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Client Portal
Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

WHERE CHILDHOOD MEETS PEDIATRIC THERAPY

Every child deserves an individualized pathway to participation and growth. Milestones is a therapist-founded practice offering pediatric therapy, enrichment programs, and community experiences that support children where they live, learn, and grow. THE MILESTONES METHOD™ The Milestones Method is our therapist-developed framework for helping children reach their fullest potential. We believe not every child requires therapy—and not every child who requires therapy needs the same level of therapeutic support. Rather than offering a one-size-fits-all approach, we help families find the right level of support, in the right environment, at the right time. Inspired by established occupational therapy principles, including the Person-Environment-Occupation (PEO) Model, we recognize that children grow best when we consider the whole child, the environment in which they learn, and the activities that are meaningful to them. Thoughtfully prepared indoor and outdoor environments encourage child-led play, Invitations to Play, movement, exploration, creativity, relationships, and meaningful participation, allowing children to develop skills through authentic experiences that are engaging, purposeful, and fun. OUR CONTINUUM OF SERVICES Every child begins in a different place. Children enter our continuum based on their strengths, needs, goals, and stage of development, and may move throughout the continuum as those needs evolve. Individual Therapy ↕ Parallel Therapy ↕ Integrative Therapy ↕ Group Therapy ↕ Enrichment Programs There is no predetermined pathway. Some children participate in one service, while others benefit from multiple services at the same time. WHAT WE OFFER Therapy Services • Occupational Therapy • Speech Therapy • Music Therapy • Pediatric Yoga Therapy Enrichment Programs • Enrichment Programs (Infant through School Age) • Music, Play & Connection (Infant through School Age) • Yoga for Regulation (School Age) We offer year-round programming through seasonal semesters, Summer Enrichment, community events, workshops, and select drop-in opportunities. While we occasionally offer drop-in opportunities, Milestones is not a drop-in indoor play facility. Our primary focus is providing pediatric therapy services and thoughtfully designed enrichment programs guided by The Milestones Method. READY TO GET STARTED? Looking for Therapy? Complete our Contact Us form. Tell us about your child, provide your insurance information if applicable, and we'll guide you through the next steps, including benefit verification, intake paperwork, and scheduling. Looking for an Enrichment Program? Summer Enrollment • Weekly Drop-In Registration • Subscription Enrollment (prorated when available) Fall Enrollment Now enrolling for our Fall Enrichment Semester beginning September 8, 2026. Submitting a Request Appointment is an enrollment request only and does not automatically reserve your child's space. We'll follow up with program information, availability, pricing, and enrollment instructions before registration is finalized. INSURANCE & PAYMENT Therapy Services • In-network with Anthem commercial health plans • Superbills available for many out-of-network plans • Private-pay options available • Payment arrangements available when appropriate Enrichment Programs Enrichment Programs are non-therapy services and are not eligible for insurance reimbursement. We strive to keep our programs accessible through affordable subscriptions, weekly drop-in opportunities when available, and flexible payment options whenever possible.
Milestones Play Gym
& Pediatric Therapy

Services

Areas we support through play, connection, and collaboration include:

  • Early Development
  • Sensory Processing
  • Communication Skills
  • Motor Development
  • Emotional & Self-Regulation
  • Feeding Support
  • Social Engagement
  • Play-Based Learning
  • Daily Living Skills
  • Parent Education & Collaboration
  • Inclusion & Community Support

Approaches

  • Enrichment Groups
  • Special Events
  • Occupational Therapy
  • Speech Therapy
  • Music Therapy
  • Yoga Therapy
  • Private Events/ Birthdays

Insurance Accepted

  • Private Pay
  • Out-of-Network Insurance Reimbursement
  • Anthem

Testimonials

“Love Milestones! My daughter has grown so much. The staff is amazing, welcoming, and always positive. We’re so thankful to have found this supportive community.”

Parent

“We’ve done both individual and group therapy here, and everything is truly tailored to each child. Even after moving, we still come every week because it’s worth it. My child loves engaging here.”

Parent

“Milestones offers such a caring, inclusive space. The therapists meet children where they are, and we’ve seen incredible progress in confidence and everyday skills.”

Parent

Location

Proudly serving families in Fredericksburg and surrounding communities.

Milestones Play Gym & Pediatric Therapy

309 Chatham Heights Rd
Fredericksburg, VA 22405-2545

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