Life Care Center of South HillNewRegistered Occupational Therapist (OT) Life Care Center of South HillRegistered Occupational Therapist (OT)Puyallup, WA$43–$53Life Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance. As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
Epic Special Education StaffingNewCertified Occupational Therapist School 2026-2027 SY Epic Special Education StaffingCertified Occupational Therapist School 2026-2027 SYTumwater, WA$40.50–$46.58 / hourWe’re offering a $2,000 Completion Bonus for eligible clinicians and educators who commit to and complete their full school year assignment (30+ hours/week), plus the opportunity to earn up to $3,000 in referral bonuses. The minimum qualifications for School Certified Occupational Therapist: · 1 year of verifiable, professional experience as School Certified Occupational Therapist within the last 3 years (may include residency or clinical practicum).
Life Care Center of South HillNewCertified Occupational Therapist Assistant (COTA) Life Care Center of South HillCertified Occupational Therapist Assistant (COTA)Puyallup, WALife Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance . As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
OptumNewOccupational Therapist, OT - Puyallup area OptumOccupational Therapist, OT - Puyallup areaPuyallup, WA$97,109–$145,663 / yearAs members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role.
MultiCare Health SystemPediatric Outpatient Occupational Therapist MultiCare Health SystemPediatric Outpatient Occupational TherapistGig Harbor, WAFull timeThe Occupational Therapist is an exciting opportunity at MultiCare, responsible for evaluating, planning and implementing occupational therapy services for in-patients and outpatients referred for Occupational Therapy. The employee must be self-driven, outcomes oriented, and able to demonstrate quality work within a fast paced environment, so as to meet productivity as it aligns with our stewardship value.
Providence St. Joseph HealthOccupational Therapist - Acute Care Providence St. Joseph HealthOccupational Therapist - Acute CareOlympia, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
ResCare Premier Inc.Occupational Therapist - PRN ResCare Premier Inc.Occupational Therapist - PRNGig Harbor, WA$50–$60 / hourFull timeRehab Without Walls, an affiliate of BrightSpring Health Services, is a revolutionary neurorehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care. By providing care in the home, community, workplace, or school, Rehab Without Walls promotes greater health through the recovery process, all with industry-leading outcomes that dramatically improve functional skills and independence for patients.
MultiCare Health SystemOccupational Therapist Home Health East Pierce MultiCare Health SystemOccupational Therapist Home Health East PierceTacoma, WAFull timeIf your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home. Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
MultiCare Health SystemPer Diem Acute Care Occupational Therapist MultiCare Health SystemPer Diem Acute Care Occupational TherapistPuyallup, WAFull timeInnovative facilities like the LEED Gold-certified Dally Tower and Pulse Heart Institute make Good Samaritan a dynamic workplace for clinicians eager to advance their careers in a state-of-the-art environment. The Occupational Therapist is an exciting opportunity at MultiCare, responsible for evaluating, planning and implementing occupational therapy services for in-patients and outpatients referred for Occupational Therapy.
MultiCare Health SystemOccupational Therapist MultiCare Health SystemOccupational TherapistOlympia, WAFull timeRecognized for excellence in patient safety, the hospital offers more than 20 specialties including emergency services, surgical care and a dedicated birth center - all delivered with compassion and integrity. With varied and dynamic day-to-day functions, you will apply your service orientation, analysis and good judgment toward ensuring comprehensive occupational therapy care for patients.
Mason HealthOccupational Therapist Mason HealthOccupational TherapistShelton, WA$47.07–$66.50 / hourFull timeEvaluates assigned patients and establishes a treatment plan and goals, using data from a variety of sources, such as patient records, interviews, observation, and team members. Outpatient duties require the therapist to treat ages birth to 21+ for developmental, cognitive, self-care, handwriting, sensory, motor, behavior, feeding or social emotional needs.
AccentCare, Inc.Occupational Therapist / OT, Home Health, PRN AccentCare, Inc.Occupational Therapist / OT, Home Health, PRNTacoma, WAFull timeWe're proud to be named one ofAmerica's Greatest Workplaces 2025by Newsweek - a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Required Certifications and Licensures: Master's degree in Occupational Therapy or the equivalent with license or certificate within the state providing services.
Aya Healthcare, Inc.Occupational Therapist School job in Tacoma, WA - Make $2907 - $3059/week (Job Aya Healthcare, Inc.Occupational Therapist School job in Tacoma, WA - Make $2907 - $3059/week (JobTacoma, WA$151,164–$159,068 / yearFull timeWhether you want to travel the country or work close to home, we'll take care of everything so you can focus on what you do best - providing life-changing care for students. Aya Education has an immediate opening for the following position: Occupational Therapist School in Tacoma, WA.
