Occupational Therapy Milestones
Does my child need
Occupational Therapy?
Foundations Pediatric Therapy provides occupational therapy for children to help them grow and learn appropriately through use of play and creativity. We offer early intervention, school-based and outpatient setting services to our patients. Our experienced occupational therapists help children to succeed and become more independent within their “occupations” or daily activities. A child’s role is most often to play and interact with other children. Interventions help promote the development of fine-motor and visual-motor skills that help a child socialize in their home, school, play, and communal environments.
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All ages
0-3 months
6-9 months
9-11 months
12-15 months
16-24 months
2 years
3-4 years
4-5 years
5+ years
All ages
The developmental milestones provided here can be used as a general guideline to monitor your child’s progress within their occupation and activities of daily living. It is important to remember that each child develops at his or her own pace, but occupational therapy can help assist in the growth and development of your child to reach their fullest potential.
Please select your child’s age from the filter above to get started.
0-3 months
- Brings hand to mouth
- Holds head up for several second when placed on belly
- Coos and gurgles
- Turns head towards sounds
- Begins to make smoother movements with arms and legs
- Stretches and moves arms/legs when on back
6-9 months
- Grasps with thumb and side of index finger
- Moves wrist to manipulate toy or object
- Retains one cube when given another
- Transfers objects from one hand to the other
- Claps hands
- Obtains small objects by raking with the fingers
- Reaches for and holds a bottle
- Drinks from a cup without help
9-11 months
- Should begin to place objects in a container purposefully
- Grasp large crayons or markers
- Pick up small items with thumb and index finger (cheerios)
- Pick up two small objects with one hand
- Hold a spoon
- Participate in dressing and undressing by extending and arm or leg
- Remove own socks
- Stack and unstack objects
- Dance
- Enjoy messy activities such as playing with food or water
12-15 months
- Mark or scribble on paper with a crayon or marker
- Turn over small containers containing objects
- Building towers using two cubes
- Bring spoon to mouth and feed self
- Hold cup and drink though some may spill
- Helps turn pages when reading a book
- Helps put items away
16-24 months
- Folds paper
- String beads on a string
- Stack a tower of six or more blocks
- Holds a crayon or marker with thumb and index finger
- Feeds self with a fork or spoon
- Removes shoes without assistance
- Play alone for short periods of time
2 years
- Develops a favored hand
- Open and closes jars
- Button large buttons
- Use child size scissors to cut paper with adult supervision and assist Fold paper and/or clothes
- Complete a puzzle with 12-15 pieces
- Dress and undress with help
- Use a fork and spoon for feeding
- Can wash and dry hands independently
- Use a napkin appropriately
3-4 years
- Strings ½ inch beads
- Copies a circle, cross, and square
- Dresses completely with verbal assist
- Can perform toilet care independently
- Cuts along a line with continuous motion opening and closing scissors
4-5 years
- Draws a picture
- Stays dry overnight
- Distinguishes between front and back of clothing
- Draws stick figures
- Cuts out circles and other simple shapes
- Copies shapes
- Blows nose independently
- Serves self at table from a bowl without spilling
5+ years
- Prints capital letters and simple words with frequent reversals
- Uses appropriate hand placement while cutting and writing
- Laces own shoes
- Prints numbers 1-5
- Brushes hair unassisted
- Dresses and undresses independently
What Our Families Are Saying:
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"I am so grateful to all the staff members at this location. They are all absolutely amazing not just with my son but with all the people they are in contact with. They have an abundance of resources and information for parents and I see so much progress with my son who receives services here! I am more than pleased with this establishment. The woman who works directly with my son is more than patient and gives 100% every visit. It is more than clear that each member of staff is in love with and dedicated to their work and providing the best care and optimal results to all patients."
- Jessy Roberts
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"We love FPT and all the therapists who have helped our daughter! Each therapist has been loving, patient, encouraging and hardworking with our girl. We have seen so much progress from when we began two years ago!! We’re very thankful for FPT and look forward to our therapy day each week! I would highly recommend them to any other parent."
- Caroline Middlebrooks
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"Love this place! Everyone there is the most kind and compassionate women I’ve ever met. They really go above and beyond to help your child, but also help you understand the best ways to help your child. I’m so thankful for everything they’ve done for my daughter in just the few short weeks she been going here. Such a great place!"
-Jessica Bywater
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"My son has been coming here for longer than I can remember. Everyone is super nice and extremely helpful and knowledgeable as to the best options for the best care of my child. The new ownership is hands down the best. You can feel the love in the atmosphere when you walk in the door. Every one is excited to be there. I will never take my child anywhere else."
-Christina Terry
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"My daughter has been coming here for the majority of her life. If it wasn't for the speech therapists, occupational therapists, and physical therapists at Foundations, my daughter would not have progressed as far as she has. We absolutely love everyone there, even the front office staff. Thank you for caring for each of your clients, including my daughter."
-Denise Corley
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"Our therapist always go above and beyond for my son! They are a part of our family and have helped my son reach milestones we did not know were possible! My son receives PT, OT, speech and feeding. I would absolutely recommend their services to anyone!"
- Jasmine Caldwell
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“We are so thankful for Foundations. Everyone here is a blessing to us!”
- Kelli Bufford