Occupational Therapy Clinics in St. Louis, MO
Occupational Therapy Clinics in St. Louis, MO
- 10733 Big Bend Rd, Suite 160, Kirkwood, MO 63122 (also a St. Peters location)
- (314) 403-0262
- therapystationstl.com
- Occupational therapy for daily-living independence, plus feeding and myofunctional therapy
- What they're known for: A two-site practice (Kirkwood and St. Peters) offering clinic, telehealth, and school-based OT, with added depth in feeding and myofunctional therapy — convenient for families coordinating OT alongside oral-motor and feeding goals.
- 456 N New Ballas Rd, #211, Creve Coeur, MO 63141
- (314) 227-2124
- acornchildrenstherapy.com
- Fine and gross motor skills, sensory processing, feeding, self-care, executive functioning, and emotional regulation
- What they're known for: A clinic-based pediatric practice in Creve Coeur with a broad OT scope spanning motor, sensory, feeding, and self-regulation — a solid central-county option for families seeking comprehensive developmental support.
- 112 W Jefferson Ave, Suite 132, Kirkwood, MO 63122
- (314) 626-4761
- kidstherapyspotstl.com
- Motor skills and gross motor development
- Out-of-network with all insurers; provides superbills for reimbursement; FSA/HSA accepted
- What they're known for: A Kirkwood practice offering clinic, school-based, and telehealth OT. Because it is out-of-network with all insurers, it suits families comfortable using superbills, FSA/HSA funds, or private pay in exchange for flexible delivery.
- 78 Clarkson Wilson Center, Chesterfield, MO 63017
- (636) 233-8754
- yourvillagestl.com
- Feeding, sensory processing, fine and gross motor, self-regulation, executive functioning, autism, and reflex integration
- In-network with UnitedHealthcare, UMR, and Cigna; out-of-network with others; HSA/FSA accepted
- What they're known for: A Chesterfield practice delivering OT in-home, in the clinic, and in schools, with a wide scope from feeding and sensory work to reflex integration — and in-network status with several major commercial plans.
- 7937 Big Bend Blvd, Ste E, Webster Groves, MO 63119
- (314) 287-3096
- bloombrightlytherapy.com
- Pediatric occupational therapy, social skills groups, and caregiver coaching for ages birth to 21
- What they're known for: A Webster Groves clinic offering free consultations, social skills groups, and a strong caregiver-coaching emphasis across a wide age range — a fit for families who want to be coached as active partners in therapy.
- 14528 S Outer Forty, Chesterfield, MO 63017
- (314) 251-6422
- mercy.net
- Fine motor, sensory, visual-motor, oral-motor/feeding, self-help, and adaptive equipment
- What they're known for: A health-system pediatric OT clinic in Chesterfield, useful for families who want hospital-affiliated care with services spanning sensory, visual-motor, feeding, and adaptive-equipment needs.
- 324 Jungerman Road, St. Peters, MO 63376
- (636) 928-5327
- leapsandboundskids.com
- Sensory processing, motor skills, handwriting, attention, executive functioning, social skills, and feeding
- What they're known for: A St. Peters clinic serving St. Charles County with a broad OT scope and the added option of intensives and camps — helpful for families seeking concentrated bursts of therapy.
- 11358 Van Cleve Ave, St. Louis, MO 63114
- (314) 968-2350
- familyforwardmo.org
- Trauma-specific occupational therapy: sensory regulation, executive functioning, and motor development
- What they're known for: A clinic/program-based provider offering trauma-informed OT. Eligibility is restricted to children enrolled in FamilyForward programs, so it is best suited to families already connected to those services.
- 1465 S Grand Blvd, St. Louis, MO 63104
- (314) 577-5669
- ssmhealth.com
- Autism, developmental delays, feeding, sensory processing, handwriting, sensory integration, splinting, and TBI
- What they're known for: One of the region's flagship pediatric hospitals, Cardinal Glennon delivers hospital-level OT for children with complex or co-occurring medical needs. Services are clinic-based and require a referral.
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 St. Louis
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 an occupational therapist (OTR/L) with a current Missouri license. For specialized needs, ask about extra training (for example, sensory integration, feeding, or reflex integration).
- Match the specialty to the need. A practice strong in feeding or sensory integration may differ from one focused on handwriting or executive functioning. 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. For children under three, ask whether Missouri First Steps can help.
- Consider the setting. Some children thrive in a clinic with specialized sensory equipment; others do better with in-home, telehealth, or school-based therapy. Several St. Louis providers offer more than one.
- 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 St. Louis
- Missouri First Steps The state's early-intervention program providing free or low-cost developmental evaluations and services, which can include occupational therapy, for children birth to age three.
- MO HealthNet (Missouri Medicaid) Covers medically necessary occupational therapy for eligible children; ask providers whether they accept MO HealthNet or its managed-care plans.
- SSM Health Cardinal Glennon Children's Hospital Pediatric evaluations, multidisciplinary clinics, and developmental resources for families across the St. Louis region.
- St. Louis Children's Hospital (BJC) Pediatric therapy services at multiple locations; confirm the specific site when scheduling.
- 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 St. Louis, Missouri?
Private-pay pediatric occupational therapy in the St. Louis area generally runs about $110–$210 per session at private practices, with evaluations costing more. Many providers accept commercial insurance and Missouri Medicaid (MO HealthNet), which can reduce your cost to a copay or to $0 for covered, medically necessary services. Some practices are out-of-network and provide a superbill for reimbursement, so confirm rates directly with the provider.
Does insurance cover occupational therapy in Missouri?
Many Missouri health plans cover occupational therapy when it is medically necessary, and Missouri Medicaid (MO HealthNet) and its managed-care plans cover OT for eligible children. For children birth to age three, Missouri First Steps provides early-intervention services that can include occupational therapy. Some St. Louis practices are out-of-network and provide a superbill for reimbursement, and FSA/HSA funds may apply. Verify benefits before starting.
What does pediatric occupational therapy help with?
Pediatric OT helps children build the skills they need for daily life: fine and gross motor skills, handwriting, 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 St. Louis last 30 to 60 minutes, typically once or twice a week. Initial evaluations usually take 60 to 90 minutes. Some clinics also offer intensives or camps that compress more therapy into a shorter period.
Do St. Louis occupational therapists offer in-home or school-based therapy?
Yes. Several St. Louis-area OT providers — including Your Village STL and The Therapy Station — offer in-home, telehealth, or school-based services, treating children in homes, daycares, schools, and clinics. Others focus on clinic-based care with home-program coaching, so ask each provider which settings they serve.
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.