Aya Healthcare, Inc.Occupational Therapist School job in Spanaway, WA - Make $2242 - $2445/week (Jo Aya Healthcare, Inc.Occupational Therapist School job in Spanaway, WA - Make $2242 - $2445/week (JoSpanaway, WA$116,584–$127,140 / yearFull timeWhether you want to travel the country or work close to home, we'll take care of everything so you can focus on what you do best - providing life-changing care for students. Aya Education has an immediate opening for the following position: Occupational Therapist School in Spanaway, WA.
Aya Healthcare, Inc.Occupational Therapist School job in Tukwila, WA - Make $2427 - $2605/week (Job Aya Healthcare, Inc.Occupational Therapist School job in Tukwila, WA - Make $2427 - $2605/week (JobWoodmont Beach, WA$126,204–$135,460 / yearFull timeWhether you want to travel the country or work close to home, we'll take care of everything so you can focus on what you do best - providing life-changing care for students. Aya Education has an immediate opening for the following position: Occupational Therapist School in Tukwila, WA.
Aya Healthcare, Inc.Occupational Therapist School job in Tukwila, WA - Make $1133 - $1311/week (Job Aya Healthcare, Inc.Occupational Therapist School job in Tukwila, WA - Make $1133 - $1311/week (JobWoodmont Beach, WA$58,916–$68,172 / yearFull timeWhether you want to travel the country or work close to home, we'll take care of everything so you can focus on what you do best - providing life-changing care for students. Aya Education has an immediate opening for the following position: Occupational Therapist School in Tukwila, WA.
Aya Healthcare, Inc.Certified Occupational Therapist Assistant School job in Oakville, WA - Make $6 Aya Healthcare, Inc.Certified Occupational Therapist Assistant School job in Oakville, WA - Make $6Oakville, WA$31,876–$41,236 / yearFull timeWork-life balance - contracts are up to 40 hours per week, with workDays ending mid-late afternoon and weekends off! Whether you want to travel the country or work close to home, we'll take care of everything so you can focus on what you do best - providing life-changing care for students.
Aya Healthcare, Inc.Travel Occupational Therapist job in Lacey, WA - Make $2642 to $2836/week Aya Healthcare, Inc.Travel Occupational Therapist job in Lacey, WA - Make $2642 to $2836/weekLacey, WA$137,425.60–$147,472 / yearFull timeAn industry-leading on-time start rate and strong relationships with boards of nursing across the country to accelerate the process in all 50 states. Travel, per diem, permanent - we have the reach and access to get you the jobs you want, and the expertise to help you realize your long-term goals.
Aya Healthcare, Inc.NewTravel Occupational Therapist job in Centralia, WA - Make $2170 to $2363/week Aya Healthcare, Inc.Travel Occupational Therapist job in Centralia, WA - Make $2170 to $2363/weekCentralia, WA$112,881.60–$122,907.20 / yearFull timeTravel, per diem, permanent - we have the reach and access to get you the jobs you want, and the expertise to help you realize your long-term goals. Front-of-the-line access through our direct facility relationships - many with quick (even same-day) offers, giving you the best chance of securing your ideal opportunity.
TheraPedsOccupational Therapist School OT OTR TheraPedsOccupational Therapist School OT OTROlympia, WAWorking and playing with students requires that employees must be able to perform the necessary physical movement functions, as needed, such as lifting, sitting, walking, standing, crawling, and engaging with students in all physical locations and activities, while adhering to the duties outlined by the district. The Occupational Therapist (OT) will be responsible for providing therapy services to students, conducting assessments, developing IEP plans, evaluating progress, and collaborating with interdisciplinary teams (therapists, educators, parents).
Ambition 24HoursTravel Occupational Therapist (OT) - $2,396 per week in Federal Way, WA Ambition 24HoursTravel Occupational Therapist (OT) - $2,396 per week in Federal Way, WAFederal Way, WA$2,396–$2,396This role involves evaluating student needs, developing individualized therapy plans, delivering direct interventions, and collaborating with educators and support staff to promote student success in the educational environment. The Occupational Therapist will support students in developing, improving, and maintaining the functional skills needed for academic participation and daily school activities.
