Occupational Therapy

Little Hands Pediatric Therapy provides Occupational Therapy from birth to teen in your home or school in Loudoun County and Western Fairfax County. We also offer limited appointments in our Sterling Clinic.

Family involvement is an important part of the Occupational Therapy process. At Little Hands Pediatric Therapy, we believe that parents, caregivers and teachers working together as a team are the key to success for your child. We will also collaborate with other professionals working with your child.


A recent evaluation is essential prior to the initiation of treatment. Evaluations provide baseline data, establish goals, and are used to track progress.  During an evaluation the following areas can be assessed: Self-Care, Fine Motor Coordination, Strength, and Dexterity, Sensory Modulation/ Sensory Processing, Attention to Task, Postural Stability, Handwriting. 


Little Hands Pediatric Therapy treats children with a wide variety of needs including Sensory Processing Disorders, Feeding Disorders, Fine and Gross Motor delays, Autism, Developmental Delays, Neurodevelopmental Disorders and Down syndrome.


From picky eaters to problem feeders, Little Hands Pediatric Therapy helps newborns through school-age children learn to eat a variety of tastes and textures. Learn more about our Feeding Therapy approach.

Occupational Therapy Services


Self-care skills
Fine motor skills
Sensory modulation/ sensory processing
Attention to task
Postural stability
Handwriting, Including Handwriting Without Tears
Therapeutic Listening
Reflex integration


Sensory Processing
Fine Motor Skills and Handwriting
Visual Motor Skills


Team/IEP Meetings
School Observation


Occupational Therapy Evaluation

Testing: $150/hour

Written Evaluation: $150/hour

Occupational Therapy in your Child’s Home or School

$150/50 minute session

Occupational Therapy Teletherapy Session

$85/30 minute session

$150/60 minute session

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INSURANCE: Little Hands Pediatric Therapy is often covered by out-of-network benefits. We recommend you call your insurance company to determine what percentage is covered for both in and out-of-network Occupational Therapy. We will provide you with an itemized bill with all necessary information including diagnosis and treatment codes.