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

Recreation therapists use recreational activities as interventions for physical, social, or emotional behavior, with the goal of supporting desired behavioral change and patient growth and development. This page presents a registry-based view of active NPI records with Recreation Therapist as the primary NUCC taxonomy, including the national total, state distribution, the NPPES sole-proprietor flag, and recent NPI enumeration patterns.

National totals

Active NPI records2,531
Registered sole proprietors857 (33.9%)
NUCC taxonomy code225800000X
GroupingRespiratory, Developmental, Rehabilitative and Restorative Service Providers

What this specialty covers

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

Reading the sole-proprietor share

For Recreation Therapist records, the sole-proprietor share indicates how many records report that status in NPPES, not how many recreation therapists work in private practice. It is a self-reported NPPES field and an imperfect proxy because it may be incomplete, outdated, or reflect an ownership or billing arrangement rather than the therapist's actual work setting.

By state

StateActive NPIsSole proprietorsShare
Michigan35813337.2%
California29210435.6%
Utah2018944.3%
Texas1656841.2%
Florida1214335.5%
New York1203428.3%
North Carolina1003636.0%
Illinois722534.7%
Pennsylvania651624.6%
Ohio641828.1%
Washington621219.4%
Georgia591830.5%
Arizona53<11not reported
Indiana522344.2%
Wisconsin481225.0%
Minnesota461430.4%
Virginia441227.3%
New Jersey431330.2%
Colorado411126.8%
Mississippi351234.3%
Oklahoma331854.5%
Tennessee32<11not reported
Louisiana301136.7%
Massachusetts29<11not reported
Missouri28<11not reported
Maryland271348.1%
Nevada21<11not reported
Arkansas21<11not reported
Kansas20<11not reported
Nebraska19<11not reported
Alabama18<11not reported
South Carolina18<11not reported
Oregon17<11not reported
New Mexico14<11not reported
District of Columbia14<11not reported
Maine14<11not reported
Hawaii14<11not reported
West Virginia13<11not reported
New Hampshire13<11not reported
Connecticut13<11not reported
Kentucky11<11not reported
Alaska11<11not reported

New NPI registrations by year

Year first enumeratedNPIs
201659
2017105
201897
2019100
2020227
2021225
2022181
2023193
2024296
2025247

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 recreation therapists are there in the United States?

The registry lists 2,531 active NPI records nationally with Recreation Therapist as the primary taxonomy. This is a count of NPI records, not necessarily a count of unique people or the entire workforce.

How many recreation therapists are in private practice?

NPPES flags 857 records, or 33.9%, as sole proprietors. That figure is not a direct count of private-practice recreation therapists because the sole-proprietor field is self-reported and is only an imperfect proxy.

Which state has the most recreation therapists?

Michigan has the largest reported count, with 358 active NPI records using Recreation Therapist as the primary taxonomy. State counts describe NPI records associated with the classification and do not measure service volume.

How many recreation therapist NPIs were first enumerated in 2024?

There were 296 NPIs first enumerated in 2024. First enumeration is an NPI event and does not by itself show that the same number of new therapists began practicing.

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