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5 Best Occupational Therapists in Houston (2026)

Independently ranked by our review of ratings, reviews and reputation · How we chose

Elara Kestrel
By Elara Kestrel, Health and Medical Expert · ✓ Data verified August 2026 · 8 min read

Occupational therapists in Houston cover a wide range of needs, from a child working on fine motor skills to an adult recovering mobility after surgery, and the practices here reflect that spread. Between them they've logged over 560 Google reviews, and every practice on this page sits at exactly 4.9 stars, a rare, tight cluster that means the real differentiator is which one specializes in the kind of care you actually need.

Short answer: Therapy SPOT Bellaire carries the deepest track record at 4.9 stars across 252 reviews, combining occupational, physical and speech therapy under one roof. Select Physical Therapy Heights follows closely at 4.9 and 195 reviews, while Foundations Pediatric Therapy (4.9, 37 reviews) is the specialist pick for children. Note that Coping Resource Center, also 4.9 stars, is a mental health practice rather than occupational therapy.
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Occupational therapy providers in Houston, compared

# Business Rating Reviews Best for
1 Therapy SPOT BELLAIRE (Speech, Physical, Occupational Therapy 4.9 252 Multi-disciplinary rehab under one roof View ›
2 Select Physical Therapy - Heights 4.9 195 Combined orthopedic and pain management care View ›
3 OPTherapy & Wellness 4.9 42 Whole-body approach to recovery View ›
4 Coping Resource Center - Houston Therapists 4.9 38 Mental health and psychological support View ›
5 Foundations Pediatric Therapy 4.9 37 Pediatric occupational therapy View ›
5 Best Occupational Therapists in Houston (2026)

Our picks, reviewed

Therapy SPOT BELLAIRE (Speech, Physical, Occupational Therapy logo
#1 Overall🕑 Open 5 days/wk↩ Responds to reviews

Therapy SPOT BELLAIRE (Speech, Physical, Occupational Therapy

4.9252 Google reviews

Therapy SPOT Bellaire is a physical, occupational and speech therapy clinic in Houston led by Dr. Abraham Lieberman, a Doctor of Physical Therapy with fellowship training who also serves as an orthopedic and pediatric consultant. The clinic covers orthopedic and sports rehabilitation, pediatric occupational therapy through play and sensory work, neuro and gait training, and amputee and prosthetic rehabilitation, including video gait analysis and an Alter G anti-gravity treadmill.

What people praise

  • Therapists praised by name for identifying the source of pain and adjusting treatment plans accordingly
  • Front office staff singled out for going beyond normal duties to help patients
  • Wide scope, from pediatric play-based therapy to prosthetic rehab, in one location

Worth knowing

  • One patient raised a dispute over billing arrangements tied to a third-party payment plan
Reputation scorecardrank in Houston
Rating4.9 / 5
Review volume252 · 96th
Confidencehigh
Recency5 months ago
Info completenesssite · phone · hours
Rating breakdown97% 5-star
✓ VerifiedSource: Google

Our take: The deepest review base on this page at 252, and the consistency of specific, named praise across very different patient needs is a strong sign of a well-run multi-disciplinary practice.

5303 Bissonnet St, Bellaire, TX 77401

Select Physical Therapy - Heights logo
#2🕑 Open 5 days/wk↩ Responds to reviews

Select Physical Therapy - Heights

4.9195 Google reviews

Select Physical Therapy Heights is primarily a physical therapy clinic, backed by the wider Select network's orthopedic surgery, pain management and sports medicine resources. Its Google listing and reviews describe physical rehabilitation, not a distinct occupational therapy program, so it's included here as a general rehab clinic rather than an OT specialist, and worth calling directly to confirm whether it can support daily-living or fine-motor goals specifically.

What people praise

  • Therapists named repeatedly for building genuine rapport with patients over multiple weeks
  • Consistent praise for clear explanation of home exercises
  • Office staff described as pleasant and helpful across visits
Reputation scorecardrank in Houston
Rating4.9 / 5
Review volume195 · 88th
Confidencehigh
Recencyabout a year ago
Info completenesssite · phone · hours
Rating breakdown94% 5-star
✓ VerifiedSource: Google

Our take: A 4.9 rating across 195 reviews, but its reviews describe physical rehab rather than occupational therapy specifically, so confirm the clinic's OT capacity before booking if that's your specific need.

4000 Washington Ave Suite 306, Houston, TX 77007

OPTherapy & Wellness logo
#3🕑 Open 5 days/wk↩ Responds to reviews

OPTherapy & Wellness

4.942 Google reviews

OPTherapy & Wellness in Houston's East End is a physical therapy clinic led by Dr. Oscar Perez, offering personalized care plans built around the specific mechanics of each patient's injury. The practice accepts Medicare and most commercial insurance, and also offers cash-based options for patients without coverage.

