Pediatric Occupational Therapy in Millbrae, CA
Pediatric Occupational Therapy Serving Millbrae, CA
TheraPeeps Occupational Therapy is proud to serve children and families throughout Millbrae and the surrounding San Mateo County Peninsula. Tucked between Burlingame to the south and South San Francisco to the north, Millbrae is one of the Bay Area’s most welcoming, tightly knit communities — a city where families know their neighbors, schools are at the heart of local life, and kids deserve specialized care that truly meets them where they are.
Led by Brooke Olson OTR/L — a certified occupational therapist with advanced credentials in sensory integration (SIPT+STAR), DIR/Floortime, autism spectrum disorder, SOS feeding therapy, and the Safe and Sound Protocol — TheraPeeps provides individualized, relationship-based OT for children ages 0–8. We specialize in sensory processing differences, autism, ADHD, developmental delays, feeding challenges, fine motor delays, and emotional dysregulation. Our approach is neuro-affirming and developmental — never compliance-based.
Millbrae’s status as a major BART and Caltrain hub means many local families are commuters, shift workers, or employed at San Francisco International Airport just minutes away. We understand that pediatric therapy has to fit into real life. That’s why TheraPeeps offers in-home occupational therapy sessions built around your schedule — including evenings, weekends, and non-traditional hours for flight crew and SFO airport employee households who need flexibility above all else.
We are also proud to offer services through a Spanish-speaking therapist, reflecting TheraPeeps’ deep commitment to culturally responsive care for Millbrae’s vibrant Latino and Asian communities. No family should face language barriers when seeking developmental support for their child.
We also serve families in neighboring Burlingame, San Mateo, and South San Francisco.
Our Pediatric OT Services in Millbrae
We offer a full range of evidence-based occupational therapy services for children in Millbrae and across the Peninsula — delivered in your home, so your child can learn where they feel safest.
- Sensory Integration Therapy — Structured, play-based therapy grounded in the SIPT and STAR frameworks to help children with sensory processing differences build confidence and regulation.
- DIR/Floortime Therapy — A developmental, relationship-based model that follows the child’s lead. Brooke Olson is a certified DIR/Floortime trainer — one of a small number of practitioners in the entire Bay Area at this advanced level.
- Feeding Therapy — SOS Approach — Evidence-based feeding therapy for picky eaters, food refusal, texture aversions, and oral-motor challenges. A playful, low-pressure model that systematically expands food acceptance without force or stress.
- Safe and Sound Protocol (SSP) — A five-hour auditory nervous system intervention developed by Dr. Stephen Porges that targets the vagus nerve to reduce auditory hypersensitivity and anxiety. For children in Millbrae who live near SFO, SSP can be transformative.
- Nature-Based Therapeutic Playgroups — Small-group OT sessions held in nature, blending sensory-rich outdoor environments with social skills development and peer interaction.
- In-Home Pediatric OT — Therapy delivered inside your home where children feel most secure and where skills transfer most naturally to daily life. Especially valuable for Millbrae families with non-traditional or unpredictable schedules, including SFO airport employees, flight crew, and shift workers.
- Emotional Self-Regulation — Our most-requested service. Targeted strategies and sensory-based tools that help children identify, manage, and express emotions in healthy ways.
Conditions We Treat in Millbrae
TheraPeeps works with children across a wide range of developmental, sensory, and behavioral presentations. Our approach is individualized — we never use a one-size-fits-all protocol, because no two children are alike.
- Sensory Processing Disorder (SPD) — over- or under-responsiveness to touch, sound, movement, taste, or other sensory input
- Autism Spectrum Disorder (ASD) — social-communication differences, sensory sensitivities, and self-regulation challenges
- ADHD and Attention Difficulties — executive function strategies and self-regulation support
- Developmental Delays — delays in motor milestones, language-related play, self-care, and adaptive skills
- Feeding Challenges and Picky Eating — food refusal, texture aversions, oral-motor difficulties, and mealtime anxiety
- Fine Motor Delays — difficulties with handwriting, pencil grip, scissors, fasteners, and hand strength
- Gross Motor Delays — challenges with balance, coordination, body awareness, and motor planning
- Emotional Dysregulation and Big Feelings — frequent meltdowns, emotional flooding, difficulty recovering from upset
- Anxiety and Demand Avoidance — nervous system-based anxiety addressed through a low-demand, co-regulatory approach
- Social-Emotional Learning Delays — difficulty reading social cues, building peer relationships, or navigating group environments
- Auditory and Sensory Hypersensitivity — significant distress responses to everyday sounds, including sensitivities heightened by proximity to SFO
What Sets TheraPeeps Apart for Millbrae Families
Millbrae is a community of diverse, hardworking families — many navigating demanding work schedules, multilingual households, and a healthcare landscape where finding the right specialist takes real effort. TheraPeeps was built for exactly this kind of family.
