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 roles410+
Top employerTherapy 2000
Top cityHouston, TX
Cities hiring156
Work type98% On-site
Top industryHealthcare

Showing 5 of 410+ Occupational Therapist jobs

Occupational Therapist PRN
We won't show you this job again
Added 2d ago
Occupational Therapist PRN
Medical City Healthcare
Irving, Texas
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
10,000+

Have you applied for this role?

Certified Occupational Therapist Assistant
We won't show you this job again
Added 2d ago
Certified Occupational Therapist Assistant
Hunt Regional Healthcare
Greenville, Texas
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
501-1,000

Have you applied for this role?

Occupational Therapist or Sr. OT - Clear Lake, Acute
We won't show you this job again
Added 3d ago
Occupational Therapist or Sr. OT - Clear Lake, Acute
University of Texas Medical Branch
Webster, Texas
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
Master's degree
5,001-10,000

Have you applied for this role?

Licensed Occupational Therapist (OT)
We won't show you this job again
Added 3d ago
Licensed Occupational Therapist (OT)
EmpowerMe Wellness
Arlington, Texas
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
1,001-5,000

Have you applied for this role?

Occupational Therapist
We won't show you this job again
Added 3d ago
Occupational Therapist
HCA Houston Healthcare
Webster, Texas
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
10,000+

Have you applied for this role?

See All 410+ Occupational Therapist Jobs in Texas

Find roles in Texas that match your experience and apply in just a few clicks.

Find Occupational Therapist Jobs

Occupational Therapist Jobs by City in Texas

Where Texas roles are concentrated, by current openings.

Irving
10 jobs
Plano
8 jobs
Cypress
8 jobs
Arlington
8 jobs

Occupational Therapist Job Market in Texas

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

Who's Hiring

  • Therapy 200062
  • KidsCare Home Health23
  • BrightStar Care17
  • North Texas Therapy and Home Care16
  • Aveanna Healthcare13

Top Industries Hiring

  • Healthcare & Medical Services
  • Insurance

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 Therapy 2000, KidsCare Home Health, and BrightStar Care, based on current listings on Migrate Mate as of October 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, San Antonio, and Fort Worth 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 2% of occupational therapist openings tied to Texas are remote or hybrid as of October 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 410+ Occupational Therapist Jobs in Texas

Find roles in Texas that match your experience and apply in just a few clicks.

Find Occupational Therapist Jobs