What people praise

  • Dr. Perez repeatedly credited with helping patients recover faster than expected timelines
  • Staff member Leslie noted specifically for making paperwork and scheduling simple
  • Whole-body approach cited by patients as more effective than treating symptoms in isolation
Reputation scorecardrank in Houston
Rating4.9 / 5
Review volume42 · 81th
Confidenceearly
Recencyabout a year ago
Info completenesssite · phone · hours
Rating breakdown98% 5-star
✓ VerifiedSource: Google

Our take: A 4.9 rating on a smaller but consistent review base, and the specific, repeated praise for Dr. Perez by name is a strong signal of individualized care.

6606 Lawndale St Ste. 200, Houston, TX 77023

Coping Resource Center - Houston Therapists logo
#4🕑 Open 6 days/wk↩ Responds to reviews

Coping Resource Center - Houston Therapists

4.938 Google reviews

Coping Resource Center in Houston is a counseling and psychology practice led by Dr. Liz Ross, offering psychotherapy and psychological assessment for individuals and families. It is not an occupational therapy provider, but appears here because it operates within the same broader rehabilitation and mental health support space that some families searching for OT services also need.

What people praise

  • Referring psychologists specifically describe the practice as clinically strong and ethically run
  • Dr. Ross and staff described as consistently warm, thoughtful and collaborative
  • Wide range of concerns handled, from trauma and anxiety to life transitions
Reputation scorecardrank in Houston
Rating4.9 / 5
Review volume38 · 73th
Confidenceearly
Recency2 months ago
Info completenesssite · phone · hours
Rating breakdown97% 5-star
✓ VerifiedSource: Google

Our take: A 4.9 rating and strong professional-referral praise, worth knowing about if your family's needs extend beyond physical occupational therapy into mental health support, though it is a distinct service.

2211 Norfolk St Ste 455, Houston, TX 77098

Foundations Pediatric Therapy logo
#5🕑 Open 5 days/wk↩ Responds to reviews

Foundations Pediatric Therapy

4.937 Google reviews

Foundations Pediatric Therapy in Houston is a dedicated pediatric practice offering occupational, speech, physical and infant therapy, along with feeding therapy for children exploring food in a low-pressure way. The team builds individualized care plans focused on helping children participate fully in everyday activities.

What people praise

  • Therapists named repeatedly for making sessions feel like play rather than work
  • Parents describe the team as genuinely invested in each child's individual goals
  • Staff praised for guiding families through the process of a child graduating from therapy
Reputation scorecardrank in Houston
Rating4.9 / 5
Review volume37 · 65th
Confidenceearly
Recency3 months ago
Info completenesssite · phone · hours
Rating breakdown97% 5-star
✓ VerifiedSource: Google

Our take: A 4.9 rating focused specifically on pediatric occupational therapy, the clearest choice on this page if your child is the one who needs care.

2310 Richton St Suite B, Houston, TX 77098

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Health information disclaimer: This directory is informational only and not medical advice. Rankings reflect publicly available Google ratings and review volume, not clinical outcomes. Verify any practitioner’s credentials and registration with the relevant medical board before booking.

How we score

Rating is each practice’s live Google average. Review volume shows how many patients have actually rated it, measured against the others on this page. Confidence weights the rating by that volume, so a smaller practice’s high average carries less certainty than a larger one’s. Recency reflects how recently people are still reviewing. No practice can pay to change these numbers.

What does occupational therapy cost in Houston? (2026)

Session pricing depends heavily on insurance coverage, the specific services provided and whether care is billed through Medicare, private insurance or a cash-pay arrangement, and none of the practices here publish a single rate we can cite with confidence. Ask each practice directly about your insurance and expected out-of-pocket costs.

Serving all of Houston

This list spans Bellaire, the Heights, the East End and Montrose, so an occupational therapist near me in central Houston is usually a short drive from most of the city’s core neighborhoods.

What to ask before you book

  • Does the practice accept my insurance, and what’s my expected out-of-pocket cost?
  • Does the therapist have experience with my specific condition or my child’s specific needs?
  • How long is a typical course of treatment for my situation?
  • Will I see the same therapist for every visit?
  • What home exercises or strategies will I be given between sessions?
  • Is a physician referral required before the first appointment?

Frequently asked questions

Are these rankings paid?

No. Rankings come from public Google data. A business can pay to be a Featured Partner (badge and top placement), but that never changes another business’s score or position.

How did you choose these practices?

We compared occupational therapy and closely related rehabilitation practices across Houston on their real Google rating, review volume, and how recently people have reviewed them, then ranked the strongest overall performers.

How often is this updated?

This page reflects Google data verified in August 2026 and is refreshed periodically as ratings and review counts change.

Which practice specializes in children?

Foundations Pediatric Therapy is dedicated specifically to pediatric occupational, speech, physical and feeding therapy.

Do I need a referral to see an occupational therapist in Houston?

Requirements vary by practice and insurance plan. Ask the practice directly whether a physician referral is required before booking.

The bottom line

Therapy SPOT Bellaire is the safest default for adults given its scale and multi-disciplinary scope, while Foundations Pediatric Therapy is the clear specialist pick if a child is the one needing care. Confirm insurance coverage before your first visit either way.

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