We understand better that enim ad minim veniam, consectetur adipis cing elit, sed do

Contact Info

about us

We are a team of passionate, experienced occupational therapists, dedicated to supporting children, teens, and young adults—and the families who care for them—in building strong roots for everyday life. At the heart of our work is a deep respect for neurodivergent brains. We celebrate each individual’s unique strengths, challenges, perspectives, and lived experiences, creating a space where they feel seen, valued, and understood.

Through neuroaffirming therapy, we use meaningful, purposeful activities—including play, movement, sensory exploration, and real-life skill building—to help individuals build resilience, confidence, independence, and self-advocacy while participating in the occupations that matter most to them. We believe growth happens through meaningful relationships, so we partner with families, schools, and support systems to create safe, inclusive environments and collaborative care while fostering opportunities for children, teens, and young adults to explore their interests, build authentic connections with like-minded peers, and develop a true sense of belonging.

Rooted in whole-person wellness, our approach nurtures strong bodies, calm minds, and resilient spirits. We empower individuals to understand themselves, advocate for their needs, and participate fully in daily life—at home, in school, and in their communities. Because when people feel capable, regulated, and confident, they don’t just grow—they thrive.

The Mission

At roOTs, our mission is to provide compassionate, neuroaffirming support that celebrates neurodivergent ways of thinking, feeling, and experiencing the world. We partner with children, teens, young adults, and their families to build strong roOTs for everyday life by recognizing each person's unique strengths, perspectives, and lived experiences. Through meaningful, purposeful activities, we foster resilience, confidence, self-advocacy, and participation in the occupations that matter most.

We believe that meaningful relationships and a sense of belonging are essential for growth and well-being. By collaborating with families, educators, and communities, we create welcoming, inclusive spaces where neurodivergent individuals feel seen, valued, and understood. Through authentic connections with peers and supportive adults, we help bridge the gap from isolation to belonging, empowering individuals to build confidence, discover new opportunities, and thrive in their daily lives and communities.

What Makes roOTs Unique?

Preventative and wellness-focused

Strength-based and neurodiversity-affirming

Collaborative process

• Emphasis on belonging and meaningful participation

Flexible for public, private, and homeschool settings

Ongoing consultation with family/schools to ensure true growth in identified areas

The Team

Maria Rappucci, MS, OTR/L

Maria is an occupational therapist dedicated to helping neurodivergent individuals discover what is meaningful to them and use those interests to build fulfilling, everyday lives. With over 20 years of experience, she believes authentic relationships are the foundation for growth and takes time to truly understand each person by observing, listening, and following their lead. Maria also recognizes that meaningful progress happens when families and support systems are active partners, working collaboratively to create consistent environments where individuals feel understood, valued, and empowered.

Maria views play as the most important occupation of childhood and uses it to foster joyful, meaningful skill development in young children. She is equally passionate about supporting adolescents and young adults as they build social connections, confidence, self-advocacy, and independence. By helping individuals explore their interests and strengthen connections within their communities, Maria strives to foster a lasting sense of belonging and meaningful participation throughout every stage of life.

Casey Biddle, COTA/L

Casey’s journey in Occupational Therapy is driven by a passion for helping children and young adults of all abilities who learn, think, and experience the world in unique ways. Life skill development is the foundation of her work. She helps individuals build the practical skills needed to navigate everyday life with confidence and independence to support meaningful participation at home, in school, and in the community.

To support these life skills, Casey also focuses on self-regulation and executive functioning, helping individuals manage their bodies and emotions, stay organized, and successfully handle everyday responsibilities.

She values partnering with families, teachers, and caregivers to create supportive environments where children and young adults feel understood and empowered.

Who We Serve

We provide on site and home based therapy services for children, teens, and young adults ages 0 to 25. We also offer consultative family services both in-person and via telehealth.  

Parent support groups are also being offered.

Who Needs OT?

Don’t overlook the signs that your child may benefit from a little extra support. Occupational therapists are skilled in breaking down everyday tasks to understand where challenges are happening—and why. From there, we use your child’s unique strengths and interests to build meaningful skills that support their daily life. Our therapy services are a great fit for:

Children who need extra support with focus, coordination, or school-related tasks

Families who want clear communication and measurable progress

Parents looking for therapy that's filled with fun, purpose, and progress.

Supporting Milestone Development

○ Promoting age-appropriate motor, sensory, cognitive, communication, and social-emotional development through everyday routines and play.

○ Supporting developmental milestones such as reaching, rolling, sitting, crawling, standing, and early mobility.

