top of page
Child's Hand and Toys

Pediatric occupational therapy that helps children and families move toward what matters most.

In-home pediatric OT throughout Greater San Diego. Teletherapy for appropriate clients located throughout California.

For children and young adults from birth through age 21.

Find your next step

New families

Explore first steps, service options, and funding questions.

Physicians & referrals

Review our approach and begin a referral conversation.

Current families

Contact Nicole with general questions about your next step.

Prospective colleagues

Learn about our values and future opportunities.

What is pediatric OT?

For children, occupations are everyday activities: playing, learning, getting dressed, eating, and connecting with others. Pediatric OT supports participation in the activities that matter to your child and family.

Teletherapy in California

Our teletherapy services extend throughout California, ensuring caregiver involvement to support your child's progress from the comfort of home, when suitable.

In-home in San Diego

We provide in-home therapy across Greater San Diego, utilizing everyday routines to engage your child in meaningful activities that promote growth and learning.

Your family, your goals

Nicole partners with children and young adults from birth through age 21 and their caregivers. Goals begin with your priorities, with practical strategies to use between visits. Your family’s routines, strengths, and values guide the plan.

Experience tailored support.

Everyday moments. Meaningful progress.

Kids First Therapy offers tailored occupational therapy to support children's daily routines, enhance play and learning, and promote emotional regulation for better connections.

Daily Routines

Support for dressing, grooming, toileting, feeding participation, and the routines that matter to your family. Goals begin with your priorities.

Play & Learning

Support for fine-motor and visual-motor skills, handwriting, school readiness, movement, and play. We work together on meaningful ways to participate.

Regulation & Connection

Support for sensory processing, self-regulation, attention, transitions, and social participation. Caregiver coaching brings practical strategies into everyday life.

Understanding your funding options

Coverage, authorizations, referrals, fees, and availability must be confirmed before services begin. Benefits vary by plan and circumstances.

TRICARE

Excluding Prime. Confirm plan requirements, referrals, and authorizations before services begin.

San Diego Regional Center

Confirm the referral and authorization steps that apply to your family before services begin.

Private pay

Contact Nicole to confirm fees and availability before services begin.

Developmental check-in

COMING SOON

A simple guide to help you organize observations and questions for a conversation with a professional.

It will not provide a diagnosis or replace a developmental evaluation.

Let’s take the next step.

Tell Nicole a little about what matters to your family. Start with your contact preferences, and she will follow up.

Please leave medical details out of your initial request.

Kids First Therapy

In-home pediatric OT • Greater San Diego

Teletherapy throughout California, when appropriate

858-308-5007 • NicoleBTheOT@gmail.com

© 2026 Kids First Therapy. General information is educational and does not replace individualized care.

bottom of page