A bibliometric analysis was completed of peer-reviewed literature from 1991–2015, written by American occupational therapists, to examine US high impact scholarship with “occupational therapy” and “occupational therapist(s)” used as keywords to search journal articles' publication title, abstract, author details, and keywords. Results included 1,889 journal articles from 1991–2015 published by American occupational therapists as first or corresponding author. Sixty-nine articles attained a TotalCitation2015 ≥ 50 and 151 attained a Citation2015 ≥ 5 indicating that they were the most highly cited literature produced in this period. Although the majority (58%) of this literature was published in occupational therapy-specific journals, 41% was published in interdisciplinary journals. Results illustrate that the volume of highly cited American occupational therapy peer-reviewed literature has grown over the last two decades. There is need for the profession to strategize methods to enhance the publication metrics of occupational therapy-specific journals to reduce the loss of high quality publications to external periodicals.