Pediatric Occupational Therapist (OT)
Pediatric Occupational Therapist (OT) – New Graduates Welcome!
Full-Time & Part-Time | Shirley, Massachusetts
Meaningful pediatric therapy. Individualized mentorship. Room to grow.
At Nashoba Pediatric Therapies (NPT), we believe great therapy starts with understanding the child—and that great therapists develop through experience, thoughtful guidance, collaboration, and continued learning.
We're a small, growing pediatric occupational and speech therapy practice in Shirley, Massachusetts, looking for occupational therapists who enjoy working with children, value clinical creativity, and want to grow as part of a collaborative team.
New graduates are encouraged to apply! We offer a structured mentorship pathway designed to help developing clinicians build confidence, clinical reasoning, and independence. Experienced pediatric OTs and therapists transitioning into pediatrics are equally welcome.
MENTORSHIP & PROFESSIONAL GROWTH
We recognize that becoming a confident, independent pediatric occupational therapist takes time, experience, and thoughtful guidance.
Our new graduate mentorship pathway provides a gradual transition into independent clinical practice. New therapists begin by observing experienced clinicians and progress to treating established clients within the first few days. Evaluation skills are developed through collaborative evaluations and co-treatment, gradually progressing toward independent evaluation and treatment planning.
During the initial months, therapists receive individualized support with session preparation, clinical reasoning, treatment planning, documentation, and reflection. Treatment responsibilities and scheduled caseloads increase as clinical skills and independence develop.
Mentorship includes protected, regularly scheduled individual meetings and informal clinical consultation. The program is overseen by our Clinic Director, with guidance from experienced therapists. Intensive support is gradually reduced over approximately the first three months, while ongoing mentorship continues beyond the initial onboarding period.
Experienced therapists transitioning into pediatrics can also access individualized mentorship and support as appropriate.
We value continued learning and offer opportunities for professional development in DIR/Floortime, Ayres Sensory Integration, feeding, and other areas of clinical interest.
WHAT THERAPY LOOKS LIKE AT NPT
Our clinic is active, playful, and sometimes wonderfully unpredictable!
We work with children who may be constantly on the move, have difficulty with transitions, communicate in different ways, or need additional support to participate in everyday activities.
Therapy here doesn't always happen at a table. It may involve movement, imaginative play, sensory-motor activities, problem-solving, or finding creative ways to connect with a child who isn't yet ready to engage in a therapist-directed activity.
Our approach is neurodiversity-affirming, play-based, relationship-focused, and family-centered. We value therapists who can follow a child's interests while using thoughtful clinical reasoning to support meaningful skill development, participation, and growing independence.
A WORKPLACE THAT SUPPORTS YOU
We believe therapists do their best work when they have time to think, opportunities to learn, and a sustainable workload.
We offer manageable caseloads, typically up to six 53-minute visits per eight-hour day, with dedicated non-treatment time for documentation, planning, and collaboration. Therapists have flexibility in managing non-treatment time, including completing documentation remotely when appropriate.
There are no weekends or required patient appointments after 5:00 PM. Full-time and part-time scheduling opportunities are available, along with complimentary on-site gym access.
Full-time employees receive two weeks of paid vacation, ten paid holidays (including four floating holidays), additional paid time during our Christmas–New Year's clinic closure, five paid sick days, and eight additional wellness hours.
Professional benefits include a $2,000 annual education benefit for eligible full-time employees after 90 days and employer-paid OT license renewal fees.
We also encourage therapists to explore their professional interests and contribute ideas for groups, specialty programs, and new clinical offerings.
WHO WE'RE LOOKING FOR
We're looking for occupational therapists who are curious, thoughtful, collaborative, and genuinely interested in working with children.
Ideal candidates have an interest in pediatric occupational therapy and working with children with diverse developmental needs. We value creativity, flexibility, developing strong clinical reasoning skills, openness to neurodiversity-affirming and relationship-based approaches, family-centered collaboration, and a commitment to continued professional learning.
Experience working with children through employment, fieldwork, or other relevant settings is valued. Previous pediatric outpatient experience is not required.
Interest in DIR/Floortime is especially valued; certification is not required.
YOUR ROLE
Responsibilities include conducting pediatric occupational therapy evaluations, developing individualized functional treatment plans, and providing play-based interventions supporting regulation, motor skills, sensory processing, executive functioning, feeding, daily living skills, and other areas of occupational performance.
Therapists collaborate with caregivers to support meaningful progress beyond therapy sessions, maintain accurate and timely clinical documentation, and work with other therapists and members of the child's team as appropriate.
COMPENSATION & POSITION DETAILS
Full-time base salary: $68,000–$78,000, depending on experience and clinical readiness.
New graduates entering our structured mentorship pathway begin at $68,000 annually, with salary increases as clinical independence and scheduled caseload capacity develop. The full independent caseload base salary is $73,000-$78,000 annually.
Experienced therapists' starting compensation is determined by relevant experience and clinical readiness.
Base salary is guaranteed regardless of patient cancellations, with additional earning opportunities through productivity-based bonuses.
Full-time positions are based on a 40-hour workweek. Part-time positions are also available, with some after-school availability required.
Location: Shirley, Massachusetts (in person).
JOIN OUR TEAM!
We're intentionally building a practice where therapists can provide thoughtful, individualized care, develop strong clinical skills, and have a meaningful voice in the work they do.
Whether you're beginning your career or bringing experience to a new clinical setting, we'd love to hear from you.
Apply with your resume. We'd also welcome hearing a little about your experience with children and what interests you about working at Nashoba Pediatric Therapies.