• Gross Motor Development

○ Encouraging tummy time, postural control, balance, strength, and coordinated movement to support exploration and participation.

○ Addressing movement patterns and positioning to promote healthy motor development.

• Sensory and Emotional Development

○ Supporting regulation through responsive caregiving and individualized sensory experiences.

○ Identifying sensory preferences and sensitivities while creating environments that promote comfort, engagement, and exploration.

○ Helping caregivers recognize and respond to infant cues related to hunger, fatigue, overstimulation, and regulation.

• Feeding and Self-Care

○ Supporting breast, bottle, and early feeding skills, including oral motor development and transitioning to age-appropriate foods.

○ Assisting families with establishing daily routines for sleep, bathing, dressing, and other caregiving activities.

• Life Skills and Community Participation

○ Encouraging participation in family routines, play, outings, and community experiences that foster early learning and social engagement.

○ Helping caregivers adapt environments to support successful participation at home and in the community.

• Attention and Early Learning

○ Promoting visual attention, engagement, play, exploration, and early problem-solving through meaningful interactions.

○ Supporting the development of foundational attention and learning skills within daily routines.

• Relationships and Connection

○ Strengthening caregiver-child interactions through play, communication, co-regulation, and responsive relationships.

○ Supporting secure attachment and positive social-emotional development through meaningful everyday experiences.

Life Skills

○ Building independence with eating, including finger feeding and using a spoon with help.

○ Participating in dressing routines, assisting with taking off clothing items and putting on with assistance.

○ Introducing sensory-friendly potty training strategies at the child’s comfort level.

Supporting Milestone Development

○ Promoting age-appropriate developmental milestones through meaningful play, daily routines, and everyday experiences.

○ Supporting cognitive, communication, social, emotional, and motor development to foster confidence, curiosity, and active participation.

○ Encouraging play-based learning that builds problem-solving, creativity, imagination, and early learning skills.

○ Facilitating participation in preschool, family routines, and community activities by adapting environments and activities to support success.

○ Partnering with families to celebrate developmental progress while supporting each child's unique strengths, interests, and developmental journey.

• Sensory and Emotional Development

○ Identifying sensory preferences, such as seeking or avoidance tendencies (e.g., movement, loud noises, textures), while creating supportive environments for safe exploration.

○ Encouraging child-led exploration of new textures in food, clothing, or other materials.

○ Helping to interpret sensory cues from the environment (e.g., smells sound sand their bodies

○ Supporting primitive reflex integration through play-based activities.

• Motor Skills

○ Promoting balance and coordination for activities that require standing, walking, jumping, bending, reaching.

○ Enhancing fine motor skills by building strength and coordination for stacking, coloring, and self-feeding.

○ Supporting bilateral integration with activities that engage both sides of the body, such as clapping, crawling, or having a catch.

• Life Skills

○ Building independence with eating, including finger feeding and using a spoon with help.

○ Participating in dressing routines, assisting with taking off clothing items and putting on with assistance.

○ Introducing pelvic floor interventions and sensory-friendly potty training strategies at the child’s comfort level.

Building Functional Independence

○ Developing self-care skills such as dressing, handwashing, toileting, eating, and grooming through meaningful daily routines.

○ Building independence with daily routines including transitions, clean-up, bedtime, mealtimes, and other family activities using individualized supports

○ Encouraging participation in play, preschool, and community activities by adapting tasks and environments to promote confidence and success.

○ Introducing visual supports, simple schedules, and choice-making opportunities to increase understanding, predictability, and independence.

○ Supporting the development of attention, problem-solving, and early executive functioning skills through play-based activities and everyday experiences.

○ Collaborating with families to create routines and environments that foster independence while honoring each child's strengths, interests, sensory preferences, and developmental pace.

Sensory and Emotional Regulation

○ Teaching children and families to recognize sensory preferences and utilize tools such as sensory diets to meet unique needs.

○ Introducing accessible self-regulation strategies to foster emotional well-being.

○ Creating supportive environments that promote nervous system regulation

Motor Skills

○ Encouraging natural development of hand preference for writing and other daily tasks.

○ Building fine motor skills for handwriting, scissor use, and managing buttons/zippers.

○ Strengthening hand-eye coordination abilities for activities such as puzzles, drawing, and playing games.

○ Identifying sensory preferences, such as seeking or avoidance tendencies (e.g., movement, loud noises, textures), while creating supportive environments for safe exploration.

○ Encouraging child-led exploration of new textures in food, clothing, or other materials.

