Natalie Peterson

“Working for Brighter Days has been a great opportunity. I began with the company as a new graduate and years later I am still here! There are many reasons for that but one of the most important has been how supportive everyone at the agency is of their therapists. Supervisory staff is highly approachable and willing to collaborate with staff to navigate the EI process. I have enjoyed working for a company who treats their employees with respect and encourages clinical growth. Through working with Brighter days, I have had opportunities to expand my knowledge and experience in the field, helping to shape the therapist I am today!” Natalie Peterson, OTR/L

What is Occupational Therapy (OT)?

Every child learns to navigate the world in their own way — through touch, movement, play, and daily routines. When those everyday activities feel overwhelming or out of reach, Occupational Therapy can help.

At Brighter Days, our Occupational Therapists work side by side with you and your child in the places where life actually happens — at home, at daycare, or in the community. We don’t just work with your child; we coach you with practical strategies you can weave into bath time, mealtime, playtime, and bedtime so progress happens every single day, not just during sessions.

Our OTs help children develop the foundational skills they need to explore, play, and participate in family life with confidence. Whether your child is struggling with sensory sensitivities, having difficulty with feeding, or needs support building fine motor strength, we meet your family exactly where you are.

All Brighter Days Occupational Therapists are licensed and certified in accordance with Pennsylvania state regulations and bring warmth, creativity, and deep expertise to every session.

Our Occupational Therapists can help with:

  • Sensory processing and sensory sensitivity (over- or under-responsiveness to touch, sound, movement, and textures)
  • Fine motor skills (grasping, stacking, using utensils, drawing, and hand strength)
  • Self-regulation and emotional behavioral challenges
  • Feeding difficulties, including food textures and oral motor skills
  • Daily living routines — dressing, toileting, bathing, and sleeping
  • Body awareness and coordination
  • Play skills and social participation


Signs Your Child May Benefit from Occupational Therapy

You know your child better than anyone. Trust your instincts — if something feels off, it’s always worth exploring. Here are some signs that OT may help your little one:

  • Your child is extremely sensitive to textures, sounds, or being touched — or seems to seek out intense sensory input (spinning, crashing, mouthing objects)
  • They have difficulty with everyday routines like getting dressed, eating, or falling asleep
  • Fine motor skills seem behind — struggling to hold a spoon, crayon, or small objects
  • They have frequent meltdowns or a hard time calming down after becoming upset
  • Feeding is a constant struggle — refusing certain textures, gagging often, or having difficulty chewing/swallowing
  • They avoid play activities that involve getting their hands messy
  • They seem unusually clumsy or have trouble with balance and coordination

Frequently Asked Questions

What does an OT session actually look like for a baby or toddler?

Sessions are built around your child’s natural daily routines — not a clinical table with drills. Your OT might work with your child during snack time to practice self-feeding, during playtime to develop fine motor skills, or during bath time to address sensory sensitivities. You’ll be right there, learning strategies alongside your child.

Yes! Brighter Days provides services in the home, at daycare centers, and in the community. Early intervention is most effective in the natural settings where your child lives and plays.

No diagnosis is required to be evaluated. If your child is under 3 and showing developmental delays, they may qualify for early intervention services in Philadelphia. Call us at 215-550-6109, and we can help you understand next steps.

Every child is different. Your OT will work with you to set meaningful goals through your child’s Individualized Family Service Plan (IFSP) and will continuously monitor progress. Many families see meaningful gains within a few months of consistent services.

Yes — early intervention services in Pennsylvania, including OT, are provided at no cost to families of eligible children ages birth to 3. Call us at 215-550-6109 to learn more about eligibility.

Our Services

We believe that the foundation, central influence and main source of support in a child’s life is family. Therefore, we encourage and support family members to be active participants in their child’s intervention services. We’re sensitive to each family’s customs and values, and honor cultural diversity and family traditions.

Autism Spectrum Disorder (ASD)

If you’ve started noticing things — your child isn’t making eye contact the way you’d expect, or they’re not responding to their name, or something just feels different — we want you to know: reaching out early is the most powerful thing you can do.

Infant-Toddler Social Emotional Coordination (ITSE)

Only offered by a small number of agencies in Philadelphia. Specialized support for children who have experienced trauma or are showing signs of social-emotional difficulty. Our ITSE specialists teach families strategies to promote emotional wellness, healthy attachment, and resilience from the ground up.

Social Work (SW)

When your child is going through early intervention, it’s easy to focus entirely on their development — the milestones, the therapies, the goals. But the truth is, children don’t grow in isolation. They grow in families. And families face real challenges every day.

Special Instruction (SI)

From the moment a baby is born, their brain is making connections at a remarkable pace. Those first three years are a window of incredible opportunity — and Special Instruction is designed to make the most of every single day within it.

Speech Therapy (SLP)

Your child’s first words are magic. But when communication feels like a struggle — for them or for you — it can be stressful and isolating. You’re not alone, and early support makes a real difference.

Physical Therapy (PT)

Watching your baby reach their first physical milestones — lifting their head, rolling over, sitting up, taking those first wobbly steps — is one of the greatest joys of parenthood. When those milestones are delayed or seem difficult, it’s natural to worry. Physical Therapy is here to help.

Contact Contact us at Brighter Days Early Intervention Agency

Get Started

Developmental milestones are things most children can do by a certain age. How your child plays, learns, speaks, and acts offers important clues about their development.

The Centers for Disease Control and Prevention have a list of developmental milestones from birth through 5 years of age here which shows how to help your child learn and grow, as well signs to look for so you can act early.

If you need help navigating the process.

To learn more contact the City of Philadelphia’s Intellectual DisAbilities Services directly: