Occupational Therapist Jobs in Texas

Occupational Therapist jobs in Texas are among the most active in the country, with strong demand across hospital systems, pediatric clinics, school districts, and skilled nursing facilities at every level from entry-level OT aide to senior occupational therapist. The largest concentrations of openings are in Houston, Dallas, and San Antonio, where established employers like Baylor Scott and White Health, CHRISTUS Health, and Texas Children's Hospital maintain consistent hiring pipelines. Pediatrics, hand therapy, and neurorehabilitation are the most in-demand specialties across the state. Find a role that fits below and apply directly.

Find Occupational Therapist Jobs

Overview

Open roles212+
Top cityHouston, TX
Cities hiring72
Work type99% On-site
Top industryHealthcare

Showing 5 of 212+ Occupational Therapist jobs

Aegis Therapies
Occupational Therapist
We won't show you this job again
Aegis Therapies
New 33m ago
Occupational Therapist
Aegis Therapies
Laredo, Texas
Allied Health
Healthcare Administration
Occupational Therapy
On-Site
None
5,001-10,000

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CHRISTUS Health
Certified Occupational Therapist Assistant
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CHRISTUS Health
Added 2d ago
Certified Occupational Therapist Assistant
CHRISTUS Health
Beaumont, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Physical Therapy
On-Site
Associate's
10,000+

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HealthPRO Heritage
Occupational Therapist (OT)
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HealthPRO Heritage
Added 2d ago
Occupational Therapist (OT)
HealthPRO Heritage
Killeen, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$43 - $53/hr
On-Site
Bachelor's
10,000+

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CHRISTUS Health
Certified Occupational Therapist Assistant
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CHRISTUS Health
Added 2d ago
Certified Occupational Therapist Assistant
CHRISTUS Health
Texarkana, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Physical Therapy
On-Site
Associate's
10,000+

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CHRISTUS Health
Occupational Therapist
We won't show you this job again
CHRISTUS Health
Added 3d ago
Occupational Therapist
CHRISTUS Health
San Antonio, Texas
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Bachelor's
10,000+

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See All 212+ Occupational Therapist Jobs in Texas

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Occupational Therapist Jobs by City in Texas

Where Texas roles are concentrated, by current openings.

Houston
32 jobs
Dallas
20 jobs
San Antonio
15 jobs
Austin
11 jobs
Cypress
6 jobs
Waco
6 jobs
College Station
5 jobs
Fort Worth
5 jobs
Humble
5 jobs

Occupational Therapist Job Market in Texas

A snapshot from current Texas openings, updated as new roles post.

Who's Hiring

  • Memorial Hermann Health System
    Memorial Hermann Health System19
  • HealthPRO Heritage
    HealthPRO Heritage18
  • Baylor Scott & White Health
    Baylor Scott & White Health17
  • Optum
    Optum14
  • Cole Health
    Cole Health11

Top Industries Hiring

  • Healthcare & Medical Services178
  • Consulting & Professional Services18
  • Education16
  • Non-Profit & Social Services6
  • Government & Public Sector4

What Texas Employers Look For

The qualifications that appear most often in occupational therapist jobs across Texas.

  • Active Texas occupational therapist license issued by the Texas Executive Council of Physical and Occupational Therapy Examiners
  • Master's or doctoral degree in occupational therapy from an accredited program
  • Passed the NBCOT certification examination with current OTR credential
  • One or more years of clinical experience in a relevant practice setting
  • Experience with electronic medical records systems such as Epic or Cerner
  • Strong documentation skills and ability to develop individualized treatment plans

Occupational Therapist Jobs in Texas: Frequently Asked Questions

How do you become a occupational therapist in Texas?

You must hold a license issued by the Texas Executive Council of Physical and Occupational Therapy Examiners before you can practice in Texas. To qualify, you need a master's or doctoral degree in occupational therapy from an accredited program and a passing score on the NBCOT certification exam. After passing, you apply directly to the Council for your Texas license, which requires renewal every two years along with continuing education.

How much do occupational therapists make in Texas?

Occupational therapists in Texas earn a median of about $106,140 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $76,350 for the lowest 10% to over $135,200 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire occupational therapists in Texas?

Employers hiring occupational therapists in Texas right now include Memorial Hermann Health System, HealthPRO Heritage, and Baylor Scott & White Health, based on current listings on Migrate Mate as of June 2026. Texas's large integrated health systems and pediatric specialty networks are consistently among the most active, given the scale of their outpatient, inpatient, and school-based rehabilitation programs.

Which Texas cities have the most occupational therapist jobs?

Houston, Dallas, and San Antonio have the most occupational therapist openings in Texas. Houston and Dallas drive the bulk of demand through their large hospital systems and pediatric networks, while San Antonio's concentration of military-affiliated medical centers and CHRISTUS Health facilities creates steady openings across adult rehabilitation and long-term care settings.

Are there remote occupational therapist jobs in Texas?

Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so the majority of roles require in-person patient contact. About 1% of occupational therapist openings tied to Texas are remote or hybrid as of June 2026, and those positions tend to concentrate in telehealth consultation, utilization review, or care coordination functions rather than direct treatment roles.

How can I get hired as a occupational therapist in Texas with little or no experience?

The most realistic entry path is applying to new-graduate or residency programs at major Texas health systems, several of which offer structured OT residencies in pediatrics and neurological rehabilitation. Baylor Scott and White Health and Texas Children's Hospital both run programs designed for candidates without post-graduation experience. Applying as an OT aide or rehabilitation technician while completing licensure is another common route, and candidates who hold their NBCOT credential and active Texas license before applying have a clear edge over those still awaiting results.

Where can I find and apply to occupational therapist jobs in Texas?

You can find and apply to occupational therapist jobs in Texas on Migrate Mate, which lists current Texas openings across hospital systems, outpatient clinics, school districts, and skilled nursing facilities. Find the roles that fit your experience and specialization, then apply directly through each listing.

See All 212+ Occupational Therapist Jobs in Texas

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Find Occupational Therapist Jobs