MedPro Healthcare StaffingTravel Occupational Therapist (OT) - $2,703 per week in Lacey, WA MedPro Healthcare StaffingTravel Occupational Therapist (OT) - $2,703 per week in Lacey, WALacey, WA$2,703–$2,703Duties ResponsibilitiesThe Occupational Therapist / OT is responsible for the assessment of referred patients that require rehabilitation services which includes: providing direct patient care to assess their medical condition, functional capabilities, limitations and restrictions and potential for rehabilitation. MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Occupational Therapist for an assignment with one of our top healthcare clients.
Genesis HealthcareNewOccupational Therapist (Journey Travel) - OT Genesis HealthcareOccupational Therapist (Journey Travel) - OTTacoma, WA$55–$70 / hourScreens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Services include but are not limited to application of therapeutic techniques in areas such as: * cognitive skills * muscle strength * coordination * endurance * mobility * perceptual abilities * sensory awareness * sitting and standing tolerance * balance * activities of daily living * joint protection * work simplification * orientation * physical agent modalities 12.
Genesis HealthcareOccupational Therapist (OT) Genesis HealthcareOccupational Therapist (OT)Puyallup, WA$47–$53 / hourBonus USD $10,000.00 Genesis HealthCare, Inc. and all affiliated entities (collectively "Genesis") has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school.
Olympic Sports & SpineOccupational Therapist / Industrial Rehab Specialist/CHT - Gig Harbor Olympic Drive Olympic Sports & SpineOccupational Therapist / Industrial Rehab Specialist/CHT - Gig Harbor Olympic DriveGig Harbor, WACHT/OT will be responsible for the evaluation, plan of care, treatment, re-evaluation, discharge, and appropriate communications of high-quality hand therapy services to patients, developing treatment plans, contributing to case management, and providing quality patient care. Olympic Sports & Spine (OSS) has an immediate opening for a full-time Occupational Therapist Work Rehabilitation (OT) and CHT to work at our Gig Harbor Olympic Drive clinic.
Hired by MatrixNewOccupational Therapist Hired by MatrixOccupational TherapistPuyallup, WA$2,100–$2,100Possession of an Occupational Therapy License issued by the state of Colorado Department of Regulatory Agencies. If you think you'd be a good match, submit your resume and reach out to Piyush at (862) 799-2191 to learn more.
Federal Way Public Schools2025-26 Occupational Therapist Federal Way Public Schools2025-26 Occupational Therapistfederal way, WAThe statements contained herein reflect general details as necessary to describe the principal functions of this job, the scope of responsibility and the level of knowledge and skills typically required, but should not be considered an all-inclusive listing of work requirements, skills or duties so classified. The occupational therapist collaborates with families and educational team members to develop appropriate education programs and advises on health related concerns as they impact education for students with special needs.
Hired by Matrix Inc.NewTravel Occupational Therapist (OT) - $2,100 per week in Puyallup, WA Hired by Matrix Inc.Travel Occupational Therapist (OT) - $2,100 per week in Puyallup, WAPuyallup, WA$2,100–$2,100Possession of an Occupational Therapy License issued by the state of Colorado Department of Regulatory Agencies. If you think you'd be a good match, submit your resume and reach out to Piyush at (862) 799-2191 to learn more.
Princeton Staffing SolutionsOccupational Therapist (OT) – Washington School-Based Princeton Staffing SolutionsOccupational Therapist (OT) – Washington School-BasedTacoma, WAEstablished in 2016, Princeton Staffing Solutions (PSS) is a top-tier staffing agency that connects talented Occupational Therapists, Physical Therapists, and Speech-Language Pathologists with rewarding opportunities in schools across the country. We partner with public, charter, and specialized schools to support students ages Birth to 21 with various disabilities, including Autism, ADHD, developmental delays, orthopedic impairments, and more.
HiredFirstOccupational Therapist (OT) HiredFirstOccupational Therapist (OT)Federal Way, WA$1,900–$1,944Develop and implement individualized occupational therapy treatment plans focused on improving activities of daily living (ADLs) and functional independence. Collaborate with the interdisciplinary healthcare team, including PTs, SLPs, and nursing staff, to ensure a coordinated approach to patient care.
Trinity Healthcare Talent ServicesOccupational Therapist Trinity Healthcare Talent ServicesOccupational TherapistPuyallup, Washington$43–$47 / hourAs an Occupational Therapist, you will work with patients of all ages to help them improve their ability to perform daily living and work activities. Overview: We are seeking a highly skilled and compassionate Occupational Therapist to join our team at a 130-bed Skilled Nursing Facility.
TEEMA GroupOccupational Therapist - OT TEEMA GroupOccupational Therapist - OTLakewood, WA$80,000–$81,000If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. The Occupational Therapist will be responsible for providing occupational therapy services to patients in a variety of settings.
