Pediatric Speech Therapy with Purpose
In-home pediatric speech therapy in Manhattan and Brooklyn, with clear goals, true connection, & support that carries into daily life.
Take the guesswork out of your child’s communication
If your child’s path of therapy has ever felt unclear, slow, or hard to carry over into daily life, you’re not alone..
Many families come to us feeling:
Concerned that their child’s current progress in therapy has been unclear or slow
In need of a clear communication plan after receiving a diagnosis for their child
Unsure if their child’s communication is on track
Interested in a full speech, language, pragmatics, oral motor, & feeding profile for their child
In need of clear communication, support, and actionable strategies to use in daily life
We provide a unique approach to speech therapy
At Saltwater Speech, therapy is playful and personal, with an emphasis on caregiver communication.
We use engaging, child-led interaction to build connection and motivation while targeting the underlying skills your child needs to communicate independently.
This includes:
Joint attention and engagement
Play and social interaction
Language development and executive functioning
Motor planning, speech clarity, oral motor skills, & feeding
Advanced, evidence-based care
Our work draws from specialized approaches not commonly offered in traditional therapy settings, including:
UCLA’s JASPER (Joint Attention, Symbolic Play, Engagement, and Regulation)
UCLA’s JASPER Parent Coaching
PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets)
SOS Approach to Feeding
AOMT Myofunctional Therapy
Lively Letters Literacy Program
Behavioral methods and strategies
And more
Is unintelligible or difficult to understand
Is not yet talking or is using few words
Needs support with play, social skills, or behavior
Is diagnosed with autism spectrum disorder
Struggles with oral motor skills / does not breathe nasally
Has difficulty feeding or eating a variety of foods
We’re a good fit If your child…
Our approach is rooted in your child’s individual needs
Families often come to us wanting a clearer understanding of their child’s goals and progress. Our approach is thoughtfully built around that clarity.
-
We follow your child’s lead to build connection and engagement, all while using structured, evidence-based strategies to target meaningful & specific goals.
-
We look beyond surface-level challenges to support the foundation of communication, including play, engagement, and regulation.
-
You’ll always know what your child is working toward, how progress is being made, and how to support it at home. We provide ongoing check-ins and support throughout the week so that progress doesn’t end when the session does.
-
You’re an active part of the therapy team. We provide guidance and support to best encourage skill generalization, and collaborate closely with your child’s circle of teachers and other service providers.Item description
“The progress we’ve seen with Nicole has been absolutely incredible. Our son loves her, and has become much more connected and communicative with me since they began working together. She has a unique approach that we haven’t seen utilized within therapy sessions before.”
angela S.
Steps to Starting With Us
1
Complimentary Consultation
We start with a conversation to understand your child, from their interests and strengths, to any speech, language, oral motor, social skills, or feeding concerns. We will discuss what progress you may be wanting to see, and what your family is hoping to get out of speech therapy.
2
Comprehensive Evaluation
Informal measures are insightful, but you deserve a full snapshot of your child’s meeting of developmental milestones through formal testing as well. We use a thoughtful mix of formal and informal assessment (catered to each individual child’s tolerance of testing and skill level) to understand your child as a whole.
3
Personalized therapy Plan
You will receive clear, targeted goals tailored to your child in the areas of speech, language, play & pragmatics, myofunctional skills, and feeding (each if applicable), along with a plan that balances engagement with structure so progress is both meaningful and measurable.
4
Ongoing Therapy and Support
Sessions are engaging and purposeful, with regular caregiver check-ins throughout the week. We always want you to feel comfortable supporting your child’s skill development, and have a passion for parent support — whether it be useful strategies, general tips, or toy recommendations.