The American Wheelchair Table Tennis Association, founded in 1986, is the National Governing body for wheelchair table tennis. It is affiliated with Wheelchair Sports, USA and USA Table Tennis and coordinates table tennis activities on regional, national, and international levels.

Table tennis has been a Paralympic sports since 1960 and is included in the World Championships and Pan-American Games for the Disabled.

Table Tennis competitions sanctioned by the American Wheelchair Table Tennis Association (AWTTA) and Wheelchair Sports, USA (WSUSA) are conducted in accordance with the rules of the International Table Tennis Federation (ITTF) and the International Table Tennis Committee for the Disabled (ITTC).