Lead Pediatric Occupational Therapist

Occupational TherapistIncludes weekendsFull-Time

Listed compensation

$72k-$78k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

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

Posted 1h ago · Verified live

Job Description

  • Little Land Pediatric Therapy & Play Gym of Cedar Park, TX
  • Full-time
  • Salaried
  • In person
  • Monday–Friday, 40 hours/week

$72,000 – $78,000/year + uncapped productivity bonus

About Little Land Since 2014, Little Land has helped children reach their potential through occupational therapy, physical therapy, speech therapy, and ABA all under one roof, next to our own sensory-rich play gym.

Why Clinicians Choose Little Land

A true salary. Your pay never drops for cancellations, no-shows, documentation, or admin time.

Weekdays only. Monday–Friday, no weekends required.

Real time off. Paid PTO, nine paid holidays.

One roof, whole child. Work side by side with OT, PT, speech, and ABA colleagues on shared kids.

Room to grow. A clear path into clinical leadership as our OT department expands.

The role Our Lead Occupational Therapist is a senior clinician who treats, teaches, and sets the example for our OT team. You will carry a pediatric caseload, supervise COTAs, and serve as the go-to clinical resource for your colleagues. You will report to our Executive Clinical Director and work closely with our Administrative Director on patient scheduling.

What You Will Do

  • Evaluate and treat children from infancy through adolescence
  • Supervise COTAs in line with Texas OT rules, including co-treats, documentation review, and plan-of-care oversight
  • Mentor newer OTs through case consults, modeling sessions, and feedback
  • Write clear, timely evaluations, plans of care, and progress notes that meet payer requirements
  • Coach families with practical home programs that carry therapy into daily life
  • Collaborate with our speech, PT, and ABA teams on shared clients

What You Bring

  • Master's or Doctorate in Occupational Therapy from an ACOTE-accredited program
  • Active Texas OT license (or eligibility) and NBCOT certification
  • 3+ years of pediatric OT experience, outpatient clinic preferred
  • Demonstrated leadership ability, such as supervising COTAs, mentoring therapists, or leading a clinical program
  • Strong skills in sensory processing, fine motor, self-care, and developmental play
  • Feeding, handwriting, or sensory integration training is a plus

What Success Looks Like

  • Your caseload is full and your documentation and patient engagement sets the example for the team.
  • The COTAs you supervise are confident, compliant, and growing.
  • Colleagues come to you first with clinical questions.

How we lead Every Little Land leader is held to our ten Leadership Principles. As a lead, you will be expected to:

Own the outcome. Take responsibility for results, not just tasks.

Extend the line. Your authority comes from your role; build rapport with the team while keeping the objectivity to coach fairly.

Develop your people. Coach the COTAs and therapists you support.

Resolve conflict directly. Address friction at its source instead of letting it spread.

Receive feedback without defensiveness. Hear feedback about yourself, not just give it.

Schedule Monday–Friday, 9:00 a. m.–6:00 p. m., with a one-hour lunch. No weekends required. This is an in-person role at our Cedar Park clinic.

Benefits

Base salary of $72,000–$78,000 (based on experience), plus an uncapped quarterly productivity bonus. This is a true salaried role: your pay is never reduced for admin time, documentation, or patient cancellations and no-shows

  • Health, dental, and vision insurance, with Little Land covering 50% of premiums
  • Two weeks of paid time off
  • Nine paid holidays
  • CEU reimbursement paid by Little Land
  • A clear path toward clinical leadership as our OT department grows

How to apply Submit your resume and a short note about a child or family whose progress you are proud of. Qualified candidates will be invited to meet our clinical leadership team.

Good to know This role requires a background check and the ability to work at floor level, lift and move children and equipment, and keep up with active kids. Little Land is an equal opportunity employer and welcomes applicants of all backgrounds.

Salary: 72000 - 78000 USD Per annum

Key Responsibilities

Evaluate and treat children from infancy through adolescence, maintain a pediatric caseload, and produce timely evaluations, plans of care, and progress notes. Supervise and mentor COTAs and newer OTs, coach families on home programs, and collaborate with speech, physical therapy, and ABA colleagues.

Requirements

Requires a master's or doctorate in occupational therapy from an ACOTE-accredited program, an active Texas OT license or eligibility, and NBCOT certification. Candidates need at least three years of pediatric OT experience and demonstrated leadership ability; strengths in sensory processing, fine motor skills, self-care, and developmental play are expected.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Pediatric Occupational TherapyClinical EvaluationTreatment PlanningCOTA SupervisionClinical MentoringFamily CoachingInterdisciplinary CollaborationFeeding Therapy

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Lead Pediatric Occupational Therapist at Little Land Pediatric Therapy & Play Gym a 6.4 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Pediatrics (Occupational Therapy) — ranked against 679 active Pediatrics (Occupational Therapy) listings on WeekdayDoc.

Pediatrics — Occupational Therapist Career Context

In Texas, the Pediatrics weighted monthly median benchmark on WeekdayDoc is ~$86k (50 salary observations; 322 listings), vs ~$90k nationally (503 salary observations; 1,594 listings). Monthly aggregates cover 2026-03-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

Of the 50 active Pediatrics listings this role was benchmarked against, 2% are remote, 48% have no call, 56% require no weekends.

Pediatrics by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · top 25% in pediatrics (occupational therapy)ranked against 679 Pediatrics (Occupational Therapy) listingslisting-based score, 0–10
Listed pay$72k–$78kPediatrics median $108k (middle half $90k–$115k)10 comparable listings, Oct 2026
Texas vs national$86k median in Texas$90k nationally (−4%)50 state / 503 national salary observations
Cost-of-living adjusted pay~$77k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Pediatrics listings in Texas134 active680 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 2% remote · 48% no call · 56% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index (679 Pediatrics (Occupational Therapy) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$75k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

25 matches · ranked by pay

Salary Distribution

25 jobs · 17 employers
6
<$95k
12
$95k-115k
2
$115k-135k
5
$135k-155k

Annual compensation range

Benefits & Perks

23 jobs · 17 employers
401k / retirement match
96%
Sign-on bonus
52% this job
CME allowance
48% this job
Loan repayment
22%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Occupational Therapist

MGA Homecare · Dallas, Texas

up to $150,000
#2

Occupational Therapist (Maternity Relief)

MGA Homecare · McKinney, Texas

up to $150,000
#3

Occupational Therapist - Pediatric

$96k-$141k
#4

Occupational Therapist Matawan NJ

$140k
+ 23 more · ranked by pay

Work-life snapshot

median 4.8this job 6.4
Better work-life than 80% of Pediatrics (Occupational Therapy) listings

Listing-based score, 0–10, across 679 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
Little Land Pediatric Therapy & Play Gym logo

About Little Land Pediatric Therapy & Play Gym

Medical Practices
Cedar Park, Texas
51-200 employees

Benefits & Perks

Base salary $72,000-$78,000
Uncapped quarterly productivity bonus
True salaried role (pay not reduced for cancellations, no-shows, documentation, or admin time)
Health, dental, and vision insurance (50% of premiums covered)
Two weeks of paid time off
Nine paid holidays
CEU reimbursement paid by Little Land
Path toward clinical leadership

Living in Cedar Park

Typical 3-bedroom home value
$371k≈ 5.2× annual pay
Typical market rent
$1,702/mo≈ 28% of gross pay
Residents’ average commute
26 min
State income tax
None
Sources & methodology

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

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