Imagine Pediatric Therapy

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Pediatric Therapy



What is Pediatric Occupational Therapy?

Our Pediatric Occupational Therapists work with families to assist children to learn functional skills. These include the ability to pay attention; remain calm; teach themselves self-care, such as learning to feed themselves, brushing hair, brushing teeth, dressing, and eventually bathing; encourage development of eye-hand skills, oral skills for eating; coordination of the whole body; feeling comfortable with the positioning and movement of their body during daily activities such as play. We work with families to help children learn cooperative behavior, and work with learning problems.

Pediatric Occupational Therapists:

  • Assess and treat sensory processing disorders.
  • Improve upper extremity muscle strength, endurance, range of motion, coordination, fine motor abilities and function.
  • Address self care skills.
  • Recommend strategies for managing decreased or emerging function and movement which may include assistive equipment.
  • Work on social and peer interaction skills.
  • Provide education to caregivers.
  • Consult with other professionals regarding the role of occupational therapy and how it can improve the child's daily life.
  • Collaborate with caregivers and child to create effective carry-over from the occupational therapy clinic to home.

Sensory Integration

Sensory Integration is the ability to take in information through the senses of touch, movement, smell, taste, vision, hearing, and to combine the resulting perceptions with prior information, memories, and knowledge already stored in the brain.

Sensory Integration Therapy is usually performed by Occupational Therapists. They assess developmental levels and determine whether sensory-motor processing is impaired. Sensory Integration Therapy looks like play, because play is the child's way of learning and developing. Activities are carefully chosen to stimulate development in deficient areas. Children with lower sensitivity (hyposensitivity) may be exposed to strong sensations such as stroking with a brush, vibrations or rubbing. Play may involve a range of materials to stimulate the senses such as play dough or finger painting. Children with heightened sensitivity (hypersensitivity) may be exposed to peaceful activities including quiet music and gentle rocking in a softly lit room. Treats and rewards may be used to encourage children to tolerate activities they would normally avoid.

What is Pediatric Speech Therapy?

Our Speech Language Pathologists provide support to children in the areas of language acquisition, articulation, oral motor stimulation, feeding issues and communication skills. These areas may include improving and working with production of sounds, communication skill development (including sign language and PECS), increase the range of sounds, quality of language use, increase in feeding skills, improve oral motor functioning and development of oral motor muscles to improve language use.

We look at the quality of a child's speech/language such as their pronunciation and articulation, their ability to communicate their needs, their ability to chew and swallow food properly and their families concerns. Speech Therapists are concerned with helping children reach their full developmental potential and realizing their full range of sounds and communication abilities to improve their quality of life.

As Speech Therapists specializing in Pediatrics, we assess and treat all areas of speech & language development. Some of these areas include:

  • Receptive Language
  • Expressive Language
  • Apraxia of Speech
  • Swallowing
  • Food Aversion
  • Articulation and Phonology
  • Oral Motor
  • Pragmatic/Social Language
  • Memory
  • Cognition
  • Auditory Processing
  • Fluency


What is Pediatric Physical Therapy?

Our Pediatric Physical Therapists work with families to provide support in the areas of gross motor development, motor planning and visual motor skills. These may include improving and working with muscle tone, strength and development, range of movement, quality of movement, eye-hand coordination, attention to task and sensory integration. We see children from birth through adolescence with health problems related to injury, disease, or congenital conditions.

We look at the quality of a child's movements such as their pace and gait when they learn to walk, their balance and coordination skills, regaining range of motion after an injury or from trouble during birth, or the pressure they are able to use during play. Physical Therapists are concerned with helping children reach their full developmental potential and realizing their full range of motion to improve their quality of life.

Pediatric Physical therapy at Imagine Pediatric Therapy provides evaluation, intervention and consultation in the following areas:

  • Gross motor development
  • Muscle tone and strength
  • Posture/postural control
  • Pre-gait and gait training
  • Locomotion patterns
  • Neuromuscular function
  • Endurance
  • Musculo-skeletal conditions
  • Body alignment
  • Environmental adaptations/seating and positioning
  • Wheelchair positioning and mobility
  • Splinting/bracing/orthotics

Physical therapists may incorporate many intervention approaches, including stretching, massage, mobilization, strengthening and endurance training to enhance the child's capabilities and prevent deformities and contractures. We also assess and modify environmental obstacles that might impede optimal performance.

