Occupational Therapy Clinics in Spokane, WA
Occupational Therapy Clinics in Spokane, WA
- 1016 N Superior St, Spokane, WA 99202
- (509) 326-1651
- joya.org
- Neurodevelopmental therapy — OT, PT, and speech plus special education — for children birth to three (ESIT/IFSP) and ages 3–5
- What they're known for: A long-established neurodevelopmental nonprofit and a key ESIT early-intervention provider in Spokane. Joya delivers individualized family service plans (IFSPs) for infants and toddlers and supports the transition into the preschool years, with both in-home and center-based care.
- 14902 E 14th Avenue, Spokane Valley, WA 99037
- (509) 992-8608
- icantherapy.us
- Sensory integration and vision therapy
- In-network with Asuris, Blue Cross, DDA, Life Wise, Molina, ProviderOne, and United Health Care; private pay accepted
- What they're known for: A Spokane Valley clinic specializing in sensory integration and vision therapy, with a notably broad list of accepted plans — including Washington Apple Health pathways such as Molina and ProviderOne — making access easier for many families.
- Serving the Spokane, WA area (mailing only; no street clinic)
- (208) 627-8615
- journeypediatrics.com
- Sensory processing, emotional regulation, and fine and gross motor skills for children birth through age 21
- Does not bill insurance directly; provides superbills for reimbursement
- What they're known for: A clinic and community-based practice focused on sensory processing and self-regulation across a wide age range. Because it does not bill insurance, families pay directly and submit superbills for possible out-of-network reimbursement.
- 11703 E Sprague Ave Ste C-3, Spokane Valley, WA 99206
- (509) 435-0481
- achievecenter.net
- Motor development, autism, cerebral palsy, Down syndrome, and sensory processing for children birth through age 21
- What they're known for: A Spokane Valley clinic serving a wide age range with experience across complex developmental and neurological conditions, alongside sensory-processing support.
- 1515 S Technology Blvd, Spokane, WA 99224 (also in Spokane Valley)
- (509) 209-7429
- ssptherapy.com
- Sensory integration, fine and visual motor skills, and feeding therapy
- What they're known for: A multi-location pediatric practice offering OT in the clinic, in the home, and via teletherapy — a flexible option for families who need sensory, motor, or feeding support delivered where it works best.
- 6710 N Country Homes Blvd, Spokane, WA 99208
- (509) 487-2958
- spokanecpt.com
- Sensory processing and feeding/oral-motor therapy for children birth through age 18
- What they're known for: A North Side multidisciplinary clinic that pairs occupational therapy with feeding and oral-motor support, convenient for families addressing more than one area of need.
- 501 S Bernard St Ste 100, Spokane, WA 99204
- (509) 701-7651
- empiretherapy.net
- Occupational therapy, sensory, and feeding therapy (pediatric arm)
- What they're known for: The pediatric arm of a Spokane therapy practice, offering OT with sensory and feeding focus in a central, near-downtown location.
- 220 E Rowan Ave Ste 150, Spokane, WA 99207
- (509) 483-4060
- nwspkids.com
- In-house pediatric occupational therapy
- What they're known for: Occupational therapy offered in-house within a pediatric medical practice, which can simplify coordination for families who want therapy and primary care under the same roof.
- 614 S Chandler St, Spokane, WA 99202
- (509) 473-6079
- providence.org
- Developmental delay, autism, cerebral palsy, and sensory integration; PT, OT, and speech, plus aquatics and AAC
- What they're known for: A hospital-affiliated outpatient rehabilitation program with the depth of a major health system — useful for children with complex or co-occurring needs who benefit from coordinated multidisciplinary care, including aquatic therapy and AAC.
- 801 E 2nd Avenue, Spokane, WA 99202
- (509) 835-4404
- milestonespediatrictherapy.net
- Sensory and motor skills with a play-based approach; OT plus speech and ABA
- What they're known for: A play-based pediatric practice that combines occupational therapy with speech and ABA in-house — a fit for families looking to coordinate several services in one place.
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 Spokane
The right OT depends on your needs, your schedule, and your family's preferences. Here's what to weigh:
- Check credentials. Look for a licensed occupational therapist (OTR/L) in Washington. For specialized needs, ask about training in areas like sensory integration, feeding, or vision therapy.
- Match the specialty to the need. Sensory processing, fine motor and handwriting, feeding, and visual-motor work are distinct focus areas. Ask how often the therapist treats your child's specific concern.
- Confirm insurance and cost up front. Verify in-network status, copays, and visit limits — including whether the practice accepts Washington Apple Health (Medicaid) — or ask about superbills if the practice is out-of-network, as some Spokane providers do not bill insurance directly.
- Consider the setting. Some children thrive in a clinic with specialized sensory equipment; others do better with in-home or community-based therapy. Several Spokane providers offer more than one model.
- Ask about caregiver coaching. Progress accelerates when families practice strategies between sessions. Ask how the therapist will involve you and track goals.
- 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 needs?
- 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 Spokane
- Washington Early Support for Infants & Toddlers (ESIT) Statewide birth-to-three early intervention, including free developmental evaluations and OT support, coordinated locally in Spokane County (often through providers like Joya).
- Washington Apple Health (Medicaid) Covers occupational therapy for eligible children when medically necessary; many Spokane practices accept Apple Health managed-care plans such as Molina and ProviderOne.
- Providence Sacred Heart Children's Hospital Regional pediatric care and developmental services for families across the Inland Northwest.
- Shriners Children's Spokane Pediatric specialty care, including outpatient occupational therapy for orthopedic and neuromuscular needs.
- Your child's school district Public schools provide occupational therapy services through IEPs for eligible students.
Frequently Asked Questions
How much does occupational therapy cost in Spokane, Washington?
Out-of-pocket pediatric occupational therapy in the Spokane area generally runs about $110–$200 per session at private practices, 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. Some practices, such as Journey Pediatric Therapy, do not bill insurance directly but provide superbills for reimbursement, so confirm rates and billing 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) and managed-care plans like Molina cover OT for eligible children. Some Spokane practices are out-of-network and provide a superbill for reimbursement. Coverage limits and prior-authorization rules vary by plan, so 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 Spokane last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Frequency depends on the child's goals and the therapist's recommendation.
Do Spokane occupational therapists offer in-home or community-based therapy?
Yes. Several Spokane-area OT providers — including Joya Child & Family Development, which offers in-home and center-based services, and Journey Pediatric Therapy, which provides clinic and community-based care — treat children in homes and community settings in addition to clinic-based care. Washington's Early Support for Infants & Toddlers (ESIT) program also coordinates in-home services for children birth to three.
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.