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Parent Satisfaction Survey

For our parent satisfaction survey we had a response rate of 85% of the parents we serve. 100% of parents who responded would recommend our services to other parents. 94% related that we are meeting their expectations for their child's progress with therapy. 94% also felt we consistently and clearly spend enough time explaining our reports and goals, what we are doing in therapy, how it benefits their child, and how they can do home activities with their child to compliment therapy. Here are some comments we received from parents:

"We are very pleased with our therapist and how well our child is doing and progressing."

"We have been very pleased with Children's Therapy Services...We have seen progress in our daughter and feel confident in Julie’s ability to move her toward further progress. Thank you so much."

"I have experienced other companies and we are so glad we switched to Children's Therapy Services. My daughter is getting such great care and making fantastic progress."

"What a great service - to come to our home for therapy. This makes it so much easier for our son. This "in home" therapy has really increased his independence and therefore, his self-confidence."

About Us

Children's Occupational, Physical, Speech Therapy Services, PLLC offers Occupational Therapy, Physical Therapy and Speech-Language Therapy for children at any developmental level with any diagnosis, delay, impairment, or injury. Our company is dedicated to providing the highest quality of therapeutic care to children across the greater Austin area. We serve the communities in and around Austin, Marble Falls, Cedar Park, Georgetown, Kyle, Lago Vista, Lakeway, Leander, Liberty Hill, Pflugerville, Round Rock, Dripping Springs and West Lake.

All treatment is provided by therapists who are state licensed, independent contractors, and are experienced in pediatrics. Children are evaluated and treated by the same therapist in the home setting to ensure continuity of care and maximize goal attainment.

Our therapists provide quality in home care in a comfortable familiar setting that encourages flexibility and creativity. Our therapeutic activities are structured in the home to promote and facilitate family and caretaker participation. To further enhance family involvement, we spend time clearly explaining what therapeutic approaches we are utilizing, why they are beneficial, and what progress should be seen. Children's Therapy Services can deliver such high quality, personalized service because we do not carry the overhead, inefficiencies or high volume pressures of the larger managed care influenced clinics.

In addition to the convenience of home based therapy, we offer flexible service hours.

We accept insurance plans, including Medicaid, and provide billing services for out of network plans.


Occupational Therapy
Occupational therapy for children involves the assessment, evaluation and treatment of any motor, coordination, or processing impairments. An impairment is anything that hinders a child's ability to play and explore the environment, learn in an educational setting, or grow to be as functionally independent as possible.

Occupational therapy generally addresses the fine motor development of a child, such as with issues involving the arms and hands. The involvement can be as mild as handwriting problems to as significant as fine motor delays or extremity disuse. Our Occupational Therapists specialize in treatment of sensory integration issues such as tactile and/or oral defensiveness, hyperactivity, hypersensitivity to pain or noise, poor body awareness and/or coordination, stimulation or withdraw behaviors. Therapists utilize the therapeutic approaches of neurodevelopmental, fine motor coordination, sensory integration, visual motor integration and visual perceptual therapies based on the needs of the child.

In addition to treatment of children with a diagnosis such as Cerebral Palsy, Developmental Delay, Fine Motor Coordination Disorder, or Genetic Syndrome, we provide treatment of Developmental Disorders including Attention Deficit Disorder, Attention Deficit Hyperactivity Disorder, Autism, Pervasive Developmental Disorder, Sensory Integration Dysfunction.

Occupational Therapists can screen or evaluate a child without a referral from a physician. A physician's referral is required by law for occupational therapy treatments. We routinely provide parents with screenings and evaluations to determine if there is a need for therapeutic intervention then, if needed, contact the physician for the referral.

Physical Therapy
Our Physical Therapists provide screening, evaluations and therapy for children at any developmental level or age with any degree of impairment. An impairment is any hindrance to a child's ability to play, and explore the environment, grow to be as functionally independent as possible, or participate and learn in an educational setting.

Physical Therapists generally address the gross motor development of children, such as the development of the skills of sitting, weight bearing and weight shifting, crawling, transitioning, walking, running, balancing and coordination. Physical Therapists also rehabilitate children following an injury or surgery to address issues such as strength, range of motion, and coordination. We also asses the need for assistive devices such as orthotics, crutches or wheelchairs and train for use of assistive devices. Therapists utilize aquatic, neurodevelopmental, orthopedic and or sensory integration therapies based on each child's needs.

