Private Physical Therapy Services

At Firm Foundations, we believe every child deserves individualized support in an environment where they feel safe, comfortable, and free to move.

Our private services are designed to provide unrushed, one-on-one care tailored specifically to your child’s unique strengths, challenges, and developmental goals. Whether you have a specific concern or simply want reassurance that your little one is on the right track, we are here to walk alongside you.

What makes our approach different?

  • We provide therapy in your child’s natural environment — because real progress happens in real life. By working within your home and daily routines, we’re able to create strategies that feel practical, sustainable, and easy to carry over.

  • You know your child best, and you are an essential part of their progress. During our sessions, parents are involved every step of the way. We prioritize education, coaching, and hands-on guidance so you leave each visit feeling confident in how to support your child’s development between sessions.

  • Children learn through play, and therapy should feel natural—not clinical. Whether we are racing toy cars, stacking blocks, caring for baby dolls, or climbing over couch cushions, we incorporate your child’s interests into therapy activities. When children are engaged and having fun, they participate more fully—and that leads to better outcomes.

  • Movement is connected to everything—from feeding and posture to coordination, strength, and confidence. Our therapists evaluate how your child’s entire body works together to move, exploring factors such as strength, alignment, balance, mobility, and motor planning. This whole-body approach allows us to address the root of challenges rather than simply treating symptoms.

  • Many families are told to “wait and see” or face long waitlists before accessing therapy services. At Firm Foundations, we believe early support matters. We offer timely access to care, starting with a free consultation so families can ask questions and determine the best next steps without delay.

  • Because we operate as a private-pay practice, our sessions are designed around your child—not insurance limitations. This means longer visits, deeper evaluations, and more time spent teaching families strategies that truly make a difference at home.

Evaluation (60 minutes)- $120

Treatment (30 minutes) - $50

Session are at Milk Guide 

3550 Park Pl W #300, Mishawaka IN 46545

Physical Therapy Pairs with Lactation for Best Practice and Results!

Is your newborn struggling with feeding, a poor latch, tongue or lip tie, fussiness during feeds, colic, a head-turning preference, or head flatness? We're here to help.

Our comprehensive 60-minute evaluation is designed to identify areas of tension and movement restrictions that may be impacting your baby's comfort, feeding, and development. During the evaluation, we utilize gentle:

  • Myofascial Release (MFR) techniques

  • Stretching

  • Positioning and environmental assessment

Our goal is to help your baby become more comfortable, relaxed, and successful during feedings while supporting overall movement and development.

The evaluation is a one-time assessment; however, depending on your baby's needs, additional treatment sessions may be recommended to address underlying tightness and support lasting improvements.

Every baby is unique, and we will work with you to create a plan that best supports your child's individual needs.

What We Offer

Pediatric Physical Therapy Evaluation

90 minutes - $250.00

This evaluation is designed for children with developmental concerns, diagnosed conditions, or specific movement challenges. 

What's Included:

  • 60-minute comprehensive evaluation 

  • 30-minutes of hands-on treatment 

  • Detailed assessment of gross motor skills and movement patterns 

  • Identification of strengths and areas needing support 

  • Immediate strategies that can be utilized that day

  • Individualized plan of care with recommended frequency and duration of continued services 

  • Referrals to additional medical professionals if appropriate

Annual Physical Therapy Wellness Evaluation

60 minutes - $175.00

The American Physical Therapy Association (APTA) recommends an annual movement assessment for all children - even without a diagnosis or obvious concern. This proactive evaluation helps to identify subtle movement differences early.

What's Included:

  • Thorough milestone and movement assessment 

  • Screening of balance, coordination, strength, and posture 

  • Developmental functional screening 

  • Parent education on age-appropriate motor skills 

  • Plan of care recommendations if needed 

  • Referrals to additional providers if necessary

Ongoing Treatment Sessions

60 minutes - $150.00
45 minutes - $120.00

Treatment sessions include Physical Therapy intervention that is tailored specifically to your child’s needs and home environment for optimal success and progress. Strategies are designed to support:

  • Strengthening 

  • Motor planning and coordination 

  • Functional mobility and independence 

  • Balance and posture 

  • Age-appropriate gross motor skills

Intervention areas are determined based on evaluation findings and your child’s unique goals. The evaluation therapist will collaborate with your family to determine the appropriate session length and overall treatment duration based on your child’s tolerance, needs, and your family schedule.

Do you have questions or concerns about your child’s development? You are not alone. We offer FREE 15-minute consultation calls where we’ll take time to truly listen to your concerns, ask a few thoughtful questions to better understand what you’re noticing, and provide professional insight based on your child’s age and development. Together, we’ll determine clear next steps—if any are needed—so you’re not left wondering what to do next.

Sometimes reassurance is all you need. Sometimes early support makes all the difference. Either way, you’ll leave the call feeling informed, supported, and empowered.

Let’s Work Together