Physical Therapy

When should a parent pursue Speech Therapy for their child?

A child should be seen if…


Birth to 2 months:

  • Doesn’t lift head in prone position (while lying on stomach)
  • Does not turn head to one side in prone position
  • Does not turn head to both sides in supine position (lying on back)

3 months:

  • Does not hold head up 90 degrees in prone position (lying on stomach)
  • Does not extend both legs or kick reciprocally
  • Does not roll to back when placed on their side

4 months:

  • Does not place weight on forearms in prone position (lying on stomach)
  • Does not rotate or extend head
  • Is unable to grasp a rattle
  • Cannot bring both hands together

5 months:

  • Does not roll over one way
  • Does not hold head up when pulled to sitting
  • Is unable to hold head steady in supported sitting position
  • Does not bear weight on legs

6 months:

  • Is unable to keep head level with body when pulled to a sitting position
  • Does not demonstrate balance reactions
  • Cannot bear weight on hands in prone position (lying on stomach)
  • Does not move head actively in supported sitting position

7 months:

  • Does not roll over either way
  • Does not bear weight on legs
  • Cannot lift head or assist when pulled to sitting position
  • Demonstrates little balance reactions or protective extension of arms

8 months:

  • Does not roll over both ways
  • Cannot sit with little or no support
  • Does not hold weight on one hand while in the prone position (lying on stomach)
  • Cannot bear weight on legs and bounce

10 months:

  • Cannot get to sitting position without assistance
  • Does not assume crawling position (hand knee position)
  • Does not show interest/motivation to crawl
  • Cannot sit on own without hand support

12 months:

  • Does not pull to stand using furniture
  • Cannot switch positions from sitting to prone
  • Does not creep on hand and knees
  • Cannot pivot while in sitting position to retrieve toy
  • Cannot pass an object from one hand to the other
  • Cannot stand holding on to someone or something
  • Cannot pick up small objects

15 months:

  • Does not walk with one hand held
  • Cannot stand alone well
  • Does not demonstrate balance reaction while in kneeling position
  • Does not walk alone one to two steps
  • Does not demonstrate motor planning by climbing on furniture
  • Has a hard time picking up small objects

18 months:

  • Does not attempt to creep upstairs
  • Does not walk without support
  • Cannot throw a ball
  • Does not bend down to retrieve objects
  • Does not demonstrate balance reaction in standing

24 months:

  • Does not run
  • Cannot walk upstairs with one hand held
  • Cannot carry large toy while walking
  • Does not squat in play
  • Cannot retrieve a toy off of the floor from standing position
  • Does not climb onto furniture, turn and sit
  • Cannot build tower of six blocks
  • Does not use utensils well

30 months:

  • Does not jump in place with both feet
  • Does not stand from sitting by rolling on side
  • Cannot catch a large ball
  • Has difficulty with gait and balance
  • Does not walk downstairs using rail for support
  • Does not have wide range of movement
  • Does not run and stop without holding
  • Does not avoid objects when running

36 months:

  • Cannot kick stationary ball
  • Is not able to stand on one foot for two seconds
  • Cannot build tower of 9 blocks
  • Cannot complete 5-6 piece puzzle
  • Is not using utensils properly
  • Does not attempt to ride tricycle
  • Does not demonstrate grasp of crayon

36-48 months (3-4 years):

  • Cannot jump forward using two foot take-off and landing
  • Is unable to run and stop within two steps without falling
  • Is unable to walk on a line backwards
  • Is unable to hop 5 times on one foot, then switch

48-60 months (4-5 years):

  • Does not imitate body movements (up to four positions)
  • Does not complete sit-ups
  • Is unable to complete a somersault
  • Is unable to gallop


Signs a child may need Physical Therapy:

  1. Tiring easily or having low endurance
  2. Difficulty balancing when standing or having a tendency to lean on objects or walls
  3. Moving in an uncoordinated fashion
  4. Having poor balance during physical activities such as riding a bicycle, going up and down stairs, or jumping.
  5. Trouble catching oneself when falling
  6. Being clumsy, usually tripping or bumping into objects
  7. Is excessively fidgety with low muscle tone
  8. Sitting in unusual positions to balance out the body
  9. Using one side of the body to assist the other side when performing physical tasks
  10. Have trouble moving one arm or leg across the center of the body

Contact Us

Let's chat!


17718 Hunting Bow Circle
Lutz, FL 33558

New Tampa

2241 Green Hedges Way
Wesley Chapel, FL 33544

Contact Info

p. 813-973-1033
f. 844-495-7168


Send a Message

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Frequently Asked Questions

Here are a few questions that we've gotten over the past 10+ years of empowering kids to bloom and succeed through therapy.  For a full list of FAQ, click here.

What happens during our first visit?
Please plan to arrive 10 minutes early for your first appointment. You may download forms online, under "Resources" on the homepage of this website or by clicking here. These forms are password protected, so you will need to contact the office to obtain access. Your therapist will come out to greet you in the waiting room. Your child will be asked to remove his/her shoes, and he/she may choose a pair of socks to wear throughout their visit. This is to keep a healthy, clean environment for everyone and for the safety of the mats in the gym (yes, even the parents please!). Your therapist will then ask background questions and establish rapport in a playful manner. Your child will be put at ease immediately--this is a comfortable, fun, and playful place to be!
Will my insurance cover an evaluation and/or therapy?
Most often, insurance will cover at least a portion, if not all of an evaluation. Coverage for therapy services will depend on the individual insurance plan, and it is often determined by medical necessity. It is each family's responsibility to verify insurance benefits prior to receiving services. We will take a copy of your insurance card to verify your benefits; however, it is ultimately the family's responsibility to research as well.
How long will my child need therapy?
Typically, a treatment plan is established over 6-month increments. Your child will have his/her initial evaluation completed with treatment goals established to be achieved within a 6-month period. Sometimes therapy can extend for longer periods of time depending on progress, diagnosis, and severity of the disorder. Individual treatment plans are established, and parents play an integral role in treatment planning. You can expect that your child will participate in a re-evaluation every 6-9 months to determine if therapy goals need to be revised and to monitor progress. Your insurance may require more frequent documentation, in which case, it is your responsibility to notify your therapist what is required.
What insurance plans do you currently accept?

We are currently in-network for Advent Health, Aetna, Aetna Better Health, Allied, BCBS, CHAMPVA, Cigna, CMS, Coventry, Health First Health Plan, Humana, Meritain, Molina, Multiplan, Simply Health, Staywell, Straight Medicaid, Sunshine, Sunshine Healthy Kids, Tricare Select and Prime, UHC, and UMR.   Although we are out of network with some insurance companies at this time, you may still be eligible for coverage depending on your plan. In addition, being in-network does not always guarantee coverage for disorders that are developmental in nature. Please call the office to discuss your options.