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

Occupational Therapist - Early Intervention

Occupational Therapist 8.0 Work-LifeFull-Time

Listed compensation

$62K - $67K

The week · per this posting · weekdays assumed

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

Posted 5mo ago

Job Description

This position offers a salary range of $62,000 to $67,000. 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 Marlboro, 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:

  • Flexible Schedules: FT, PT, and family hours
  • Health and Dental Insurance, including Fitness Benefits and Wellness Incentive Program.
  • Generous vacation
  • Personal time
  • Sick time (80 – 96 hours every year)
  • Paid holiday (10-12 paid holidays)
  • 403(b) with employer matching
  • Section 125 flexible benefits plan (Medical and dependent care)
  • Employer-sponsored Long-term disability insurance.
  • Employer-sponsored Life Insurance
  • Employer-sponsored Accidental Death and Dismemberment Insurance
  • Productivity Bonus Plan
  • Continuing education leave and paid conference fees.
  • Paid professional license renewal fees.
  • Clinical supervision, mentoring and team support.
  • Mileage reimbursement

Other Optional Benefits

  • 1. Short-term Disability Insurance
  • 2. Accident Insurance
  • 3. Cancer Insurance

Position Responsibilities

  • Participate in multidisciplinary team assessments of the client’s developmental status.
  • Provide direct services and activities developmentally appropriate for children 0-3 and their families.
  • Participate in the development of an Individual Family Service Plan (IFSP) with responsibility for identifying goals, objectives, and strategies related to the child’s development.
  • Complete progress notes, reports, assessments, and correspondence as appropriate
  • Provides 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 cognitive, adaptive behavior, social-emotional, self-care, fine motor, gross motor, and communication development.
  • Assess family and child strengths/resources, concerns, and progress.
  • Act as a service coordinator for the family by scheduling, developing, implementing, monitoring, and evaluating the intervention plan for each family on caseload, ensuring that appropriate procedures and timelines are followed.
  • Provides supportive professional assistance to families.
  • Facilitate parent-child interactions to encourage child's development; assist families to act as advocates for their child.

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

Provide home and community-based early intervention services to infants and toddlers with developmental delays. Collaborate with families to develop and implement Individual Family Service Plans (IFSP) while acting as a service coordinator.

Requirements

Must hold a current Occupational Therapist license from the Massachusetts Board of Registration of Allied Health Professions. Requires a valid driver's license, reliable transportation, and strong communication skills.

Qualifications

Education
Professional certificate or licensure

Key Skills

Pediatric Occupational TherapyDevelopmental AssessmentIFSP DevelopmentFamily-Centered CareCase ManagementClinical DocumentationInterdisciplinary CollaborationCultural HumilityComputer Proficiency

Occupational Therapist Career Context

In Massachusetts, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$93k (192 salary observations; 654 listings), vs ~$97k nationally (5,279 salary observations; 29,546 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; 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 ~$65k midpoint carries the purchasing power of roughly $61k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Massachusetts?
MeasureThis jobMarket
Work-life score8.0 / 10 · top 5% in occupational therapyranked against 8,995 Occupational Therapy listingslisting-based score, 0–10
Listed pay$62k–$67kOccupational Therapy median $93k (middle half $88k–$105k)11 comparable listings, Nov 2026
Massachusetts vs national$93k median in Massachusetts$97k nationally (−4%)192 state / 5,279 national salary observations
Cost-of-living adjusted pay~$61k in purchasing powerMassachusetts index 105.8 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Massachusetts226 active9,081 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 4% remote · 24% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMassachusetts occupational therapist listings (all specialties): 16% state a sign-on bonus (median $5k) · 7% offer loan repayment236 active listings, Nov 2026
New Occupational Therapy listings3,268 in the last 30 days1,702 the 30 days before (+92%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.1% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (8,995 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist - Early Intervention at Douglas-A-Thom Clinic a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Occupational Therapy — ranked against 8,995 active Occupational Therapy listings on WeekdayDoc.

Top Occupational Therapist Jobs

30 matches · ranked by pay

Salary Distribution

30 jobs · 15 employers
11
<$90k
13
$90k-110k
2
$110k-130k
4
$130k-150k

Annual compensation range

Benefits & Perks

28 jobs · 15 employers
401k / retirement match
96% this job
Sign-on bonus
32%
CME allowance
32% this job
Loan repayment
4%
PSLF eligible
4%

Share of similar jobs offering each benefit

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Work-life snapshot

median 4.8this job 8.0
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 8,995 comparable listings. Shaded area = the share scoring below this one.

Douglas-A-Thom Clinic logo

About Douglas-A-Thom Clinic

Individual and Family Services
Framingham, Massachusetts
201-500 employees

Benefits & Perks

Flexible schedules (FT, PT)
Health and Dental Insurance
Fitness Benefits and Wellness Incentive Program
Generous vacation
Personal time
Sick time (80-96 hours/year)
10-12 paid holidays
403(b) with employer matching