Ladder Health offers virtual-first therapy for children aged 0-6 at risk or diagnosed with developmental delay or parental concerns about developmental progress. Our interdisciplinary team—including physical therapists, occupational therapists, and speech-language pathologists that are experts in virtual-first care delivery—addresses a wide range of developmental conditions.

Our team is equipped to manage a variety of developmental challenges, including but not limited to speech and language delays, motor skill difficulties, sensory processing issues, and social-emotional development concerns. We also recognize that our model may not fit every situation; if that’s the case, we’ll communicate with you and provide recommendations for the most appropriate care.



Commonly treated conditions and concerns include:



Communication & Cognition

• Articulation
• Speech Delays
• Selective Mutism
• Language Development

Developmental & Neurological

• Motor Delay
• Autism Spectrum
• Hypotonia
• Prematurity
• ADHD/ADD

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Feeding & Growth

• Feeding & Swallowing
• Failure to Thrive
• Picky Eating
• Low Birth Weight

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Behavior & Attention

• Sensory Processing
• Social Skills
• Self-Regulation
• Frustration Tolerance

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Please note, while not suitable for every situation, we can provide on-going, flexible support to augment in-person treatments for the following conditions: Torticollis/Plagiocephaly, Hip Dysplasia, Scoliosis, Concussion, Post-surgical Care, Aspiration.

If you have any questions or your condition isn't listed, please contact us at hello@ladderhealth.co. We're here to assist you.

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Ladder is in-network with most commercial and Medicaid insurance plans, often resulting in minimal to no costs for most families.  We’re dedicated to making care accessible and affordable, and offer a Financial Assistance policy to ensure eligible families receive services at no cost.

Referring to Ladder Health is easy and aligns with standard specialist referral workflows. We accept referrals via fax, email, phone, or through our online referral form. Upon receiving a referral, we commit to evaluating each child promptly and providing you with updates on their progress. 


If you need to make a quick referral, please use the fax number provided below. No setup is required.


Fax Instructions:

Massachusetts — Fax: 617-993-9698

North Carolina — Fax: 833-896-5765.

No formal diagnosis is necessary prior to referring a child to Ladder Health. We evaluate children based on developmental concerns from various sources and offer a proactive alternative to the 'wait-and-see' approach, addressing early developmental issues before they escalate.

Early intervention is critical in addressing developmental concerns, and as a pediatrician, your recommendation carries significant weight. When discussing Ladder Health with families, you can emphasize that our virtual-first model makes high-quality developmental therapy more accessible, reducing common barriers such as long wait times and geographic limitations.

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A simple way to introduce Ladder is:

"Based on what I’ve observed today, I believe your child would really benefit from further evaluation and possibly some extra support. There are different ways to approach this, and one option is Ladder Health, which offers virtual screenings and therapy. Sometimes the hardest part is getting started, and this can be an inexpensive and easy way to get your child plugged in. And the quicker we get started, the better the chances for early progress. I can send a referral today, and their team follows up with you directly.”