Objectives: This study is aimed at describing the needs, readiness for implementation of, and perceived strategies to deliver Occupation-Based Practice (OBP) using the Model of Human Occupation (MOHO). Methods: We invited a systemic random sample of 1,100 practitioners to complete an online survey for 3 weeks. The invitation reached 468 email addresses, and 121 recipients consented, giving a response rate of 25.9%. However, we only included respondents who met the inclusion criteria (n = 111) for the analysis. Findings: Participating practitioners reported high consensus regarding the necessity of OBP, indicating habituation and motor skills areas among the six theory-based areas as the most challenging for clients, yet support for OBP readiness was found to be insufficient. Correlation analysis revealed that time spent at the graduate level was associated with perceived usefulness (r = .659); perceived usefulness in the graduate program on MOHO was largely associated with desire to use MOHO (r = .857), and the adoption level of MOHO was modestly associated only with the desire to use MOHO (r = .285). We identified prioritized strategies, including translation of assessments and tailored professional development components. Conclusion: Practitioners consented on the necessity of OBP sharing empirical needs seen among clients and commented with strategies to support implementation of OBP. Such findings inform the next step in developing the culture of the OBP practice environment in Korea.