Pediatric OT · Ages 2 to 8
Therapy that feels like play, with skills that stick at home.
I'm Jamie Rivera, OTR/L. I work with kids ages 2 to 8 who have sensory and fine-motor challenges, and with the parents who love them. Sessions are joyful, purposeful, and built so the progress carries home.
(Jamie mid-session, warm and joyful)
(sensory play detail)
Bright Kids OT is a play-based pediatric occupational therapy practice led by Jamie Rivera, OTR/L, serving kids ages 2 to 8 with sensory and fine-motor challenges in [Your City] and by teletherapy across [Your State].
If any of this sounds familiar
You love your kid. You just want Tuesdays to stop feeling so hard.
Most families I meet have already tried a few things. They're not lazy or under-informed. They're tired. If you nod at even two of these, we should probably talk.
- Your kid dreads therapy, and getting in the car has become the hardest part of the week.
- Handwriting, buttons, zippers, or utensils are a daily standoff.
- Loud noises, tags, or transitions send the whole afternoon sideways.
- You leave sessions unsure what to actually do at home before the next one.
- You've been told to "just be patient" and it is not, in fact, helping.
(portrait of Jamie)
Meet your OT
Ten years of pediatric OT, one very stubborn belief.
I'm a licensed occupational therapist (OTR/L) with ten years working with little ones. Early on, I noticed something that never sat right: kids were learning skills in a clinic room that never quite made it home. So I rebuilt how I work.
"When a kid trusts you enough to play hard, that is when the real work happens. Everything else is just worksheets in disguise."
Every session is play-based, sensory-informed, and designed so parents leave with concrete, doable ideas for the week ahead. No jargon dumps. No homework packets nobody has time for. Just next steps that fit your actual life.
Jamie Rivera, OTR/L
Ways we can work together
Three ways in, all built around your kid and your week.
1:1 Pediatric Occupational Therapy
Weekly one-on-one sessions for kids with sensory or fine-motor needs. We play with real purpose: climbing, crashing, cutting, drawing, dressing, whatever your kid needs to build. Parents get a quick recap after every session so you know exactly what to try at home.
In-person or teletherapySensory-Friendly Play Groups
Small, curated groups where kids practice regulation, turn-taking, and motor skills through actual play. It is loud. It is joyful. It is regulated on purpose. Great as a stand-alone or alongside 1:1 sessions.
Small groups · ages grouped by stageParent Coaching
For parents who want a partner in figuring out mornings, mealtimes, meltdowns, and everything in between. Sessions are practical and specific to your kid. You leave with two or three things to try this week, not a binder.
Virtual or in-officeThe Bright Kids approach
Play-based, sensory-informed, built for real home life.
Progress that only happens in the clinic isn't really progress. My whole model is built to close that gap.
Play is the plan
Every activity has a clinical reason behind it, and looks like a great time from the outside. Both things are true.
Parents in the loop
You get a plain-language recap after each session with two or three things to try before we meet again.
Sensory-informed
We start by understanding how your kid takes in the world, then build skills from a place of regulation.
Kid-led, therapist-guided
Your kid gets to choose. I steer the play toward the skills we're building. That is where the joy comes from.
Real questions from real parents
Answers to what parents usually ask me first.
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What ages do you work with at Bright Kids OT?
I specialize in kids ages 2 to 8. That range covers the years where sensory patterns, motor coordination, and early school-readiness skills are developing most rapidly, which is where play-based OT can do its best work.
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Do I need a diagnosis before we start?
No formal diagnosis is required to book a discovery call or an evaluation. Many families come to me with concerns and questions long before any label is on the table. If a referral or diagnosis becomes helpful along the way, I can point you toward the right next step.
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What actually happens in a play-based OT session?
It looks like play, and it is play, with clinical intent underneath. We might climb, swing, build, cut, draw, or work through a sensory obstacle course, depending on what your kid needs. Every activity is chosen to build a specific skill, and I explain the "why" to you afterward.
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How do you help parents carry work over at home?
After every session, you get a short recap with two or three specific things to try before we meet again. Nothing that requires special equipment or an hour you don't have. Parent coaching is also available as a stand-alone service if you want more support between sessions.
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Do you offer teletherapy?
Yes. I offer teletherapy sessions across [Your State] for families where that fits better. Play-based OT translates surprisingly well to a screen when a parent is in the room helping, and many families use a mix of in-person and virtual sessions.
The Between-Sessions Playbook
A free guide for parents of kids 2 to 8
- 5 sensory activities you can set up with what's already in your kitchen
- Fine-motor wins hiding inside snack time
- Two scripts for tricky transitions
- What to notice (and what to let go of)
Free download
The Between-Sessions Playbook.
Practical, doable, and written for the parent who is already stretched thin. Drop your email and I'll send it over.
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Ready when you are
Let's figure out if we're the right fit.
The first step is a no-pressure discovery conversation. Tell me a little about your kid and what's been feeling hard, and I'll let you know honestly whether Bright Kids OT is the right next step or point you toward someone who is.