With physical therapy, kids build strength and improve motor function, balance and coordination in fun, creative ways. In fact, most of the work we do is based in play... it’s the most positive way to get children motivated and involved. That’s why you’ll see swings, ball pits, climbing walls and all kinds of toys in our clinics. They’re important for your child’s therapy and they also help us create the child-centered environments that help our clients thrive.

How do I know if my child needs  Pediatric Occupational Therapy?

Parents should consider seeking an evaluation with an Occupational Therapist if their child demonstrates any of the following:

Birth to 2 months:

  • Does not grasp objects placed near palm


3 months:

  • Does not follow an object with her eyes
  • Hands remain closed almost all of the time
  • Frequently resists being held
  • Becomes upset when moved, as when being picked up, laid down, or handed from one familiar person to another


4 months:

  • Does not swipe at or reach for objects
  • Does not bring hands or objects to his mouth
  • Frequently irritable for no apparent reason
  • Does not place both hands on her bottle while being fed


5 months:

  • Does not hold how own bottle
  • Doesn't smile at his image in a mirror


6 months:

  • Involuntarily drops objects after only y a few minutes
  • Does not actively grasp large finger foods such as teething cookies when they are placed on the highchair tray
  • Is excessively and consistently upset by leaving the home


7 months:

  • Does not transfer an object from one hand to the other


10 months:

  • Not beginning to pick up small objects
  • Does not poke with index finger
  • Is not accepting a variety of food textures
  • Is excessively upset by being dressed, diapered, bathed, or having hair groomed


12 months:

  • Isn't able to pick up a cheerio or other small object with tip of the thumb and the tip of the index finger
  • Is not sleeping through the night most of the time
  • Is not interested in exploring toys made for one year olds
  • Is excessively upset by sound of siren, barking dog, vacuum cleaner, or other familiar loud noises


15 months:

  • Cannot put a one inch object into a container with a slightly bigger opening
  • Cannot stack two cubes
  • Cannot put a round form into a round shape on a puzzle


18 months:

  • Cannot point to a few of the following body parts: eyes, nose, mouth, hair, tummy, legs, feet, and hands
  • Cannot turn pages of a cardboard book, or regular small book two or three pages at a time
  • Cannot stack four books


24 months:

  • Play with toys only y by tapping, shaking or throwing
  • Cannot unscrew top of a one inch or two inch bottle
  • Cannot remove socks, untied shoes, or pull on pants without help


30 months:

  • Cannot imitate drawing a vertical line or a circular scribble on paper immediately after seeing an adult draw these lines
  • Cannot stack eight to ten cubes
  • Cannot imitate drawing a horizontal line immediately after seeing an adult draw a horizontal line


36 months:

  • Cannot remove all pull on clothing after fasteners have been undone
  • Does not imitate the actions of adults in the home
  • Does not pretend during play


How do I know if my child needs Pediatric Speech Therapy?

Parents should consider seeking an evaluation with a Speech/Language Pathologist if their child demonstrates any of the following:

Birth to 2 months:

  • Does not cry when hungry or uncomfortable
  • Does not make comfort sounds or sucking sounds
  • Cry does not vary in pitch, length and volume to indicate different needs
  • Difficulty establishing/maintaining a rhythmical suck/swallow pattern
  • Significant loss of breast milk/formula out of side of mouth during feeding


3 to 5 months:

  • Vocalizes separately from body movements (sound is not a response to body movement)
  • Inability to establish or maintain face-to-face communication during feeding
  • Does not vocalize in response to sound stimulation
  • Has not begun to laugh by 5 months in response to play
  • Difficulty with feedings such as above


5 to 7 months:

  • Does not babble during play or in response to stimulation (may suggest a hearing problem)
  • Does not use voice to vocalize attitudes other than crying
  • Does not respond to sound stimulation (indicative of hearing problems)
  • Difficulty with swallowing early solids or other feeding issues


7 to 9 months:

  • Does not look towards sounds or own name
  • Is not babbling double consonants (bababa....)
  • Difficulty with textures in foods (gagging, choking, etc.)
  • Is unable to participate in conversations with adults using babbling noises
  • Does not say "mama" or "dada" non-specifically
  • Does not use different inflections to produce exclamations


9 to 12 months:

  • Is unable to successfully eat early finger foods or munch/bite on foods
  • Cannot babble single consonants such as "ba" or "da"
  • Does not respond to words/language appropriately
  • Does not experiment with language when playing independently
  • Does not participate in conversations by responding with vocalizations


12 to 15 months:

  • Does not use inflection during vocalization
  • Is not experimenting with language during play
  • Is not using 1 to 3 words spontaneously while repeating additional words
  • Does not vocalize or gesture to communicate needs
  • Is not using "no" emphatically and meaningfully
  • Is not using exclamatory expression such as "oh-oh", "No-no", Ta-da", etc.


15 to 18 months:

  • Is not attempting to sing songs
  • Cannot use 10-15 words spontaneously
  • Is not using vocalization in conjunction with gestures
  • Does not use language to communicate needs
  • Is not repeating sounds or words or imitating environmental sounds
  • Is not jabbering tunefully during play
  • Continues to demonstrate eating problems (swallowing issues, choking, etc.)


18 to 24 months:

  • Is not using jargon with good inflection
  • Cannot label 2-4 pictures while looking at a book
  • Is not putting 2-4 words together to form short sentences or communicate needs
  • Does not understand nouns, verbs and modifiers an their uses
  • Is not using intelligible words to communicate needs
  • Cannot imitate 2-4 word phrases
  • Does not relay experiences using jargon, words and/or gestures
  • Does not have at least 50 - 100 words


24 to 33 months:

  • Cannot sing phrases of songs
  • Is not using three word sentences
  • Is not using a wide range of consonant and vowel sounds
  • Does not use past tense words "He runned"
  • Is not expressing frustration at not being understood
  • Does not use up to or more than 50 expressive words
  • Is not imitating phrases or experimenting with new words
  • Words are not clearly articulated


33 to 36 months:

  • Is not responding to questions when asked things
  • Is not producing correct beginning sounds of words
  • Is having a hard time understanding prepositions’
  • Is not speaking in complete sentences
  • Does not use plurals to refer to more than one (even if not correct)
  • Is not participating in storytelling
  • Does not have expressive vocabulary of 200 - 1000 words
  • Is not using expressive vocabulary to communicate all needs
  • Is not using sentences to communicate


How do I know if my child needs Pediatric Physical Therapy?

Parents should consider seeking an evaluation with a Physical Therapist if their child demonstrates any of the following:

Birth to 2 months:

  • Doesn't lift head in prone position (while lying on their stomach)
  • Does not turn head to one side in prone position
  • Does not turn head to both sides in supine position (lying on back)


3 months:

  • Does not hold head up 90degrees in prone position (lying on stomach)
  • Does not extend both legs or kick reciprocally
  • Does not roll to back when placed on their side


4 months:

  • Does not place weight on forearms in prone position (lying on stomach)
  • Does not rotate or extend head
  • Is unable to grasp a rattle
  • Cannot bring both hands together


5 months:

  • Does not roll over one way
  • Does not hold head up when pulled to sitting
  • Is unable to hold head steady in supported sitting position
  • Does not bear weight on legs


6 months:

  • Is unable to keep head level with body when pulled to a sitting position
  • Does not demonstrate balance reactions
  • Cannot bear weight on hands in prone position (lying on stomach)
  • Does not move head actively in supported sitting position


7 months:

  • Does not roll over either way
  • Does not bear weight on legs
  • Cannot lift head or assist when pulled to sitting position
  • Demonstrates little balance reactions or protective extension of arms


8 months:

  • Does not roll over both ways
  • Cannot sit with little or not support
  • Does not hold weight on one hand while in the prone position (lying on stomach)
  • Cannot bear weight on legs and bounce


10 months:

  • Cannot get to sitting position without assistance
  • Does not assume crawling position (hand-knee position)
  • Does not show interest/motivation to crawl
  • Cannot sit on own without hand support


12 months:

  • Does not pull to stand using furniture
  • Cannot switch positions from sitting to prone
  • Does not creep on hand and knees
  • Cannot pivot while in sit position to retrieve toy
  • Cannot pass an object from one to the other
  • Cannot stand holding on to someone or something
  • Cannot pick up small objects


15 months:

  • Does not walk with one hand held
  • Cannot stand alone well
  • Does not demonstrate balance reaction while in kneeling position
  • Does not walk alone one to two steps
  • Does not demonstrate motor planning by climbing on furniture
  • Has a hard time picking up small objects


18 months:

  • Does not attempt to creep upstairs
  • Does not walk without support
  • Cannot throw ball
  • Does not bend down to retrieve objects
  • Does not demonstrate balance reaction in standing


24 months:

  • Does not run
  • Cannot walk upstairs with one hand held
  • Cannot carry large toy while walking
  • Does not squat in play
  • Cannot retrieve toy off of floor from standing position
  • Does not climb onto furniture, turn and sit
  • Cannot build tower of six blocks
  • Does not use utensils well


30 months:

  • Does not jump in place with both feet
  • Does not stand from sitting by rolling on side
  • Cannot catch large ball
  • Has difficulty with gait and balance
  • Does not walk downstairs using rail for support
  • Does not have wide range of movement
  • Does not run and stop without holding
  • Does not avoid objects when running


36 months:

  • Cannot kick stationary ball
  • Is not able to stand on one foot for two seconds
  • Cannot build tower of 9 blocks
  • Cannot complete 5-6 piece puzzle
  • Is not using utensils properly
  • Does not attempt to ride tricycle
  • Does not demonstrate grasp of crayon



What is your policy regarding fees for your services?

Once you have a good understanding of your benefits we will schedule your child's evaluation. Co-payments, deductibles and co-insurance amounts are due at the time of service. We will then bill the remaining balance to your insurance carrier. It usually takes 2-3 weeks before any given service we have billed for will reflect on your account. When your carrier has responded for a service, we will apply any amounts paid to your account. If there is a balance for any service due to limitations of your coverage, we will notify you so that you may contact your carrier if you feel there is an error. At the same time, we will mail you a statement reflecting the unpaid balance and charge it to the credit card on file. In the event your carrier later provides payment for a balance you paid we will apply this amount to your account as a credit and would not require co-payments, etc. as long as your account reflects a credit.

We accept cash, personal checks, Visa, MasterCard and Discover cards.

What insurance do you accept?

Imagine Pediatric Therapy accepts most major insurance plans. Insurance companies are complicated and all plans are different. As such, we will make every effort to accommodate your child and assist you when having trouble understanding what benefits are available to you in your health care plan. Imagine Peds will do all the legwork for you, verifying your insurance, and explaining your benefits. Please note, however, that according to all insurance companies, authorization is not always guarantee of payment so unpaid balances will become your responsibility.

Should you have any questions about any insurance or billing issues, please do not hesitate to contact us. We are here to do everything we can to ensure your child gets the help they need.



My child needs your services, now what?

First Visit Prior to visiting us at Imagine Pediatric Therapy, we are required to secure a referral from your doctor. Most of our referring doctors are familiar with this process and we supply them with the form. If your doctor is not familiar with our clinic or you need any assistance, please contact us and we will ensure that you are taken care of.

Additionally, each new patient is asked to complete a health history form before the first visit. This will help our therapist make a prompt and accurate assessment during the first visit. Please bring your current insurance cards. Please arrive at your scheduled appointment ready to complete registration and other paperwork.

How often will my child have appointments? And for how many visits?

Most visits are generally once a week. However, depending on the evaluation, your therapist may indicate a need for more frequent visits. The total number of visits will also be based on the evaluation and unique goals set by your therapist.

What is your cancellation policy?

Cancellation Policy Please call to cancel any appointments you will be unable to keep at least 24 hours in advance so we may offer these appointments to other patients in need of treatment. The goal of Imagine Pediatric Therapy is to provide patients with prompt, easy access to quality therapy services, so it is important that you arrive on time for your scheduled appointment. If you realize you may be late to your appointment, please notify us of your new arrival time. If you are more than 15 minutes late there is a $25.00 late charge. If you no-show for your appointment, there is a $55.00 charge that will be assessed on your credit card. Please see our full Cancellation Policy on our contact us page.