In addition to rehabilitation provided following injury, we treat the spectrums of Neurologic Disorders such as Cerebral Palsy, Spinal Cord Injury, Traumatic Head Injuries, Myelodysplasia, and Coordination Disorders; Developmental and Gross Motor Delays which maybe due to premature birth, hypertonia or hypotonia, seizure disorder, hydrocephalus or Genetic Syndrome such as Down syndrome, Rett syndrome or Rubinstein-Taybi syndrome; Musculoskeletal Disorders such as, Muscular Dystrophy, Osteogenesis Imperfecta, Arthrogryposis Multiplex Congenita, Torticollis, or Toe Walking.

Physical Therapists can screen or evaluate a child without a physician's referral. A physicians referral is required by law for therapy treatments and is usually required for insurance benefits. We routinely provide parents with screenings and evaluations to determine if there is a need for therapeutic intervention then, if needed, contact the physician for the referral.

Speech-Language Therapy
Our Speech-Language Pathologists provide speech and language therapy for receptive and expressive language, communication and articulation impairments related to any variety of disorders and syndromes, such as Autism, Cerebral Palsy, Down syndrome, Pervasive Developmental Disorder, Speech or Language Delay, Apraxia or Dysarthria.

Speech therapy can range from the correction of specific sound production to increasing a child's understanding and use of language. Speech therapy entails increasing a child's communication skills, such as for a child under two years of age who is not saying words, or a child who needs assistive technology. Use of sign language, picture boards, switches, and voice-output devices are all examples of assistive technology. Speech therapy can also address increasing range of motion and strength of oral musculature to improve sound production or feeding skills.

Our Speech-Language Pathologists have extensive augmentative communication experience. Augmentative communication devices are assistive technologies such as switches or computers that can produce voice output to facilitate communication. Therapists assess the need for a assistive technology device and identify the proper technology to best facilitate communication while considering the child's mental and physical capabilities and environment settings.

Speech-Language Pathologists can screen, evaluate and treat without a physician's referral. Many insurance companies do require a referral to cover speech and language therapy benefits and we routinely provide parents with screenings and evaluations to determine if there is a need for therapeutic intervention then, if needed, contact the physician for the referral.

Our Team

Occupational Therapists

Kristy Gregg, OTR
Since 2000 Kristy has been helping children and their families reach their greatest potential. She has worked in a variety of settings, from outpatient clinics, to home health to a small Pacific island school district, with children as young as newborns to those in their teens. Being a parent has increased her understanding of how family life works and how to develop treatment plans that work for families. Kristy has experience treating diagnoses related to handwriting and fine motor skills, sensory processing disorders, Autism Spectrum Disorders, cerebral palsy, genetic disorders and many more.


Nyla Quinn, OTR
“I could not ask for more of a rewarding career”. Nyla graduated from Colorado State University in 1998, with a degree in Occupational Therapy. Nyla has worked with children in a variety of settings, which included inpatient and outpatient, the school system, early childhood intervention and equine assisted OT. Her past work experience helps bring a broader perspective and greater understanding for the needs and goals of families in the home environment. Nyla works with children who have challenges with motor planning, sensory integration, dysgraphia, feeding difficulties, autism spectrum, neurological impairments, and developmental disabilities. Specialized training includes dysfunction of sensory integration, a sensory motor approach to feeding therapy, and certification in Level I, Therapeutic Listening.

Physical Therapists

Julie Mani, MS, PT
Received a Bachelor of Arts in Biological and Psychological Bases for Therapy in 1989 from the University of Kansas and a Masters of Science in Physical Therapy in 1991 from Washington University. Julie shifted to pediatrics in 2000 after 10 years of working with adults in cardiac and stroke rehabilitation, orthopedics, acute care and brain injury rehabilitation. Julie became interested in working with children after her own daughter was diagnosed with developmental delays and received physical and occupational therapy. Having experienced the challenges and joys of helping her daughter achieve her goals, Julie decided to pursue further education and experience in pediatrics. Julie has two beautiful daughters.


