Our Services
What We Do
Little Hands Big Dreams Pediatric Occupational therapy provides services both in home and at a clinic setting. Pediatric occupational therapy helps children build the everyday skills they need for life using play. We work on coordination and strength, hand skills for feeding, dressing, and writing, and sensory processing for attention, self-regulation and much more. We also coach parents on strategies at home and school so kids can participate more easily in routines, learning, and play with others.
Who We Help
Infants, toddlers, preschoolers, and school age children.
Developmental delays, autism, sensory processing differences, fine and gross motor needs, feeding concerns, self-care challenges, attention and regulation needs.
Ayres Sensory Integration® (ASI) is an evidence- based, playful, movement-based approach that helps children make better sense of the world around them. Every child takes in information through their senses, what they see, hear, touch, and feel in their bodies. When the brain has trouble organizing that information, everyday tasks like dressing, eating, focusing, or playing with others can feel overwhelming.
What Ayres Sensory Integration® is
Many therapists use the term sensory integration; however, Ayres Sensory Integration® (ASI) is different. It is an evidence-based approach created by Dr. A. Jean Ayres. It is defined by a formal Fidelity Measure that protects the quality of treatment.
What ASI does
Through ASI, we create carefully designed sensory experiences that challenge and support each child at just the right level. Using swings, climbing equipment, and playful movement, children build stronger connections between their body and brain. Over time, this helps improve coordination, attention, confidence, and participation in daily life at home, in school, and in the community.
Services Provided
Evaluation in Ayres sensory integration (EASI)
Ayres sensory integration treatment
Therapeutic Listening Program
Parent support and education
DIR –
Floor Time
The Process To Start Services
Step
1
Contact Us
Share your concerns and your location. We confirm fit and next steps.
Step
2
Intake
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30 to 40 minutes phone intake to understand your child and your goals.
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If the phone intake indicates that a clinic setting is the best fit, we schedule the initial evaluation in the clinic.
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If your child is younger than 4, we decide whether the evaluation is best at home or in the clinic based on regulation, safety, space, and your priorities.
Step
3
Evaluation
Parent interview, play observation, and standardized tools to identify skills.
You receive a clear summary and goals.
Two evaluation options:
1. EASI (Evaluation in Ayres Sensory Integration®
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Looks at sensory perception, praxis, and postural control.
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Used when sensory processing is a concern or ASI treatment is being considered.
2. General OT evaluation
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Standardized tools to gather information on fine and gross motor skills, self care, feeding, regulation, and school readiness.
Step
4
Care plan
We agree on focus areas, session frequency, and coaching time.
Step
5
Therapy begins
Play based sessions with ongoing parent coaching.
Little Hands Big Dreams
Little Hands Big Dreams Pediatric Therapy operates as an out-of-network provider, and we do not submit claims directly to insurance companies. Payment is required at the time of your appointment. Families who wish to seek reimbursement may do so independently by submitting claims to their insurance provider. We’re happy to supply detailed invoices and supporting documentation to assist with this process, though we are unable to contact or coordinate with insurance companies on your behalf. Upon request, a superbill can be issued after billing has been completed to support insurance reimbursement efforts.