Located in Dover New Hampshire, Reach For the Top is a family-centered outpatient pediatric therapy program serving children birth through adolescence. Reach for the Top Therapy has a strong commitment to family-centered services and programs. Our goal is to ensure the developmental, learning, sensory, behavior and support needs of children and families are met. Our mission is to children and their families on their unique journey!
Please note that without member information we cannot guarantee that
your specific plan covers these services. We recommend asking the care
provider before beginning services.
Anthem Blue Cross
Cigna
Medicaid
Tricare
61 Locust Street, Ste 333,NH,03820
Get in Contact
(603) 740-3534
reachforthetoptherapy@gmail.com
Reviews
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We love this office The staff are so kind. Miss Sarah our sons OT goes above the call of duty. Shes so kind understanding easy to talk to and knowledgeable in her field. Weve seen gains in our son in just a few short weeks
Crystal-Lyn Moore
17 March 2024
google review
All our experiences have been wonderful Liz OT and Rachel SLP are amazing They communicate well with one another and with me as parent. Its nice to get the majority of our needed therapies in one place.
Erin Martineau
17 March 2024
google review
Very kind and loving - very professional - and just wonderful So glad to know them.
Jayme Simoes
17 March 2024
google review
My son and I have been working with Ms. Liz for the past two years and the results have been amazing. Not only are we in a loving supportive environment where every child and parent I have encountered has been accepted and treated like the amazing person they are but that my son has blossomed. He has learned to regulate his emotions and how to handle things that are difficult. He still has many hills to climb but I know that Liz and Reach for the Top will be there for us to get him there.
Jenna Niemczyk
17 January 2024
google review
My son first attended Reach for OT services starting in March of 2021. He has seen Robyn since day one and has such a strong bond with her. Robyn is very thorough with her work and quick to answer any questions or concerns. I have learned a lot from her as a parent on how to best support my childs needs. If I have an idea - I can run it by her she will tell me her thoughts on it and if it would be beneficial for Jack. Robyn has helped my sons growth substantially I will end this review with saying that we ended up moving to Maine in December 2022 and we continue to use Reach for our private therapy needs. Thank you Miss Robyn for all that you doAlso to add my son saw Miss Rachel for speech and she is also fantastic We have opted to take a break from speech and focus on Jacks OT needs Rachel was very supportive and eased my mind about the situation. Thank you for all you do Miss Rachel
Janyce Legrand
17 September 2023
google review
Throughout the time weve been here my child has grown in leaps and bounds. This is thanks to the unequivocal professionalism empathetic nature and deep understanding of what my child needs. If youre looking for services yourself look no further. The staff and therapists here are simply wonderful.
Robert M.
17 May 2023
google review
When my son had services at Reach 3 years ago we were very satisfied with our services. The staff was friendly they seemed experienced and even when you called the office staff seemed to really care. When my daughters PCP suggested OT and PT services I had no doubt where I wanted to go. Fast forward 4 months and Reach has been nothing but a disappointment this time around. No PT and keep getting the run around about it actually they have been rude many times when I have asked about it the OT had to leave the evaluation 5-6 times to get items. She seemed very flustered the entire time and when I requested the write up I was blown away by some of the statements since it was never even discussed in the evaluation. I did speak to her OT about it but was told they have to say that in order to get services approved by the insurance companies We didnt discuss goals or what I would like to see my daughter gain from services. We ended up attending 5 sessions in hopes they would improve however they didnt and what was being done there I could do at home. The spaces were always loud people in and out of the rooms which is very distracting and felt like the therapist never actually cared. I just felt uncomfortable with it all and was so sad to see how drastically the program has changed.
Melissa Jackson
17 April 2023
google review
Staff turnover is high. Had 3 different therapist in 2 months. Rooms are very cluttered. Very distracting for my son. I did not find this to be helpful. Pulled my son and went elsewhere.
Sarah Littlefield
17 April 2023
google review
We have been so lucky to have these wonderful therapists over the last year. My son has had PTOT and speech and we have loved everyone. I would recommend Reach for the Top to any parents that have kiddos with a need for therapies.
Kara Valinski
17 March 2022
google review
Therapists are great but executive director and management lacks professionalism. Withdrew my children after one interaction with Patty.