Kara Swinney, MS, PT
Is a native Austinite who graduated Cum Laude with a Bachelor of Arts in Psychology from Trinity University in San Antonio, Texas in 1998. She received her Master of Science from Texas Woman's University School of Physical Therapy in December of 2000. Since completing her degrees, Kara has worked exclusively in pediatrics in a variety of settings, including hospital-based outpatient clinics, early childhood intervention, home-based services and aquatic physical therapy. In April 2006, she finished her pediatric Neurodevelopmental Treatment (NDT) training with Judi Bierman, PT. Kara specializes in working with children who have minimal to severe neuromotor involvement, including those with Cerebral Palsy, Developmental Delays, and Down Syndrome. She also has extensive experience with infants with torticollis, serial casting for tight heel cords, kinesiotaping, Theratogs, orthotic and wheelchair selection.


Jennifer Young, MS, PT
Was born and raised in El Paso, Texas. She received her Bachelor of Science Cum Laude in Applied Sociology in 1995 and Masters of Science in Physical Therapy in 1997 both from Southwest Texas State University. Her graduate research on Rubinstein-Taybi Syndrome was published in 1998. She has worked with children since 1997 and has extensive experience with children with a diagnosis of Cerebral Palsy, Gross and Fine Motor Delays, Torticollis, Agenesis of the Corpus Collosum, Muscular Dystrophy, Osteogenesis Imperfecta, and toe walking. She is a Level II Therapist with the American Hippotherapy Association, a NARHA Registered Therapist, a member of AHA, APTA, and NARHA. Jennifer is the proud Mom of two great boys. She started Children's Therapy Services with a child based approach rather than a clinic based approach to better address the needs of children and their families.

Speech-Language Therapists

Teresa Franzke, MS, CCC/SLP
Teresa is from Santa Fe, Texas (south of Houston). She received a Bachelor of Science Magna Cum Laude in 1990 and a Master of Science in Communication Disorders in 1992, both from Southwest Texas State University. Teresa is licensed by the Texas State Board of Speech Pathologists and Audiologists and certified by the American Speech Language Hearing Association (ASHA). She has been working with pediatrics since 1992. Teresa works with children with a variety of diagnoses including autism/PDD, apraxia, oral motor dysfunction, neurological disorders, feeding difficulty and disorders, stuttering, auditory processing disorders, cerebral palsy, sensory integration dysfunction, and articulation and language impairments. Teresa has additional training in memory, apraxia, oral motor intervention, fluency disorders, autism/PDD, augmentative communication, sensory integration, dysphagia and feeding disorders.


Lucia Guevara, MS, CCC/SLP
Lucy, as we call her, is originally from Laredo, Texas. She received a Bachelor of Science in Communication Disorders in 1990 and a Master of Science in Communication Disorders in 1992 from Southwest Texas State University. She is licensed by the Texas State Board of Speech Language Pathologists and Audiologists and is certified by the American Speech-Language and Hearing Association. Since 1992, Lucy has worked with children who have a variety of delays and/or disorders. She has worked with children diagnosed with Autism Spectrum Disorder, Cerebral Palsy, Down Syndrome, Cleft Palate/Lip, Sensory Integration Disorder, and others. She also has over 20 years experience working with children with augmentative communication needs.


Mieke Weger, MS, CCC/SLP
Mieke is originally from Albuquerque, New Mexico. She graduated in 1998 from the University of Texas at Austin with a Master's degree in Communication Sciences and Disorders. She is licensed by the Texas State Board of Speech Language Pathologists and Audiologists and is certified by the American Speech-Language and Hearing Association. Since graduation, Mieke has worked with children in a variety of settings including outpatient facilities, private and public schools, and the home setting. She has treated children with a variety of disorders including Autism/PDD, Down Syndrome, Apraxia, Sensory Integration Dysfunction, language delays, and articulation impairments. Mieke has additional training in the Hanen parent training program and in Play Based Assessment and Intervention.

Patient Forms

Downloadable Forms

Please click below for a link to a PDF version of the form.

New Patient Intake Form
For faster service, please complete and sign this form. You may print it to complete or type and save, then return to us by email or fax. If you'd prefer, we can also take this information over the phone at 512-331-1999 and your therapist will bring this form to the first visit for you to sign.

Notice of Privacy Practices
lIlness and Cancellation Policy

Billing Services

For Patient Billing

We are happy to answer any questions regarding your bill or insurance filing.

Working with CTS

For information on joining our Austin area team, please email your resume including areas of specialty and advanced training. Therapists must have a minimum of 5 years experience in pediatrics to be considered.

Insurance Billing Services

CTS can take the mystery and hassle out of insurance billing for independent therapists and therapy practices. From consulting to filing to full administration, our wide range of billing services makes it easy and affordable for any budget.

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