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Fitness For Health
Rockville, Maryland

Part Time / PRN Weekend Occupational Therapist / COTA

Occupational Therapy AssistantIncludes weekendsPer Diem

Listed compensation

$60-$75/hr

The week · per this posting

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Fitness for Health is seeking passionate, energetic Occupational Therapists (OTRs) and Certified Occupational Therapy Assistants (COTAs) to join our growing team! We are an innovative outpatient practice specializing in neurological, developmental, sensory, orthopedic, and visual rehabilitation through individualized, movement-based therapy. We are primarily interested in candidates with floating weekend availability, but additional weekday hours may be available as well.

Our therapists work one-on-one with children and adolescents presenting with a wide variety of diagnoses, including autism spectrum disorder, ADHD, developmental coordination disorder, cerebral palsy, genetic syndromes, concussion, orthopedic conditions, executive functioning challenges, retained reflexes, visual processing deficits, and sensory processing differences.

If you enjoy combining neuroscience, movement, play, and creativity to help children reach their fullest potential, we'd love to meet you.

What You'll Do

Provide individualized occupational therapy interventions to pediatric clients.

Evaluate and treat children with neurological, developmental, orthopedic, sensory, visual-motor, and executive functioning challenges.

Address underlying motor, sensory, cognitive, and visual skills that support meaningful participation in school, home, play, and community activities.

  • Collaborate closely with families and an interdisciplinary team to maximize outcomes.
  • Develop individualized home programs and caregiver education.
  • Complete documentation in a timely manner.
  • Our Treatment Philosophy

At Fitness for Health, we believe meaningful change occurs by addressing the root causes of functional challenges—not simply compensating for them. Our therapists utilize a neurodevelopmental and evidence-based approach to improve:

  • Motor planning and coordination
  • Balance and postural control
  • Primitive reflex integration
  • Sensory processing and self-regulation
  • Executive functioning
  • Visual processing and visual-motor integration
  • Strength, endurance, and body awareness
  • Fine motor and handwriting skills

Functional Independence in Daily Occupations

Treatment sessions are active, engaging, and individualized, incorporating movement, play, therapeutic exercise, and technology to maximize neuroplasticity and motor learning.

Our Clinic

Fitness for Health offers therapists access to a unique treatment environment, including:

  • Large therapeutic gym
  • Interactive rehabilitation technology and exergaming systems
  • Balance and vestibular equipment
  • Functional strengthening equipment
  • Visual-motor training tools
  • Sensory integration equipment
  • Private treatment rooms for fine motor and handwriting intervention

We encourage therapists to think creatively and utilize movement-based interventions that keep children motivated while targeting meaningful functional outcomes.

Qualifications

Occupational Therapist (OTR/L)

  • Current Maryland Occupational Therapy License (or eligibility)
  • NBCOT Certification
  • Pediatric experience preferred (new graduates with strong pediatric fieldwork are welcome to apply)

Schedule: PRN and Part-Time positions available

Weekend availability (Saturday and/or Sunday) required

Additional weekday hours available based on clinic needs

What We're Looking For

Our ideal candidate is:

  • Passionate about pediatric neurorehabilitation
  • Interested in treating the whole child rather than isolated symptoms
  • Creative, energetic, and movement-oriented
  • Excited to learn and collaborate with an experienced interdisciplinary team
  • Comfortable working with children across a wide range of developmental and neurological diagnoses
  • Committed to providing exceptional family-centered care

Why Join Fitness for Health?

  • One-on-one treatment sessions
  • Collaborative and supportive interdisciplinary team
  • Mentorship and opportunities for professional growth
  • Innovative treatment technology and therapeutic gym

Flexible Scheduling

Diverse caseload with opportunities to develop expertise in pediatric neurology and developmental rehabilitation

Positive clinic culture focused on clinical excellence and individualized care

Key Responsibilities

Provide individualized occupational therapy interventions to pediatric clients with neurological, developmental, and orthopedic challenges. Collaborate with families and an interdisciplinary team to develop home programs and achieve functional outcomes.

Qualifications

Education
Professional certificate or licensure

Key Skills

Pediatric rehabilitationNeurological rehabilitationInterdisciplinary collaborationNeurodevelopmental approachEvidence-based practice

Occupational Therapist Career Context

The cost-of-living index for Maryland is 105.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$140k midpoint carries the purchasing power of roughly $134k in an average-cost state. 62.9% of Maryland clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapy pay on WeekdayDoc is up 3.4% vs. the prior quarter (through Oct 2026).

What does the Occupational Therapy market look like in Maryland?
MeasureThis jobMarket
Listed pay$125k–$156kOccupational Therapy median $73k (middle half $66k–$77k)10 comparable listings, Nov 2026
Cost-of-living adjusted pay~$134k in purchasing powerMaryland index 105.0 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Maryland145 active9,162 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedMaryland Occupational Therapist listings: 8% state a sign-on bonus · 10% offer loan repayment156 active listings, Nov 2026
New Occupational Therapy listings3,007 in the last 30 days1,825 the 30 days before (+65%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+3.4% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top contract/1099 OTA Jobs

1 matches · ranked by pay
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Adoration Health · Sweetwater, Tennessee

Work-life snapshot

median 4.8this job 4.8
Better work-life than 50% of Occupational Therapy Assistant listings

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Benefits & Perks

Flexible scheduling
Mentorship
Professional growth opportunities
Innovative treatment technology
Collaborative interdisciplinary team

Living in Rockville

Typical 3-bedroom home value
$616k
Typical market rent
$2,372/mo
Residents’ average commute
31 min
Metro price indexU.S. average = 100
108.9
State income tax
Up to 5.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Washington-Arlington-Alexandria, DC-VA-MD-WV metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.