• Difficulty making sounds or using words: A child who isn’t babbling by 9 months, saying single words by 15 months, or combining words by 2 years may benefit from evaluation. Slurred, unclear, or persistent articulation errors beyond typical age ranges (for example, many speech sounds still incorrect by 4–5 years) are also signs.

    Limited vocabulary or trouble putting words together: If a child’s vocabulary is much smaller than peers’ or they have trouble forming simple sentences for their age, speech therapy can help build language skills.

    Difficulty understanding others: Frequent trouble following directions, responding inappropriately, or seeming not to understand what’s said—especially when hearing is normal—can indicate receptive language delays.

    Trouble with social communication: Difficulty taking turns in conversation, understanding nonverbal cues (facial expressions, tone), or using language appropriately in social situations may point to pragmatic language needs.

    Regression or plateau in skills: Losing previously acquired speech or language skills, or a noticeable halt in progress, should prompt evaluation.

  • If a child struggles with everyday tasks that other children their age handle easily, occupational therapy (OT) may help. Signs parents might notice include:

    • Difficulty with self-care: trouble dressing, fastening buttons or zippers, using utensils, brushing teeth, or managing toileting independently.

    • Delayed fine motor skills: messy or illegible handwriting, trouble cutting with scissors, difficulty holding a pencil, stacking small objects, or manipulating small toys and fasteners.

    • Sensory concerns: overreactions or underreactions to sounds, textures, lights, tastes, or touch; frequent meltdowns or withdrawal in noisy or crowded settings; extreme picky eating related to texture.

    • Poor coordination and motor planning: frequent tripping, clumsiness, difficulty learning new motor tasks, or trouble following multi-step directions for physical activities.

    • Attention and regulation challenges: difficulty staying on task, frequent emotional outbursts that interfere with daily routines, trouble calming down after being upset.

    • School-related struggles: trouble using classroom tools, participating in group activities, completing fine-motor classroom work, or following routines that require organization and sequencing.

    If you observe several of these signs across different settings (home, school, community), consider discussing them with your pediatrician, teacher, or an occupational therapist for evaluation and guidance.

    • Delayed milestones such as not crawling, standing, or walking by expected ages.

    • Persistent toe-walking or limping.

    • Weakness, fatigue, or difficulty keeping up with peers during play or sports.

    • Trouble with coordination—clumsiness, poor hand–eye coordination, or difficulty catching or throwing.

    • Limited endurance or difficulty completing age-appropriate physical activities

    • Problems with posture, alignment, or asymmetry (one side of the body stronger or more used than the other).

    • Pain with movement, stiffness, or decreased joint range of motion.

    • Difficulty transitioning between positions (sitting to standing) or using stairs.

    • Changes after injury, surgery, or a medical condition that affect mobility or independence.

    If you notice one or more of these signs, a physical therapy evaluation can identify underlying needs and support your child’s movement, strength, and functional independence.

  • Most insurance plans require a prescription or referral for services. We will coordinate with your child’s physician to ensure the entire care team is informed, but families should plan to obtain a prescription from their doctor before starting therapy. If you need help with the process or have questions about what your insurer requires, our team can assist with paperwork and communication.

  • Give us a call or click “Schedule an Evaluation” to fill out our quick intake form. A member of our team will reach out to you for additional information and scheduling your first visit.

Frequently Asked Questions

At Bloom Pediatric Rehabilitation, we know that steady progress in therapy comes from steady attendance. Your child’s therapy time is reserved especially for them, and keeping a regular schedule helps them build skills and confidence.

We kindly ask that you:

  • Come to each scheduled session as much as possible.

  • Call, text, or email us at least 24 hours in advance if you need to cancel or reschedule.

  • Save last-minute cancellations for illness or true emergencies.

We understand that life happens! If frequent cancellations or no-shows occur, we may need to adjust your therapy schedule so we can offer that time to another child who is waiting.

Thank you for partnering with us to give your child the consistency they need to shine.

Attendance Policy

  • Yes. Cancellations within 24-hours will incur a charge of $30.

    A “no-call, no-show” will incur a $50 charge to your card on file.

  • We get it! Kids get sick. We thank you for taking precautions and keeping them home. Please, wait to ensure your child has been fever free, has not vomited or had diarrhea for 24 hours.

    Discuss any other symptoms that may impact their ability to participate in therapy (fatigue, coughing, etc.) with your child’s therapist.

    Contact with persons positive for highly communicable diseases (flu, Covid-19, etc.) should also be brought to the attention of your child’s therapist.