Douglas-A-Thom Clinic logo
Douglas-A-Thom Clinic
Boston, Massachusetts

Occupational Therapist

Occupational TherapistNo weekendsFull-Time

Listed compensation

$72k-$77k

The week · per this posting · Monday – Friday

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

Posted 16m ago · Verified live

Job Description

This position offers a salary range of $72,000 to $77,000. Actual pay will be based on relevant skills, qualifications, and experience.

Are you looking for a rewarding opportunity working with the pediatric population (children birth to 3 years)? Are you passionate about making a difference in the lives of families? Thom Child & Family Services located in Boston, MA is seeking a licensed Occupational Therapist/OT to join their team.

As an Early Intervention Occupational Therapist/Clinician, you will be responsible for providing home and community-based early intervention services to infants and toddlers who have or are at risk for developmental delays and their families in both their homes and community settings.

You will partner with parents/caregivers to ensure service delivery is individualized, meaningful for the family, and grounded in evidence-based practice. Through this collaborative process, you ensure families’ priorities, needs, culture, and values are prioritized.

Thom Child & Family Services offers competitive salaries and a comprehensive benefits package including, but not limited to:

  • Compensation & Benefits
  • Salary range: $72,000–$77,000, based on relevant skills, qualifications, and experience
  • Productivity bonus opportunities
  • Mileage reimbursement
  • 403(b) retirement plan with employer match

Schedule & Paid Time Off

  • Flexible FT, PT, Per Diem, and flexible hours
  • Monday–Friday schedule, generally between 8:30 a. m. and 4:30 p. m.
  • Generous vacation time
  • 96 hours of sick time annually
  • 12 paid holidays
  • Up to 24 hours of professional development/conference time annually

Health & Insurance Benefits

  • Medical, dental, and vision insurance
  • Fitness benefits and wellness incentive program
  • Employer-sponsored Health Reimbursement Account
  • Section 125 flexible benefits plan for medical and dependent care expenses
  • Employer-paid long-term disability insurance
  • Employer-paid life and accidental death and dismemberment insurance
  • Employee Assistance Program

Optional Coverage Is Also Available, Including

  • Short-term disability insurance
  • Accident insurance
  • Cancer insurance
  • Professional Support & Development
  • Paid professional license renewal fees
  • Clinical supervision and structured orientation
  • Ongoing mentoring and team support
  • Scholarship opportunities through the Fazzio Scholarship and Thom Academy
  • Tools Provided
  • Employer-issued laptop
  • Employer-issued cell phone

Position Responsibilities

  • Participate in multidisciplinary team assessments of the client’s developmental status.
  • Assess family and child strengths/resources, concerns, and progress.
  • Provide child and family centered services and activities developmentally appropriate for children birth to three and their families using parent coaching model.
  • Provide service coordination by scheduling, developing, implementing, monitoring, and evaluating the intervention plan for each family, ensuring that appropriate procedures and timelines are followed.
  • Partner with families in the development of Individual Family Service Plans (IFSPs) to identify goals, objectives, and strategies related to the child’s development.
  • Facilitate parent-child interactions to encourage child's development; assist families to act as advocates for their child.
  • Complete progress notes, reports, assessments, and correspondence as appropriate using the Thom electronic documentation system.
  • Provide individual and group intervention for infants and toddlers from birth to three years old who have developmental delays or who are at risk for delays in the areas of cognition, adaptive behavior, social-emotional development, self-care, fine motor, gross motor, and communication.

Position Requirements

  • Current licensure as an Occupational Therapist by the Massachusetts Board of Registration of Allied Health Professions
  • Experience with infants, toddlers and families is preferred
  • Knowledge of family systems and early childhood development.
  • Ability to engage in meaningful, therapeutic relationships with children, parents/caregivers, and community partners.
  • Commitment to delivering individualized and culturally humble services.
  • Excellent written and verbal communication and organizational skills.
  • Abide by all confidentiality and professional boundaries standards.
  • Good computer skills as well as strong documentation skills.
  • Current driver’s license and reliable transportation.
  • Bilingual/Bicultural a plus.

No Phone Calls or Recruiters Please

Thom Child and Family Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, familial status, domestic violence status, or any other status protected by law.

Key Responsibilities

The Occupational Therapist provides home and community-based early intervention services to infants and toddlers with developmental delays. They partner with families to develop and implement Individual Family Service Plans (IFSPs) using a parent coaching model.

Requirements

Candidates must hold a current Massachusetts Occupational Therapist license and possess knowledge of family systems and early childhood development. Strong communication skills, a valid driver's license, and reliable transportation are required for community-based service delivery.

Qualifications

Education
Professional certificate or licensure

Key Skills

Occupational therapyPediatric careIndividualized family service plansDevelopmental assessmentMultidisciplinary collaborationTherapeutic relationship buildingAdvocacyComputer literacyCultural humility

Occupational Therapist Career Context

In Massachusetts, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$90k (164 salary observations; 492 listings), vs ~$96k nationally (4,563 salary observations; 25,028 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 Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $70k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Occupational Therapy listings this role was benchmarked against, 48% have no call, 75% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 3.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist at Douglas-A-Thom Clinic a 6.3 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,334 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Occupational Therapist Jobs

21 matches · ranked by pay

Salary Distribution21 jobs · 16 employers

8
<$105k
5
$105k-120k
2
$120k-135k
5
$135k-150k
1
$160k

Annual compensation range

Benefits & Perks19 jobs · 16 employers

401k / retirement match
74% this job
Sign-on bonus
68%
CME allowance
47%
Loan repayment
37%
Relocation assistance
16%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Guerneville, California

$130k-$160k
#2

Acute Care Occupational Therapist

Sentara Health · Hampton, Virginia

$96k-$141k
#3

Occupational Therapist

$96k-$141k
#4

Acute Care Occupational Therapist - Flexi

$96k-$141k
+ 19 more · ranked by pay

Work-life snapshot

median 4.8this job 6.3
Better work-life than 70% of Occupational Therapy listings

Listing-based score, 0–10, across 9,334 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Boston

Typical 3-bedroom home value
$813k≈ 11.3× annual pay
Typical market rent
$3,338/mo≈ 56% of gross pay
Residents’ average commute
30 min
Metro price indexU.S. average = 100
108.3
State income tax
Up to 5%
Sources & methodology

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

BEA 2024 · Boston-Cambridge-Newton, MA-NH metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Douglas-A-Thom Clinic logo

About Douglas-A-Thom Clinic

Individual and Family Services
Framingham, Massachusetts
201-500 employees

Benefits & Perks

Productivity bonus opportunities
Mileage reimbursement
403(b) retirement plan with employer match
Generous vacation time
96 hours of sick time annually
12 paid holidays
Up to 24 hours of professional development/conference time annually
Medical, dental, and vision insurance