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Occupational Therapist: how many are there, and how many are in private practice?

Occupational therapists are rehabilitation professionals who help people participate in daily activities after illness, injury, disability, or developmental challenges. The NUCC 225X00000X classification covers professionals who complete an approved entry-level occupational therapy program, supervised fieldwork, a recognized examination, and applicable state requirements. This page shows 138,962 active NPI records with this taxonomy as their primary classification and the NPPES share flagged as sole proprietors.

National totals

Active NPI records138,962
Registered sole proprietors40,341 (29.0%)
NUCC taxonomy code225X00000X
GroupingRespiratory, Developmental, Rehabilitative and Restorative Service Providers

What this specialty covers

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations an

Reading the sole-proprietor share

For this specialty, 40,341 records, or 29.0%, are flagged as sole proprietors. The flag is a self-reported NPPES field, so it is an imperfect proxy for private practice: it does not directly show ownership, employment arrangement, clinical independence, or whether a provider sees patients.

By state

StateActive NPIsSole proprietorsShare
New York13,7025,55740.6%
California8,7242,98634.2%
Florida8,4113,32039.5%
Texas7,9462,34329.5%
Pennsylvania7,2261,99227.6%
Illinois5,9871,52025.4%
Michigan5,4381,46226.9%
New Jersey5,0491,68233.3%
North Carolina4,5691,27427.9%
Ohio4,5101,17526.1%
Wisconsin3,69072119.5%
Massachusetts3,6221,15031.8%
Virginia3,44279523.1%
Georgia3,3871,04530.9%
Maryland3,29969321.0%
Washington3,21265620.4%
Minnesota3,19840812.8%
Colorado3,04983727.5%
Indiana3,02068522.7%
Missouri2,83270024.7%
Tennessee2,56355421.6%
Kentucky2,39171830.0%
Arizona2,22071132.0%
South Carolina2,04548823.9%
Arkansas1,75159534.0%
Connecticut1,70941624.3%
Oregon1,66732419.4%
Louisiana1,42349935.1%
Alabama1,35026419.6%
Maine1,34235626.5%
Nebraska1,33630923.1%
New Hampshire1,30242932.9%
Kansas1,25230424.3%
Iowa1,13718616.4%
Utah1,03422722.0%
Mississippi1,00835335.0%
Oklahoma97729029.7%
New Mexico88135240.0%
Nevada81326332.3%
North Dakota78411214.3%
Idaho63415724.8%
West Virginia63317728.0%
South Dakota54211220.7%
Delaware50512324.4%
Rhode Island48612425.5%
Montana48311824.4%
District of Columbia40410927.0%
Alaska3749324.9%
Hawaii36210027.6%
Wyoming3286620.1%
Vermont2789835.3%

New NPI registrations by year

Year first enumeratedNPIs
20175,851
20188,762
20197,465
20206,827
20218,043
20227,498
20237,584
20247,357
20257,076
2026 (partial year)171

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many occupational therapists are there in the United States?

There are 138,962 active NPI records nationally with Occupational Therapist as the primary taxonomy. This is a count of NPI records, not necessarily a count of unique licensed people.

How many occupational therapists are in private practice?

NPPES flags 40,341 records, or 29.0%, as sole proprietors. Because this is self-reported and not a direct practice-ownership measure, it should not be read as an exact count of occupational therapists in private practice.

Which states have the most occupational therapists?

The largest listed state counts are New York (13,702), California (8,724), Florida (8,411), Texas (7,946), and Pennsylvania (7,226).

How many occupational therapist NPIs were first enumerated in recent years?

The reported first-enumeration counts are 7,357 in 2024, 7,076 in 2025, and 171 in 2026. These are enumeration counts, not a measure of current active providers added in those years.

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