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OUR THERAPEUTIC APPROACH

At MMM, we created The Therapy Cooperative, an integrated team of therapists and educators who share a neurodevelopmental, whole-child approach to care. We focus on strengthening the foundational sensory, motor, and regulation skills that support higher-level thinking, behavior, and learning.

Through collaboration across Occupational Therapy, Physical Therapy, Speech Therapy, and Academic Support, along with your school and your family, we help children grow from the ground up, building lasting confidence and success...all under one roof. 

The foundation matters!!!

Occupational Therapy

Occupational Therapy supports development across life skills, newborns-adulthood, with sensory processing, motor coordination, reflex integration, visual and cognitive abilities, emotional regulation, and daily living tasks. Our therapists help individuals build confidence and independence in learning, play, behavior, and self-care. 

Speech & Language Therapy

Speech Therapy helps children communicate clearly and confidently. Our SLPs support speech, language, oral-motor and myofunctional skills, social communication, executive functioning, self-advocacy, and AAC use. Through fun, personalized sessions, we help every child express themselves with confidence.

Physical Therapy

Physical Therapy helps improve strength, mobility, endurance, and overall health. Pediatric PT supports gross motor development; building core strength, balance, coordination, and safe movement. Therapists specialize in baby care, cranial sacral therapy and an integrative approach with OT and

Speech Therapy.

Academic Support

Our Academic Support program blends the best of academic tutoring and coaching within a fully integrated therapeutic setting. Our special education teachers work closely with occupational, physical, and speech therapists to address both the “what” and the “how” of learning; supporting subject comprehension, executive functioning, organization, attention, and emotional regulation.
 

By strengthening the foundational sensory and cognitive skills that underlie learning, alongside targeted academic instruction, we help students build confidence, independence, and meaningful progress; in the classroom and beyond. 

Private pay, 1:1 shadow/SEIT/SETSS & tutoring is available.

 

NYC DOE funded SETSS/SEIT services are available via 'Enhanced Rate' and IHO Case Hearing

Compensatory Awards.

  • Math

  • Reading 

  • Orton Gillingham

  • Writing Arts

  • Language Arts

  • Handwriting w/o Tears

  • Test-Prep

  • Study Skills

  • Science - STEM

  • Foreign Languages

  • Executive Function Skills

  • Life skills

  • Self-organization

  • Early pre-academic skills

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OUR EVALUATION PROCESS

Toy Building Blocks

Want to understand your child better?

Using a holistic, neurodevelopmental approach and standardized assessment tools, our experienced team provides clear insights into your child’s strengths, needs, and the “why” behind what you may be seeing at home or school. We begin with a comprehensive developmental evaluation (often completed over up to two sessions) that looks closely at the foundations of development—including strength, muscle tone, endurance, sensory processing, and reflex maturity. These foundational skills support higher-level development such as sensory-motor and perceptual-motor integration, as well as self-care, behavior, attention, and learning. Together, these areas influence a child’s overall performance, social engagement and social communication, and can impact self-esteem and confidence.

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Our assessment is grounded in the “occupations of childhood”—play, learning, and friendship—and considers how your child functions across their daily environments. We collaborate with parents and teachers to gather meaningful information about your child’s sensory processing, executive functioning, academic participation, and self-care skills across settings, so we can understand the whole picture and identify the skills that are lagging.

We also consider key factors that can affect regulation and participation, including your child’s sleep, nutrition, feeding patterns, medical history, and—when appropriate and available—other relevant health considerations. Our final evaluation and recommendations are informed by the Developmental Hierarchy / Sensory Pyramid of Learning (M. Trott) and translate findings into practical, individualized next steps for your child and family.

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Choose an individual OT, PT, or Speech evaluation, or opt for our collaborative All-In-One OT, PT, and Speech Assessment for a complete picture of your child’s needs.

MORE ABOUT OUR METHODS & CLIENTS

OUR SPECIALIZED TRAINING & EXPERTISE:
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LISTENING & READING PROGRAMS: 

- The Tomatis® Method - A Listening Program
- Therapeutic Listening
- ILS (Integrated Listening System)
- Cellfield - A Reading Intervention
- Neuralign - Reading Intervention
- Orton Gillingham
 

MOVEMENT & NEURODEVELOPMENT TECHNIQUES: 
- Sensory Processing (Sensory Integration and Praxis Tests-SIPT)
Neurodevelopment Treatment (NDT)
- Masgotova Neurosensorimotor Reflex
   Integration Techniques (MNRI)* 

- Rhythmic Movement Training (RMT)
- Integral Hatha Yoga
- Yoga for the Special Child
- Handwriting Without Tears
- Balametrics
- Brain Gym
- Beckman Oral Motor Therapy
- Executive Functioning Coaching
- DIR/Floor-time  
- Astronaut Training
- Ready Set Learn
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DESIGN & ORGANIZATION:
- Interior design (for sensory rooms & organized homes)
- Classroom space design
- Product development (toy design & adaptation)
- Professional organization
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EDUCATIONAL CONSULTING:
- Help you choose a school for your child
- Providing school-wide screenings & consults
- Professional development for schools
- Implementing sensory-supportive approaches in the classroom
- Parent Coaching 
- Play Coaching​​​

MMM also offers Teletherapy and educational support programs from the safety of your own home. Available in the following states: NY, NJ, Idaho, VA, NC.

Toddler Playing Drums
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Our practice serves clients of ALL ages, from newborn through adulthood, presenting with:
Developmental delays • Prematurity • Birth Traumas • Torticollis • Tongue/Lip/Cheek Ties • Learning Disabilities • Sensory Processing Disorder • Emotional Dysregulation • Dyspraxia (coordination delays)
Dysgraphia (fine motor delays) • Dyscalculia (math disorders) • Visual Processing difficulties • Central Auditory Processing Disorder • Feeding difficulties • Stuttering • Dyslexia & Reading Disorders • Language Disorders • Autism/Aspergers • A.D.D./A.D.H.D. • P.T.S.D. • Anxiety • Brachial Plexus injury • Cerebral Palsy Down Syndrome • Spina Bifida • Chiari malformation • Agenesis of the corpus callosum • Chromosomal disorders • Osteogenesis Imperfecta • Primary Motor • Stereotypies • Brain injury • Tics • Post-Illness Rehab Cortical Visual Impairment (CVI) •  PTEN (Cowden's Syndrome)
​ • Executive Function difficulties • Pervasive Demand Avoidance (PDA) • Trauma & Stress • School rejection • Academic challenges 

Additionally:  Pregnant mothers Disorganized families and teens 
Twice Exceptional’ kids • Athletes • Musicians


*Select techniques (For MNRI - "Masgatova-In-Training")

Mighty Minds and Muscles is a boutique therapy, education and coaching organization. Our approach is thorough and progressive. We utilize a neurodevelopmental bottom-up approach to intervention, building strong, confident children and families. We are not just a pediatric therapy clinic but a family learning center. We offer unique internationally developed programs that help anyone with developmental delays, learning difficulties and those who just feel disorganized or stressed. Our team is a small group of highly trained and educated co-therapists & teachers who continually strive to learn and develop holistic programs, while collaborating with you and your child's team.

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WHOLE CHILD!  WHOLE FAMILY!

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Founder & Clinical Director: Padra Smith, MS, OTR/L, SIPT​

40 Worth Street Suites 800A & Suite 826 New York, NY 10013  |  917.960.0250​​

​​© 2026 Mighty Minds and Muscles  |  All Rights Reserved

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