PediaStaffPediatric Clinic Occupational Therapist - OT PediaStaffPediatric Clinic Occupational Therapist - OTLakewood, WAWe have a fabulous opportunity for a full-time pediatric-experienced Occupational Therapist to work with a pediatric therapy clinic just south of Tacoma. Qualifications: You will need to hold a Bachelors Degree (or higher) in Occupational Therapy and a current state license (or be eligible for same).
Federal Way Public SchoolsESY - Occupational Therapist Federal Way Public SchoolsESY - Occupational TherapistSummer School, WAThe statements contained herein reflect general details as necessary to describe the principal functions of this job, the scope of responsibility and the level of knowledge and skills typically required, but should not be considered an all-inclusive listing of work requirements, skills or duties so classified. The occupational therapist collaborates with families and educational team members to develop appropriate education programs and advises on health related concerns as they impact education for students with special needs.
Aequor Healthcare Services, Llc.26/27 SY | Occupational Therapist Aequor Healthcare Services, Llc.26/27 SY | Occupational TherapistTacoma, WA$60–$62 / hourContractorPay: $60 - $62 per hour W-2*Travel pay packages available as wellPosition SummaryCaseload is between 45-50, multiple school sitesOccasional work-from-home day allowedThe School-Based Occupational Therapist (OT) supports students in developing the functional skills necessary to participate fully in academic and school-related activities. Benefits:Dental insuranceHealth insuranceLife insuranceVision insurance#INDEDU1 Discipline: Occupational Therapist (OT)Specialty : SchoolStart Date: 31-Aug-2026Length of Contract : Duration of School YearShift: DaysHours: 7.5Estimated Gross Pay: null
Ambition 24Hours IncNewTravel Occupational Therapist Ambition 24Hours IncTravel Occupational TherapistPuyallup, WA$56–$56The ideal candidate will evaluate, plan, and implement occupational therapy interventions that help patients regain independence in daily living activities. We are seeking a skilled Occupational Therapist (OT) for a travel assignment across two rehabilitation settings.
AmergisNewWashington School Occupational Therapists - 25/26 & 26/27 School Years. Multiple Locations AmergisWashington School Occupational Therapists - 25/26 & 26/27 School Years. Multiple LocationsLakewood, WA$60–$80 / hourJob Category:** Education **Job Function:** Education | Occupational Therapist | Occupational Therapist School **Job Type:** Travel **Setting:** Schools **Position Type:** Healthcare **Office Number:** 0671 **Contract Duration:** 36 **Pay Rate:** $2062 / Week **Date Posted:** 2026-02-25T19:02:13 Amergis Education Staffing is on the lookout for passionate School Occupational Therapists ready to jump into the 2026-2027 school year and make a lasting impact!
TalentBurst, Inc.NewOccupational Therapist TalentBurst, Inc.Occupational TherapistPuyallup, WA$2,040–$2,060 / weekScreens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesizes information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design a plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the occupational therapy treatment plan, and completes all related documentation and record keeping regarding these services.
Olympic Sports & SpineOccupational Therapist - Hand Therapist/CHT- Olympia Olympic Sports & SpineOccupational Therapist - Hand Therapist/CHT- OlympiaOlympia, WAWe are looking for a qualified CHT/OT who will be responsible for the evaluation, plan of care, treatment, re-evaluation, discharge, and appropriate communications of high-quality hand therapy services to patients, developing treatment plans, contributing to case management, and providing quality patient care. Olympic Sports & Spine (OSS) is looking to welcome a Full-time, experienced Certified Hand Therapist (CHT) to join our exceptional Olympia clinic opening March 9.
AmergisNewOccupational Therapist 26/27 AmergisOccupational Therapist 26/27Tacoma, WAJob Category:** Education **Job Function:** Education | Occupational Therapist | Occupational Therapist School **Job Type:** Travel **Setting:** Schools **Position Type:** Healthcare **Office Number:** 0680 **Contract Duration:** 42 **Pay Rate:** $2756 / Week **Date Posted:** 2026-06-02T19:43:38 We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school.
PediaStaff26-27 SY- FLOAT School Occupational Therapist - OT PediaStaff26-27 SY- FLOAT School Occupational Therapist - OTTacoma, WA$60–$63 / hourAs an OT, you will support students in school settings by assessing their needs, developing individualized plans, and implementing interventions to help them succeed academically, socially, and physically. PediaStaff is a trusted leader in pediatric therapy and educational staffing solutions, connecting passionate professionals with rewarding school-based and clinic opportunities since 2004.
