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Pediatric therapy that meets your child where life actually happens.

Strengths-based mobile occupational and speech therapy across Greater Richmond, designed for lasting, real-world growth.

Child at Psychologist

As pediatric therapists, specializing in OT and speech, we get to be your sidekick, the person that you call when the problems don't seem to have solutions, or the answer to endless hours of asking AI what on earth you are supposed to do with your child now. 

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With a focus on bringing you, your child, and your daily tasks back into harmony, we work with you to find practical solutions for your family, sharing our knowledge of child development as we go.

 

Grocery Shopping

Intervention in the places where you are

Family Breakfast

Focused on the whole system not just on an individual

Boy Playing with Blocks

Centered on building up strengths not  only reducing  deficits

Mother and Son

Based upon 

research and the voices of self-advocates

01

Connect on a Free Fit Call

We start with a quick, no-pressure conversation. We’ll discuss your child’s unique strengths, areas of difficulty, and family goals to ensure our approach is the right match for your family.

02

In-Context Evaluation

Instead of a sterile clinic room, we observe and evaluate your child right where real life unfolds, in your living room, independent school, daycare, or neighborhood playground.

03

Real-World Collaboration

We partner alongside you to build practical strategies into everyday routines. Your child builds communication, regulation, and motor skills naturally, creating lasting progress that carries over every day.

A simple, transparent path to strengths-based pediatric intervention.

What Our Clients Say

Although it wasn’t a super long time with Becky, she taught us a lot as parents when approaching these tough situations with our son and also gave our son the skills and knowledge he needs for the future.
We can't believe the difference we have seen!! More importantly, we can't believe how much we have learned about how to help her thrive!
We met right before my child was diagnosed with ASD, and she was the first professional who gave me the confidence to listen to my mommy intuition... For this I will be forever grateful.

Occupational & Speech Therapy

Services
Occupational therapist working with child

Occupational Therapy

We help your child navigate daily routines with confidence. Rather than practicing in an artificial clinic room, we build sensory regulation, fine motor coordination, self-care skills, and executive functioning skills right where challenges happen.

Speech therapist working with child

Speech Therapy

We empower your child to communicate naturally with the people they love most. From first words and speech clarity to language comprehension and eating, we practice speech and language skills in everyday conversations and play.

We're passionate about helping children of all abilities reach their full potential. We offer a range of pediatric therapy services to address your child's unique needs.

Because real growth happens in real environments, our therapists travel directly to your home, independent school, daycare, or community setting throughout the Richmond metropolitan area.

Primary Service Areas

City of Richmond: The Fan, Museum District, Northside, Church Hill, Southside, Near West End​, and surrounding areas

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Henrico County: Short Pump, Glen Allen, Tuckahoe, Lakeside, and surrounding areas

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Chesterfield County: Midlothian, Bon Air, Brandermill, and Woodlake, Bensley, Bellwoodand surrounding areas

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Hanover & Goochland Counties: Selected surrounding communities

Where We Meet Your Child

In Your Home: Helping your family establish sustainable routines in the environment where your child spends the most time.

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At Independent & Private Schools: Collaborating directly with classroom educators to support skill development, regulation and social participation.

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At Daycares & Preschools: Embedding therapy directly into circle time, peer play, and transitions.

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In the Community: Practicing real-world communication and adaptive skills at local parks, playgrounds, and libraries.

Unsure if your location is within our travel radius?

We regularly evaluate travel routes across the region. Connect with us on a brief call, and we will let you know right away if we can accommodate your area.

Serving Families Across Greater Richmond, VA

Our free visual schedule contains everything you need to make your child's day organized and easy to understand!

Visual Schedule Organizer

Stay in the Know!

Our newsletter is filled with insights, tips, and expert advice that can support you in nurturing your child's development.

Look for us in your inbox!

GET IN TOUCH

phone:

804-476-4380

fax:

804-203-1661

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Disclaimer:

All material provided by Adapt & Grow LLC is designed for information purposes only and should not be used to replace the care of a healthcare professional. Do not rely on any of the information for diagnosis or treatment. It is recommended that you visit a qualified healthcare professional for individual and personal attention. The information on the website, including but not limited to, newsletters, articles, opinions and views, and associated social media pages are provided for educational or information purposes only. It is not intended to provide medical, legal or professional advice whatsoever and should not be relied upon in that respect. You should not act or rely on any information on this site without seeking the advice of a professional. Information provided on the site is believed to be reliable when posted. However, Adapt & Grow LLC does not guarantee the quality, accuracy, completeness or timelines of the information. Adapt & Grow LLC assumes no obligation to update the information or advise on further developments concerning topics mentioned. Information contained on the site may contain typographical errors. Information provided may be changed without notice. Access to this site is provided on an “as is” basis. You should not assume that the site will be error-free or that the site will operate without interruption.

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