Listings are sorted alphabetically by state and then city.  We are continuing to add directory listings, so check back.  If you know of a nature based practice not listed, invite them to share their directory listing! 

Birmingham
Integrative OT
Outdoor Occupational Therapy
https://www.bhamintegrativeot.com
https://www.facebook.com/integrativeot
https://www.instagram.com/integrativeot
(205) 552-9867

Anchorage
Moving Mountains OT
Outdoor Occupational Therapy 
www.movingmountainsotak.com

Wasilla
WildFree Kids OT, LLC
Outdoor Occupational Therapy Services
https://www.wildfreekidsot.com/
http://facebook.com/wildfreekidsot
http://instagram.com/wildfreekidsot
(907) 308-7131

Bentonville
ReWild The Child NWA
Outdoor Occupational Therapy
https://rewildthechildnwa.com/

Russellville
Seedling Nature-Based Therapy LLC
Outdoor Speech and Language Therapy
https://www.facebook.com/profile.php?id=61550246263112&mibextid=LQQJ4d
https://www.instagram.com/thenaturebasedslp?igsh=MWQwNG1iNzl5a2p1bA%3D%3D&utm_source=qr
(479) 966-9558

Calgary
Nature Play
Outdoor Occupational Therapy, Physiotherapy, and Speech and Language Therapy
https://natureplaykids.ca/

Castaic
StepOutside OT
Outdoor Occupational Therapy
www.stepoutsideot.com
https://www.instagram.com/stepoutsideot
https://www.facebook.com/stepoutsideot

Marin
Friendship Explorations
Outdoor Occupational Therapy
https://www.friendshipexplorations.com/

Oakland
Outdoor Kids OT
Outdoor Occupational Therapy
www.outdoorkidsot.com

Piedmont
Live Oak Kids
Outdoor Occupational Therapy
https://www.liveoakkids.com/

San Francisco
Bearfoot Occupational Therapy
Outdoor OT Services
https://www.bearfootoccupationaltherapy.com/
https://www.instagram.com/bearfoot_ot/
(415) 322-0874

San Luis Obispo
Rooted Kids Occupational Therapy in Nature
Outdoor Occupational Therapy
https://www.rootedindc.com/

Aurora
Adventure Therapy Services, LLC
Outdoor Occupational Therapy
https://adventuretherapyservices.com/
https://www.facebook.com/groups/742960340576985
https://www.instagram.com/adventuretherapyservices/
(720) 277-9066

Boulder
Soulbrite Occupational Therapy
Outdoor Occupational Therapy
www.soulbriteOT.com

Colorado Springs
Nature’s Path OT
Outdoor Occupational Therapy
www.naturespathot.com

Longmont
Flourish Occupational Therapy
Outdoor Occupational Therapy
https://flourishotllc.com/

Fort Collins
Peaks & Bounds
Outdoor Occupational Therapy
https://www.peaksandbounds.com/

Wilmington
In the Woods OT
Outdoor Occupational Therapy
www.inthewoodsot.com
https://www.instagram.com/inthewoods.ot/
https://www.facebook.com/inthewoodsOT/

Cocoa Beach
Abound Therapy
Outdoor Occupational Therapy
https://www.aboundoutdoors.com/

Jacksonville Beach
Beaches Nature Therapy
Outdoor Occupational Therapy
www.beachesnaturetherapy.com

Plant City
Treeline Enrichment, LLC
100% Outdoor Occupational Therapy Services
https://www.treelineenrichment.com
https://www.facebook.com/TreelineEnrichment
https://www.instagram.com/treelineenrichment/
(863) 271-4519

Maui
Malama Yoga & Nature Based Therapy
Outdoor Occupational Therapy 
https://www.malamayoganaturetherapy.com/

Boise
Boise Outdoor OT
Outdoor Occupational Therapy
https://www.boiseoutdoorot.com/
https://www.facebook.com/boiseoutdoorot/
https://www.instagram.com/boiseoutdoorot/
(208) 906-2342

Louisville
Outside The Box Therapy
Outdoor Occupational Therapy
https://www.outsidetheboxtherapy.com/

Elgin & St. Charles
My Recess Therapy
Outdoor Occupational Therapy
https://www.myrecess.com/nature-based-therapy/

Corinth
Willow Tree Occupational Therapy
Outdoor Occupational Therapy
https://WillowTreeOT.com
https://www.instagram.com/willowtree_ot/
https://www.facebook.com/willowtreeot/

Eastern Shore
Shore Therapy & Wellness, LLC
Outdoor Occupational Therapy
https://www.shoretherapyandwellness.com/

Finksburg
Skipping Stones
Outdoor Occupational Therapy
https://www.goskippingstones.com/
https://www.facebook.com/skippingstonesoutdoors
https://www.instagram.com/goskippingstones/

West River
River’s Edge Forest Play
Outdoor Occupational Therapy & Nature-Based Counseling Services
https://www.riversedgeforestplay.com/

Pembroke
Explore Pediatric Therapy
Outdoor Occupational Therapy
https://explorepediatrictherapy.net/
https://www.instagram.com/explorepediatrictherapy/
(732) 778-1641

Canton
A Focused Brain Pediatric Therapy
Outdoor Occupational Therapy
www.afocusedbrain.com
https://www.facebook.com/AFocusedBrain
(601) 427-5775

Maple Lakes
Camp Avanti
Outdoor Occupational Therapy Overnight Summer Camp
https://www.campavanti.com/

