, and complemented by sensory-integration specialists, center-based early-intervention programs, hospital-affiliated outpatient clinics, and providers who treat children in their homes, schools, and communities across King County and the Eastside.

To build this guide, we reviewed Seattle-area pediatric 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 — and remember that Washington's Early Support for Infants & Toddlers (ESIT) program and Washington Apple Health (Medicaid) can open additional doors for eligible families.

Top 10 Occupational Therapy Providers in Seattle, WA

How to Choose an Occupational Therapist in Seattle

The "best" occupational therapist is the one who fits your child's specific needs, your schedule, and your budget. Here's what to weigh:

• Check credentials. Look for a licensed occupational therapist (OTR/L) in Washington. For specialized needs, ask about additional training (for example, sensory integration certification, NDT, or DIR/Floortime).
• Match the specialty to the need. A practice that excels at sensory integration or feeding may differ from one focused on handwriting or executive function. Ask whether the therapist regularly treats your child's specific concern.
• Confirm insurance and cost up front. Verify in-network status, copays, visit limits, and prior-authorization rules — or ask for a superbill if the practice is out-of-network. Ask whether they accept Washington Apple Health, and whether your child may qualify for ESIT early-intervention services.
• Consider the setting. Some children thrive in a clinic; others do better with in-home, school-based, or community therapy. Several Seattle providers offer more than one model.
• Ask about caregiver involvement. Strong programs coach parents so progress continues between sessions. Ask how they'll keep you involved and how they measure progress.
• Trust the rapport. Your child should feel comfortable. 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 track goals? How often will sessions be, and for how long? How do you involve parents? What happens if we don't see progress?

Occupational Therapy Resources in Seattle

• Early Support for Infants & Toddlers (ESIT) — Washington's birth-to-three early intervention program offers free developmental evaluations and occupational therapy support for eligible infants and toddlers; Boyer Children's Clinic and Kindering are major ESIT providers.
• Washington Apple Health (Medicaid) — Covers medically necessary occupational therapy for eligible children; ask providers whether they accept Apple Health or its managed-care plans.
• Seattle Children's Hospital — Pediatric OT evaluations, multidisciplinary clinics, and developmental resources for families across the Puget Sound region.
• University of Washington — A regional academic resource for developmental evaluation and therapy services for children and families.
• Your child's school district — Seattle Public Schools and surrounding districts provide occupational therapy services through IEPs and 504 plans for eligible students.

Frequently Asked Questions

How much does occupational therapy cost in Seattle, Washington?

Private-pay pediatric occupational therapy in Seattle generally runs about $150–$275 per session, with evaluations costing more. Many providers accept commercial insurance and Washington Apple Health (Medicaid), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Center-based and early-intervention programs may be priced differently, so confirm rates directly with the provider.

Does insurance cover occupational therapy in Washington?

Many Washington plans cover occupational therapy when it is medically necessary, and Washington Apple Health (Medicaid) covers OT for eligible children. Some Seattle practices are out-of-network and provide a superbill for reimbursement, and Washington's Early Support for Infants & Toddlers (ESIT) program can fund early-intervention OT for eligible infants and toddlers. 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 Seattle last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Some clinics and center-based programs also offer different schedules depending on the child's goals and early-intervention eligibility.

Do Seattle occupational therapists offer in-home or mobile therapy?

Yes. Several Seattle-area OT providers — including Unique Minds Occupational Therapy, Boyer Children's Clinic, and Rosemary White Pediatric PT & OT Services — offer in-home, school, or community-based services, treating children where they live and learn 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.

Find More Therapists in Seattle

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