Therapy Smarts logo
Therapy Smarts
North Carolina

Occupational Therapist - Contractor

Occupational TherapistContract

Listed compensation

$65-$72/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 7mo ago

Job Description

Therapy Smarts is looking for passionate OTs who are interested in living our mission of “Turning challenges into triumphs for all children" to join our growing team in a full-time capacity. Must have experience in pediatrics either through previous employment or fieldwork placement.

Experience in a school setting is a plus.

Therapy Smarts, Inc. is a therapist-owned private pediatric outpatient clinic providing SLP, PT, and OT services to children of all ages and diagnoses, including: autism spectrum disorder, sensory processing disorder, cerebral palsy, apraxia, dyslexia, feeding disorders, and developmental delays.

Requirements

Role & Responsibilities

  • Conduct comprehensive initial evaluations and periodic reevaluations for pediatric clients (3-10 years old).
  • Administer standardized assessments and clinical observations.
  • Prepare clear, timely, and thorough written evaluation reports with measurable goals and recommendations.
  • Collaborate with a multidisciplinary team to support service planning.
  • Maintain compliance with documentation and billing requirements.

Qualifications

  • Licensed Occupational Therapist in the state of North Carolina.
  • Minimum 2 years pediatric experience; evaluation experience strongly preferred.

Proficiency in a variety of pediatric assessment tools (e. g., PDMS-2, BOT-2, Sensory Profile).

  • Strong written communication and organizational skills.
  • Ability to work independently and manage deadlines.
  • Compensation & Schedule
  • Paid per completed evaluation.
  • Flexible schedule; assignments based on need.
  • Evaluations may occur in Durham, Chapel Hill, and partner sites (schools, daycares, Headstart programs).

Why Work With Us

  • Competitive per-evaluation rates.
  • Administrative support for scheduling and billing.
  • Flexible, project-based workload — ideal for OTs seeking supplemental income or schedule control.
  • Supportive, collaborative team culture.

Key Responsibilities

The role involves conducting comprehensive initial evaluations and periodic reevaluations for pediatric clients aged 3 to 10 years, utilizing standardized assessments and clinical observations. Responsibilities also include preparing thorough written reports with measurable goals and collaborating with a multidisciplinary team while maintaining documentation and billing compliance.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Occupational TherapyReevaluationReport WritingGoal SettingMultidisciplinary Team CollaborationDocumentation Compliance

Occupational Therapist Career Context

In North Carolina, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$92k (197 salary observations; 713 listings), vs ~$97k nationally (6,588 salary observations; 25,229 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$142k midpoint carries the purchasing power of roughly $151k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 44 active Occupational Therapy listings this role was benchmarked against, 7% are remote, 45% have no call, 61% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist - Contractor at Therapy Smarts a 7.9 out of 10 for work-life balance — classified as very good. This places the position in the top 5% in Occupational Therapy — ranked against 9,285 active Occupational Therapy listings on WeekdayDoc. Contributing factors include flexible scheduling.

Top contract/1099 Occupational Therapist Jobs

21 matches · ranked by pay

Salary Distribution21 jobs · 16 employers

8
<$105k
6
$105k-120k
2
$120k-135k
3
$135k-150k
2
$150k+

Annual compensation range

Benefits & Perks20 jobs · 16 employers

401k / retirement match
95%
Sign-on bonus
60%
CME allowance
55%
Loan repayment
25%
Relocation assistance
10%

Share of similar jobs offering each benefit

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Work-life snapshot

median 4.8this job 7.9
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,285 comparable listings. Shaded area = the share scoring below this one.

Therapy Smarts logo

About Therapy Smarts

Physical, Occupational and Speech Therapists
Durham, North Carolina
11-50 employees

Benefits & Perks

Flexible Schedule
Administrative Support
Project-Based Workload