MAS Medical StaffingOccupational Therapist / Travel MAS Medical StaffingOccupational Therapist / TravelFederal Way, WAIf you are looking for a staffing agency that has your best interest at heart and a recruiter that will work 1 on 1 with you to find the best assignment available, please reach out to us today! MAS Medical Staffing is currently seeking a(n) Occupational Therapist (OT) professional with Occupational Therapist () experience for a 41 week contract in the Federal Way WA area.
MAS Medical StaffingOccupational Therapist / Travel / Rehabilitation MAS Medical StaffingOccupational Therapist / Travel / RehabilitationTacoma, WAMAS Medical Staffing is currently seeking a(n) Occupational Therapist (OT) professional with Occupational Therapist (Rehabilitation) experience for a 12 week contract in the Tacoma WA area. If you are looking for a staffing agency that has your best interest at heart and a recruiter that will work 1 on 1 with you to find the best assignment available, please reach out to us today!
MAS Medical StaffingOccupational Therapist / PERM / Skilled Nursing Facility MAS Medical StaffingOccupational Therapist / PERM / Skilled Nursing FacilityPuyallup, WAMAS Medical Staffing is currently seeking a(n) Occupational Therapist (OT) professional with Occupational Therapist (Skilled Nursing Facility) experience for a week contract in the Puyallup WA area. If you are looking for a staffing agency that has your best interest at heart and a recruiter that will work 1 on 1 with you to find the best assignment available, please reach out to us today!
Ambition 24HoursNewTravel Occupational Therapist (OT) - $2,380 per week in Puyallup, WA Ambition 24HoursTravel Occupational Therapist (OT) - $2,380 per week in Puyallup, WAPuyallup, WA$2,380–$2,380The ideal candidate will evaluate, plan, and implement occupational therapy interventions that help patients regain independence in daily living activities. We are seeking a skilled Occupational Therapist (OT) for a travel assignment across two rehabilitation settings.
Pediatric Developmental ServicesSchool-Based Occupational Therapist Pediatric Developmental ServicesSchool-Based Occupational TherapistTacoma, WAPediatric Developmental Services (PDS) provides the nation's public school districts, charter schools, and communities at large with highly qualified pediatric therapists, including speech, occupational, and physical therapists. From finding and training the best pediatric therapists to partnering them with the right schools and clinics in need, PDS supports win-win initiatives for all.
PediaStaff26-27 SY- School Occupational Therapist - OT PediaStaff26-27 SY- School Occupational Therapist - OTPuyallup, WAIf you love being outdoors, enjoying small-town living close to the big city, this is the perfect job for you! Qualifications: We are looking for someone who holds an appropriate degree in Occupational Therapy and is eligible for licensure in Washington.
Jackson Therapy PartnersTravel Occupational Therapist (OT) - $2,443 to $2,643 per week in Lacey, WA Jackson Therapy PartnersTravel Occupational Therapist (OT) - $2,443 to $2,643 per week in Lacey, WALACEY, WA$2,442.53–$2,642.53Downtown Olympia is a short 10–20 minute drive and provides cultural attractions including the Washington State Capitol campus and regional museums, offering an urban-suburban mix with local dining and arts events. Commuting options include I-5 for regional travel and local transit services connecting Lacey, Olympia, and Tacoma, supporting a suburban lifestyle with convenient access to larger urban centers.
CommonSpirit Health at HomeOccupational Therapist CommonSpirit Health at HomeOccupational TherapistUniversity Place, WA$43.10–$71.11 / hourJob Requirements** + Bachelor's degree from an accredited school approved by the American Occupational Therapy Association + Active registered OT license in the state which you practice + Must obtain and maintain current CPR/BLS Certification + One-year Occupational Therapy experience in a clinical setting. Where You'll Work **Now Hiring an Occupational Therapist for Bremerton and Silverdale Areas!** **$10,000 Sign On Bonus!** CHI Franciscan is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home.
UnitedHealth GroupOccupational Therapist UnitedHealth GroupOccupational TherapistCentralia, WA$40.60–$60.90 / hourConsults with the physician in the development of the therapy plan of care + Observes, records, and reports to the nurse supervisor and the physician the patient's response to treatment and changes to the patient's condition + Conducts patient assessments evaluating the level of function by applying diagnostic and prognostic functional ability tests + Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Primary Responsibilities:** + Provides service within the scope of practice as defined by the state laws governing the practice of Occupational Therapy, in accordance with the plan of care, using evidence-based techniques, and in coordination with other members of the health care team + Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs.