Pediatric Occupational Therapist (OTR/L) - 1099 Independent Contractor

Pediatric Occupational Therapist (OTR/L) \- Flexible 1099 Contractor

**$75–$90 per 60\-minute treatment visit \| Flexible schedule \| You choose your service area**

Building Blocks Pediatric Therapy is a small, family\-owned pediatric OT and speech therapy practice providing in\-home and community\-based services throughout Maryland. We’re owned and operated by a husband\-and\-wife therapy team \- an occupational therapist and speech\-language pathologist \- and we’re looking for another pediatric OT to join us as we continue to grow.

We started Building Blocks because we wanted therapy to feel personal, flexible, collaborative, and centered around what actually works for children and their families. We want working with us to feel much the same way.

A Caseload Built Around You

We know therapists have lives outside of work, and we aren't looking to dictate when, where, or how much you work.

**You tell us:**

• How many clients you want
• What days and times you want to work
• What geographic areas you're willing to serve
• What types of clients fit your experience and interests

We'll work to match referrals to those preferences and geographically cluster clients whenever possible to minimize unnecessary driving.

Want a handful of clients each week for extra income? Great.

Want to start small and gradually build a larger caseload? We can do that too.

**You’re welcome to keep your caseload as small or as large as works for you. We just ask that, once you accept a client, you’re able to consistently support that family at the agreed\-upon treatment frequency. **

There is no expectation that you cover our entire service area.

We currently have children waiting for occupational therapy services in several areas of Maryland and are continuing to receive new referrals.

Why Building Blocks?

We're a small practice, and we want to keep the things we love about being small as we grow.

You'll have:

• A highly flexible schedule
• Control over your preferred caseload size and service area
• The ability to accept referrals that fit your schedule and interests
• Support from two practicing pediatric therapists who understand the realities of the job
• Clients and referrals provided to you
• Electronic medical records and documentation through SimplePractice
• Billing and family payments handled by Building Blocks
• Opportunities to collaborate across OT and speech when helpful
• The ability to grow your caseload over time if you choose

Our goal is to handle the business side so you can focus primarily on being a therapist.

Compensation

**$75–$90 per completed 60\-minute treatment visit. **

Evaluations are compensated at a higher rate to account for assessment, scoring, documentation, and plan\-of\-care development.

This is a **1099 independent contractor position**. Contractors are responsible for their own taxes, transportation, professional liability insurance, and other independent contractor expenses.

What Therapy Looks Like With Us

We provide individualized, play\-based pediatric occupational therapy in children's natural environments. We believe therapy should feel fun, safe, motivating, and meaningful while supporting skills that make a difference in everyday life.

Our clients may benefit from support with:

• Sensory processing and regulation
• Autism and ADHD
• Emotional regulation
• Executive functioning
• Fine motor and visual\-motor development
• Motor planning and coordination
• Activities of daily living
• Feeding
• Play skills

You'll have autonomy to use your clinical judgment and develop individualized plans of care based on each child's strengths, needs, and goals.

Responsibilities

• Complete pediatric occupational therapy evaluations
• Provide individualized occupational therapy treatment in homes, schools, and community settings
• Develop plans of care and functional therapy goals
• Complete timely documentation in SimplePractice
• Communicate and collaborate with families
• Collaborate with other professionals when appropriate
• Manage your agreed\-upon caseload within the availability and geographic area you choose

Qualifications

**Required:**

• Current Maryland Occupational Therapy license in good standing
• NBCOT certification
• Prior pediatric occupational therapy experience
• Experience working with neurodivergent children
• Ability to independently complete pediatric evaluations, develop plans of care, and manage an ongoing pediatric caseload
• Individual NPI
• Professional liability insurance
• Reliable transportation

**Preferred:**

• Experience providing pediatric therapy in homes, schools, or community\-based settings
• Strong experience with sensory processing and regulation
• Experience supporting children with autism and ADHD
• Experience addressing emotional regulation and executive functioning
• Experience with fine motor, visual\-motor, and motor planning interventions
• Pediatric feeding experience
• Experience with parent coaching and caregiver education
• Experience collaborating with SLPs, psychologists, educators, ABA providers, and other members of a child's care team

About Us:

Building Blocks Pediatric Therapy provides in\-home pediatric occupational and speech therapy personalized to each child and family's needs.

We're Zack and Hannah, a husband\-and\-wife team made up of an OT and SLP. Because we work across disciplines every day, collaboration is a natural part of how we practice. We're intentionally building a practice that stays personal as it grows \- for our families **and for the therapists who work with us**.

If you're looking for a flexible way to add pediatric clients to your week without taking on the administrative work of running your own practice, we'd love to hear from you.

**Job Type:** 1099 Independent Contractor

**Compensation:** $75–$90 per completed 60\-minute treatment visit

**Schedule:** Completely flexible based on clinician availability

**Setting:** In\-home, school, and community\-based

**Service Area:** Therapist\-selected areas of Maryland

Pay: $75\. 00 \- $90\. 00 per hour

Expected hours: 1\. 0 – 10\. 0 per week

Benefits:

• Flexible schedule

License/Certification:

• Maryland Occupational Therapy License (Required)

Work Location: In person