○ Helping to interpret sensory cues from the environment (e.g., smells, sounds) and their bodies (e.g., hunger cues, needing to use the potty).

○ Supporting primitive reflex integration through play-base.

Mastering Daily Routines

○ Establishing personalized daily routines that support independence, time management, and meaningful participation at home, school, work, and in the community.

○ Building executive functioning skills including planning, organization, task initiation, prioritization, time management, and completing daily responsibilities using individualized strategies and supports.

○ Using visual supports, planners, calendars, checklists, reminder systems, and technology to promote organization, increase independence, and make daily activities more manageable.

○ Developing sustainable routines for self-care, hygiene, sleep, meal preparation, household responsibilities, exercise, and leisure that align with each individual's strengths, sensory preferences, and family values.

○ Building flexibility and confidence in managing transitions, changes in routine, and unexpected situations while reducing stress and supporting emotional regulation.

○ Preparing for increased independence by developing routines and habits that support success in high school, college, employment, community participation, and independent or supported living.

Cognitive and Executive Functions

○ Helping with task prioritization and meeting deadlines through tools like visual schedules, checklists, and timers.

○ Introducing organizational and study strategies that align with individual learning needs.

○ Using play-based approaches that build sustained attention and working memory for academic and personal growth.

Sensory and Emotional Regulation

○ Empowering with tools to manage sensory overload such as breaks, fidgets, other mindfulness techniques.

○ Encouraging independence with identifying personal triggers to maintain focus and emotional balance.

Motor Skills

○ Improving hand dexterity for writing, typing, and other practical motor skills such as ruler and calculator use.

○ Strengthening hand muscles for improved handwriting endurance and legibility.

Life Skills

○ Mastering personal hygiene, meal prep, laundry, and money management.

○ Encouraging fitness routines and stress management techniques that prioritize physical and mental well-being.

○ Building confidence in communicating personal needs, preferences, and boundaries in home, school, and other community settings.

Adaptive Tools

○ Exploring high and low tech assistive technologies such as screen readers, speech-to-text, visual organizers, and highlighters.

○ Offering accommodation strategies like preferential classroom seating, visual aids, written instructions, or scheduled breaks.

Mastering Daily Routines

○ Establishing personalized daily routines that support independence, time management, and meaningful participation at home, school, work, and in the community.

○ Building executive functioning skills including planning, organization, task initiation, prioritization, time management, and completing daily responsibilities using individualized strategies and supports.

○ Using visual supports, planners, calendars, checklists, reminder systems, and technology to promote organization, increase independence, and make daily activities more manageable.

○ Developing sustainable routines for self-care, hygiene, sleep, meal preparation, household responsibilities, exercise, and leisure that align with each individual's strengths, sensory preferences, and family values.

○ Building flexibility and confidence in managing transitions, changes in routine, and unexpected situations while reducing stress and supporting emotional regulation.

○ Preparing for increased independence by developing routines and habits that support success in high school, college, employment, community participation, and independent or supported living.

Cognitive and Executive Functions

○ Helping with task prioritization and meeting deadlines through tools like visual schedules, checklists, and timers.

○ Introducing organizational and study strategies that align with individual learning needs.

○ Using play-based approaches that build sustained attention and working memory for academic and personal growth.

Sensory and Emotional Regulation

○ Empowering with tools to manage sensory overload such as breaks, fidgets, other mindfulness techniques.

○ Encouraging independence with identifying personal triggers to maintain focus and emotional balance.

Motor Skills

○ Improving hand dexterity for writing, typing, and other practical motor skills such as ruler and calculator use.

○ Strengthening hand muscles for improved handwriting endurance and legibility.

Life Skills

○ Mastering personal hygiene, meal prep, laundry, and money management.

○ Encouraging fitness routines and stress management techniques that prioritize physical and mental well-being.

○ Building confidence in communicating personal needs, preferences, and boundaries in home, school, and other community settings.

Adaptive Tools

○ Exploring high and low tech assistive technologies such as screen readers, speech-to-text, visual organizers, and highlighters.

○ Offering accommodation strategies like preferential classroom seating, visual aids, written instructions, or scheduled breaks.

Pre-Vocational Skills

○ Encouraging exploration of possible vocational interest areas.

○ Using personal interest areas to guide skill development in job related tasks.

Young Adult / Adult Interest Exploration

○ Supporting individuals to engage in new tasks, activities, games, etc..

○ Using task analysis to individualize steps and provide the right level of support for optimal participation.