Felicia Legare-Poirier
17 March 2022
Frequently Asked Questions
Speech therapy is almost always recommended for autistic children since many people with autism have difficulty with social communication. Even if a child is very verbal and says a lot of words, they might need to work on communication skills like:
responding to questions
starting or ending conversation
changing conversation topics
using gestures like pointing
understanding other people's body language
Speech therapy is a big focus in early intervention for autistic children and is usually the starting place for recently diagnosed kids. There is a critical period in the brain for language development and so, it's really important to teach language and communication skills as early as possible, especially if there are any delays in that area. Your child will learn effective ways to communicate which will help them grow into more independent and confident individuals.
It might be obvious when a child struggles with speaking —they are very quiet, say only a few words, or don't speak at all.
Spot speech and language delays like a doctor here.
The goal of speech therapy is to help your child communicate effectively with other people across all environments. This may take the form of using gestures, simple signs, verbal speech, and Augmentative and Alternative Communication (AAC).
Some other common things speech therapists can help with:
Nonverbal skills, such as signs or gestures
Forming speech in a clearer way
Communicating thoughts and feelings clearly
Understanding and responding to questions
Discerning facial expressions and their corresponding emotions
Noticing and understanding body language
Feeding and swallowing
Stuttering
The occupational therapy process includes an OT evaluation before care starts. Here are the four steps your family can expect when starting occupational therapy:
Complete OT evaluation. An occupational therapist first identifies your child’s strengths and needs through a thorough OT evaluation, also known as an OT assessment or screening. You’ll answer questions about your child’s skills, and your child will most likely demonstrate their skills via hands-on activities with the therapist. Evaluations can last 30 minutes to a few hours.
Approve OT plan. The therapist develops a care plan with individualized goals and customized interventions based on your child’s needs. You can also share any specific goals or concerns before approving the OT plan.
Start therapy sessions. The therapist works directly with your child and your family, using various strategies and exercises to systematically improve areas of limitations and to build upon a child’s strengths. Some exercises your child might participate in are animal walks, obstacle courses, and therapy swing activities. Your family may learn strategies for supporting your child’s individualized needs at home, such as ways of supporting emotional regulation and sensory processing. The therapist may also recommend tools and techniques to use at home, in the community, or in the classroom to help your child succeed.
Monitor your child’s progress. Parents and caregivers can expect ongoing progress monitoring and communication to ensure the child is achieving their short and long-term goals.
Occupational therapy can also be provided virtually via telemedicine. Virtual therapy is a great option for families in rural areas who may not have access to in-person services, or for families who prefer to have therapy in their child’s home.
Virtual OT allows the opportunity for increased caregiver participation and understanding of a child’s strengths, areas of improvement, and generalization of skills in the child’s home environment. Virtual therapy also provides increased opportunities for caregiver and family education to support the child and the family based on each family’s needs.
Once you find a quality physical therapist you want to work with, here are a few things you need to know:
There will be an evaluation. First, you can expect an assessment to identify your child’s areas of strength and needs. A physical therapy evaluation usually lasts 30 minutes.
You’ll review and approve the care plan. The physical therapist will create a care plan, also known as a plan of care (POC), outlining the goals and strategies. They will review this with you and your care team before moving forward with therapy sessions.
Physical therapy sessions will be fun. PT with children is designed to be enjoyable. The therapist will use strategies and exercises based on your child’s needs. Exercises might involve playing on large stability balls, obstacle courses, movement equipment, stretches, and other hands-on activities.
Expect home exercises. Physical therapists commonly assign exercises to work on at home. Doing these exercises with your child outside therapy sessions can improve your child’s overall progress.
Yes! Most providers offer physical therapy in their offices or a clinical setting, but many are offering at-home options. Virtual options have become more popular in recent years. You might facilitate care with the guidance of the physical therapist.
Pediatric physical therapy is considered safe and should not hurt. Autistic children spend their time in PT moving and exploring their environment. If you are concerned about your child experiencing pain during certain exercises, especially if they may struggle to communicate and advocate for modifications, speak with their physical therapist about your concerns.
Get in touch with Reach for the Top Therapy Services