Minneapolis 
Mamma Earth
Outdoor Occupational Therapy
https://www.mommaearthmn.com/

Rochester
Nurture in Nature Therapy Services
Outdoor Occupational Therapy
https://nintherapy.com/
https://www.instagram.com/nintherapy/
https://www.facebook.com/nintherapy
(507) 200-2477

Twin Cities
Fundamentals in Nature 
Outdoor Occupational Therapy
https://www.fundamentalsinnature.com/

Fredericton
Full Circle OT
Outdoor Occupational Therapy
www.otfullcircle.com

Dover
Outdoorsy SLP
Outdoor Speech and Language Therapy
https://outdoorsyslp.com/

Millstone Township
HOPE Therapy Services, LLC
Outdoor Occupational Therapy
https://www.hopetherapynj.com/

Ithaca
Nature Nurtured Occupational Therapy
Outdoor Occupational Therapy 
https://naturenurturedoccupationaltherapy.therabyte.com/site

Jamestown
Well & Wild Child Pediatric Occupational Therapy
Outdoor Occupational Therapy
https://www.wellwildchildot.com/
https://www.facebook.com/profile.php?id=100092212476442&mibextid=LQQJ4d
https://www.instagram.com/wellandwildchildot?igsh=aDNqaGQxaTE3eHlo&utm_source=qr
(716) 969-0622

Barco
Coastal Connections Pediatric Therapy
Outdoor Occupational Therapy
https://www.coastalconnectionsot.com/
https://www.facebook.com/coastalconnectionsotobx?mibextid=uzlsIk
https://www.instagram.com/coastalconnectionsot?igsh=bXF3N3RmOWx3eDFj&utm_source=qr
(252) 621-3507

Durham
Brave Roots Speech Therapy
Outdoor Speech and Language Therapy
https://www.braverootsnc.com/
https://www.facebook.com/braverootsnc
https://www.instagram.com/braverootsnc/
(919) 907-0849

Hillsborough
Running Cedar Therapies
Outdoor Occupational Therapy
www.runningcedartherapies.com
(984) 234-1969

Mt. Holly, Charlotte, and Conover (3 Locations)
Shining Hope Farms
Outdoor Occupational, Physical, Speech, and Mental Health Therapy
https://shininghopefarms.org/
https://www.facebook.com/shininghopefarms
https://www.instagram.com/shininghopefarms
(704) 827-3788

Cincinnati
Nature’s Edge Therapy Services
Outdoor Occupational Therapy
www.naturesedgetherapy.com
https://www.facebook.com/profile.php?id=61553997795915
(513) 201-7757

Columbus
Forestways OT
Outdoor Occupational Therapy
www.forestwaysot.com
https://www.facebook.com/profile.php?id=100088711951348
https://www.instagram.com/forestwaysot/
(614) 908-1718

Richfield
Wild & Free OT
Outdoor Occupational Therapy
https://wildandfreeot.com/

Solon
Good Nature Therapy Services
Outdoor Occupational Therapy
https://www.goodnatureohio.com/

Burlington
Bloom Speech & Language Therapy
Outdoor Speech and Language Therapy
https://bloomspeech.ca/

Elgin
Outdoor OT Elgin
Outdoor Occupational Therapy
https://www.outdoorotelgin.ca/

Guelph
Kids in the Woods
Outdoor Occupational Therapy 
https://www.shannonrolph.ca/kidsinthewoods
https://www.instagram.com/shannon.rolph.ot/

Toronto
Larchwood Nature Occupational Therapy
Outdoor Occupational Therapy
https://www.davisoccupationaltherapy.com/

Terrebonne
Co-Imagine Kids Therapy
Outdoor Occupational Therapy
www.coimaginekidstherapy.com

Bucks County
Wildcraeft Works
Outdoor Occupational Therapy
https://www.wildcraeftworks.com/
https://www.facebook.com/profile.php?id=61555917894081
https://www.instagram.com/wildcraeft_works
(484) 312-0520

Eastern Berks
The Magic Speech Bus
Outdoor Speech and Language Therapy
https://www.magicspeechbus.com/

Pittsburgh 
Functional Roots
Outdoor Occupational Therapy 
https://functional-roots.com/

West Chester
Starfish Occupational Therapy
Outdoor Occupational Therapy
https://starfishot.com/

Signal Mountain
Treehouse Therapy
Outdoor Occupational Therapy
www.treehousetherapytn.com

McKinney
Wild & Free Occupational Therapy
Outdoor Occupational Therapy
https://wildandfree-ot.com/

Indianola
Little Fern Forest
Outdoor Occupational Therapy
https://www.littlefernforest.com/

Kent
Kids View Occupational Therapy
Outdoor Occupational Therapy
https://kidsviewot.com/

Seattle
TrueCraft Therapy & Coaching
Outdoor Occupational Therapy 
https://www.truecrafttherapy.com/
https://www.facebook.com/truecrafttherapy
https://www.instagram.com/truecraft.therapy
(206) 485-0744

Hudson
Rainbow Tree Therapies
Outdoor Occupational Therapy
https://www.rainbowtreetherapies.com/

Madison
Outdoor Kids OT
Outdoor Occupational Therapy
www.outdoorkidsot.com

West Salem
Grounded Roots OT
https://groundedrootsot.com/
https://www.instagram.com/groundedrootsot/
https://www.facebook.com/groundedrootsot/