Occupational Therapy OT

| 27 July 2023

The data in this blog is for general informational purposes only and information presented was accurate as of the publication date.

How To Become a Pediatric Occupational Therapist

pediatric occupational therapist working with child

Do you enjoy problem solving and coming up with creative solutions? Do you have the patience and empathy to work with children and help them become more independent? If so, you might consider becoming a pediatric occupational therapist. 

In pediatric occupational therapy, you’ll have the opportunity to help children relearn and improve important coordination and motor skills so they can perform essential tasks in their lives more confidently. 

Learn how to become a pediatric occupational therapist, including educational requirements and job responsibilities. 

What Is a Pediatric Occupational Therapist?

what is a pediatric occupational therapist definition

A pediatric occupational therapist (OT) works with children and adolescents with cognitive, mental and physical limitations to improve their fine motor skills so they can perform everyday tasks, like walking and grabbing an item. 

Pediatric occupational therapists help patients develop and improve skills they need to be more independent in their everyday environments1. Occupational therapy helps them build more confidence so they can complete tasks by themselves. 

What Do Pediatric Occupational Therapists Do?  

pediatric occupational therapist responsibilities

Pediatric occupational therapists work in a variety of environments, including rehabilitation clinics, hospitals and schools. Some job duties will differ depending on the setting, but these are the most common responsibilities for pediatric occupational therapists2:

  • Observe patients and perform assessments: Review a patient’s medical history before the initial visit, then assess the patient’s condition and limitations. 
  • Develop rehabilitation plans: Pediatric OTs must create rehabilitation plans for every patient that include goals and exercises. Adjust goals and treatment plans based on how the patient is progressing. 
  • Work with patients: Demonstrate exercises and activities to help the patient improve their motor and coordination skills. 
  • Monitor patient progress: Record patient progress with their treatment plan in client records. 
  • Provide at-home activities: Provide parents and guardians at-home activities for them to complete with the patient. 
  • Travel to patients’ homes: Visit the child’s environments, like home and school, to make sure accommodations are in place. 

Pediatric OTs are cheerleaders for their patients, encouraging them every time they reach a goal in their treatment plan. 

Five Steps to Becoming a Pediatric Occupational Therapist

DegreeMaster’s and higher

Field of study Occupational therapy
Certification National Board for Certification in Occupational Therapy (NBCOT)
Specialization Pediatrics
Median salary (2021) $85,570 per year (all occupational therapists)
Job outlook (2021-2031) 14% growth (all occupational therapists)
Number of jobs (2021) 133,900 (all occupational therapists)

There are educational and experiential requirements to become a pediatric occupational therapist. Follow these six steps to open the doors to a career in pediatric occupational therapy.

1. Earn a Bachelor’s Degree and Complete Fieldwork Experiences

First, you will need to earn a four-year undergraduate degree to qualify for a master’s degree program in occupational therapy. 

We suggest maintaining a high GPA in your selected major to increase your chances of acceptance into your preferred graduate program. 

Consider majoring in the following fields during your undergraduate program: 

  • Pre-occupational therapy 
  • Psychology
  • Biology 
  • Kinesiology
  • Physiology 
  • Education
  • Child Development

You may also choose to complete an internship during your undergraduate program. Search for internships in occupational therapy clinics, schools, nursing homes and rehabilitation clinics. 

2. Apply to Graduate School

You’ll need to apply to a two-year master’s program in occupational therapy after completing your undergraduate degree. The University of St. Augustine for Health Sciences’ (USAHS) MOT program offers Residential, Flex, and hybrid immersion formats. Students learn in a clinical setting while designing customized treatments for patients of all ages — so you have the option to choose the length and timing of your program and when you come to campus for hands-on labs.

If you plan to run an occupational therapy clinic in the future, you may consider obtaining a Doctor of Occupational Therapy (OTD) degree. USAHS’ Residential OTD program takes 2.7 years to complete.*

The MOT or OTD program you choose should hold accreditation status, which means it complies with the Accreditation Council for Occupational Therapy Education (ACOTE) standards. You can see if your MOT or OTD program is accredited on the ACOTE school directory4

3. Take the NBCOT Exam

After you complete your graduate program(s), you’ll take the National Board for Certification in Occupational Therapy (NCBOT) exam5. To be eligible for the exam, you must complete an accredited MOT program and submit official transcripts. After you pass the NBCOT, you’ll be certified to practice occupational therapy. 

4. Obtain State Licensure

You’ll need to obtain state licensure to practice occupational therapy in your state. Requirements vary by state, so we recommend going to your state board website for specific requirements. 

 5. Gain Pediatric Certification 

After you receive your state licensure, you can legally practice occupational therapy in your state. You may go a step further and get certified in pediatric occupational therapy. 