Advanced Credentials — Among the Best on the Peninsula
Brooke Olson OTR/L holds a depth of specialized certification rarely found in a single practitioner: SIPT and STAR certified in sensory integration, DIR/Floortime trainer (10+ years, one of few Bay Area trainers at this level), Board Certified in Autism, SOS Approach certified in feeding therapy, and trained in the Safe and Sound Protocol.
A Spanish-Speaking Therapist on Our Team
Millbrae’s Latino and Spanish-speaking families deserve access to pediatric OT in their home language. TheraPeeps is proud to offer services through a bilingual, Spanish-speaking occupational therapist. Culturally responsive care means more than just language — it means understanding family values, communication styles, and the specific ways that cultural context shapes a child’s development.
Truly Flexible In-Home Scheduling
Many Millbrae families work at SFO or in aviation — flight attendants, gate agents, airline operations staff, and ground crews whose schedules rotate, shift, and change with little notice. Our in-home model means no commute, no clinic waiting rooms, and no rigid appointment windows. We work with your real life, including early mornings, evenings, and non-traditional weekday slots.
Neuro-Affirming, Not Compliance-Based
TheraPeeps does not use ABA or compliance-focused approaches. Our model is rooted in developmental science, nervous system regulation, and genuine relationship — respecting each child’s neurology while building real, lasting functional skills.
Fees and Insurance for Millbrae Families
TheraPeeps is a private-pay practice. We do not bill insurance directly, which allows us to spend our full clinical attention on your child — not on prior authorizations, claim denials, or session limits imposed by insurance panels.
- Private Pay: Fees are paid directly at the time of service, ensuring flexible, high-quality care without the constraints of managed care.
- Superbills for Out-of-Network Reimbursement: We provide detailed superbills that you can submit to your insurance carrier for out-of-network (OON) reimbursement. Many families with PPO plans recover a meaningful portion of costs this way. Many Millbrae families working at SFO or with aviation employers carry strong PPO plans with robust out-of-network benefits.
- HSA / FSA Accepted: Pediatric occupational therapy is a qualifying medical expense. You can use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for TheraPeeps services.
- No Session Caps: Unlike insurance-contracted providers, we are not subject to arbitrary session limits. Your child receives the frequency and duration of therapy that their clinical needs warrant.
To discuss fees and find out more, call us at (650) 204-0677 or fill out our intake form and we will reach out to you directly.
Frequently Asked Questions — Pediatric OT in Millbrae
Do you offer in-home pediatric occupational therapy sessions throughout Millbrae?
Yes — in-home OT is the heart of the TheraPeeps model. We travel to your home anywhere in Millbrae. In-home therapy is especially beneficial for children with sensory sensitivities or who struggle with transitions to unfamiliar clinical settings. We also serve families in neighboring Burlingame, San Mateo, and South San Francisco.
Does TheraPeeps have a Spanish-speaking occupational therapist for Millbrae families?
Yes. TheraPeeps is proud to have a bilingual, Spanish-speaking occupational therapist on our team. For Spanish-speaking families in Millbrae’s Latino community, we can conduct sessions, parent coaching, and intake conversations entirely in Spanish. Culturally responsive care is a core value at TheraPeeps — not an afterthought.
My child has sensory sensitivities — could living near SFO be making things harder?
Absolutely, and you are not alone in noticing this. Children with auditory hypersensitivity, anxiety, or sensory processing differences can be meaningfully affected by the elevated ambient noise and high-stimulation environments that come with living close to a major international airport. TheraPeeps offers the Safe and Sound Protocol (SSP), a research-supported auditory intervention designed to calm the nervous system’s response to sound and reduce auditory overwhelm.
We live in Hillsborough, just outside Millbrae — does TheraPeeps serve us?
Yes. TheraPeeps serves families throughout the greater Peninsula, including Hillsborough, Burlingame, San Mateo, and the broader San Mateo County area. If you are unsure whether your specific address falls within our service area, call us at (650) 204-0677 and we will be happy to confirm.
My family works irregular shifts at SFO — how flexible is TheraPeeps with scheduling?
Very flexible. We specifically understand the realities of airport and aviation employment — rotating schedules, early check-ins, and weeks that look completely different from one another. TheraPeeps works with you to find session times that fit your household’s actual calendar, including early morning, evening, and non-standard weekday appointments. In-home therapy also eliminates the commute factor entirely.
Ready to Get Started?
Call us today to get started, or fill out our intake form.