Pediatric occupational therapy certifications will strengthen your application for open positions in the pediatric field and give you a leg up in job interviews6. You can apply for certification through the American Occupational Therapy Association (AOTA). You’ll be required to complete an exam to test your knowledge of pediatric OT. Take a look at the other certification eligibility requirements before applying7

Frequently Asked Questions

Below are commonly asked questions about becoming a pediatric occupational therapist. 

What Is an Average Pediatric Occupational Therapist Salary? 

The salary for a pediatric occupational therapist position will vary depending on location and certifications. The median salary for occupational therapists in 2021 was $85,570 per year3

Currently, the average pay for pediatric occupational therapists is $37.53 per hour8.*

What Skills Do You Need To Be a Pediatric Occupational Therapist?

The skills required for pediatric occupational therapy are similar to the skills needed for occupational therapy, including9:

  • Time management
  • Interpersonal communication skills 
  • Patience
  • Empathy   
  • Creativity
  • Organization 

Great pediatric occupational therapists also continue growing their knowledge in the field, especially about new health advancements and treatments. 

How Do Occupational Therapy and Physical Therapy Differ? 

There’s a big difference between occupational therapy and physical therapy. Though they are both rehabilitative sciences, occupational therapy aims to improve a patient’s ability to perform everyday tasks, whereas physical therapy aims to improve a patient’s range of motion and pain management.

Earn Your Master of Occupational Therapy With USAHS 

Are you interested in pursuing a rewarding career in pediatric occupational therapy? USAHS offers several graduate programs in occupational therapy, including a two-year Master of Occupational Therapy program.* Our MOT program stands out for its immersive lab opportunities and real-world clinical experiences.  

If you’re ready to take the next step in your career, contact an enrollment advisor and learn how to become a pediatric occupational therapist. 

*The entry-level occupational therapy master’s degree (MOT) programs at the San Marcos, California; St. Augustine and Miami, Florida; and Austin, Texas, campuses are accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA) located at 6116 Executive Boulevard, Suite 200, North Bethesda, MD 20852-4929. ACOTE’s telephone number c/o AOTA is 301-652-AOTA, and its web address is www.acoteonline.org. Graduates of the programs will be eligible to sit for the national certification examination for the occupational therapist administered by the National Board for Certification in Occupational Therapy (NBCOT). After successful completion of this exam, the individual will be an Occupational Therapist, Registered (OTR). In addition, all states require licensure in order to practice; however, state licenses are usually based on the results of the NBCOT Certification Examination. Note that a felony conviction may affect a graduate’s ability to sit for the NBCOT certification examination or attain state licensure.

Students must complete 24 weeks of Level II fieldwork within 24 months following completion of the didactic portion of the program.

USAHS is institutionally accredited by the WASC Senior College and University Commission (WSCUC). In terms of programmatic accreditation, the DPT program is accredited on five campuses.. The MOT, OTD, MS-SLP, MSN and DNP programs, as well as the Post-Graduate Nursing Certificate program with role specialties in Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner are accredited. 

*The information provided on this website is based on self-reported data and is intended for general informational purposes only. PayScale is a limited data source that relies on voluntary submissions from individuals and employers.

Please be aware that the accuracy, completeness, and reliability of the data may vary due to its voluntary nature and limited scope. While efforts are made to maintain the data’s accuracy, we cannot guarantee its absolute correctness or currency.


  1. Cleveland Clinic, “Pediatric Occupational Therapy,” Cleveland Clinic, https://my.clevelandclinic.org/health/treatments/25094-pediatric-occupational-therapy 
  2. Learn.org, “What Is the Job Description of a Pediatric Therapist?,” Learn.org, https://learn.org/articles/What_is_the_Job_Description_of_a_Pediatric_Therapist.html 
  3. U.S. Bureau of Labor Statistics, “Occupational Therapists,” U.S. Bureau of Labor Statistics, last modified March 2023, https://www.bls.gov/ooh/healthcare/occupational-therapists.htm 
  4. ACOTE, “School Directory,” ACOTE, https://acoteonline.org/schools/ 
  5. NBCOT, NBCOT, https://www.nbcot.org/ 
  6. AOTA, “Board Certification in Pediatrics,” AOTA, https://www.aota.org/career/advanced-certification-program/pediatrics 
  7. AOTA, “Advanced Certification Eligibility Criteria” AOTA, https://www.aota.org/career/advanced-certification-program/eligibility-requirements 
  8. Payscale, “Average Pediatric Occupational Therapist Hourly Pay” PayScale, last modified 2023, https://www.payscale.com/research/US/Job=Pediatric_Occupational_Therapist/Salary
  9. Indeed Editorial Team, “How To Become a Pediatric Occupational Therapist (With Job Details),” Indeed, last modified June 2023, https://www.indeed.com/career-advice/finding-a-job/how-to-become-pediatric-occupational-therapist


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