The Occupational Therapy Center

The OT Center has been providing services to the Pioneer Valley community since its opening in January of 2000. The Center offers a full range of occupational therapy (OT) services for young children, youth, and adults; in a comfortable, welcoming setting.


Home E Children/Youth/Families E Occupational Therapy Center

Caring and experienced therapists with special expertise

The Center’s therapeutic space offers state-of-the-art equipment and a safe, playful environment; with personalized treatment opportunities not always available in a hospital, school, or home setting. The Center’s main room resembles a gym, with swings, scooters, ramps, climbing structures that provide a variety of movement experiences. Tactile materials and small manipulatives help address sensory and fine motor needs. A separate evaluation room provides quiet, focused space for an accurate and thorough assessment of specific needs.

While the Center is open for therapy on-site, we also provide a variety of remote therapy services including video-based sessions for direct OT, consultation for parents/caregivers, and teachers (via video, phone, or email), and phone/video consult for new clients following paperwork and chart review.

Our Approach

Our holistic approach connects therapy with the settings and tasks encountered in daily life. Treatment plans are developed in close collaboration with home and school teams.


Young Boy playing in tunnel toy

…a day does not go by when we watch our son engage in some activity that, prior to your working with him, would prove unthinkable.

— OT Center Parent

OT Center Therapy Can Address

  • Gross Motor Development: Coordination, balance, motor planning, increased physical confidence and safety awareness
  • Fine Motor Development: Hand skills, dexterity, bilateral hand use, and eye-hand coordination
  • Sensory Processing: Integrating responses to information perceived through touch, sound, movement, and other senses
  • Play, Social and Academic Skills: Engaging with people and the environment; organization, flexibility and self-regulation
  • Daily Living Skills: Self-help skills for everyday tasks, appropriate social and communications behaviors

Services Include

  • Individual treatment
  • Evaluations – Sensory-motor and sensory processing
  • Sensory Integration and Praxis Test
  • Consultation to schools, daycare centers, families, and agencies
  • Workshops and presentations for educators, parents, and healthcare professionals
  • OT peer mentoring
  • Auditory Integration Programs: Theraputic Listening, Integrated Listening Systems

OTC services are available to families, schools, and other agencies; costs may be covered by private payment or referring school districts. Please note that we are not a participating provider with any health insurance plans. When working with schools and districts, treatment plans are developed in close collaboration with school teams.

Who Does the OTC Serve?

The staff of licensed occupational therapists have extensive experience evaluating and treating children and adults with various needs, from typical youngsters with mild delays to those with specific disabilities such as autism spectrum disorders, cerebral palsy, Down syndrome, ADHD, and other issues.

OTC services are available to families, schools, and other agencies, and may be covered by (PPO) health insurance plans, school districts, or private payment. When working with schools and districts, treatment plans are developed in close collaboration with school teams.

Signals that may indicate a need for occupational therapy include:

  • Delays in motor or communication skills and/or academic achievement
  • Over or under responsiveness to sensory experiences such as touch, movement, sight, or sound
  • Physical clumsiness
  • Distractability and/or impulsiveness
  • Social and/or emotional issues
  • Difficulty interacting with others
  • Repetitive or unusually intense behaviors
  • Resistance to change in daily routines
  • Poor self concept

Specializing in Sensory Integration

Since opening in 2001, the OT Center has specialized in the evaluation and treatment of children and adults with motor delays and sensory processing issues. OTC staff have extensive experience providing evaluations and therapy related to Sensory Processing Disorders. This expertise is a significant resource for the region.

Sensory Integration

Sensory Integration is described as the organization of the senses and how they work together to guide the way that we perceive and respond to our environment. Basic sensory inputs such as touch, sound, movement, and body position help us to plan and execute new actions based on past experiences and the sensations that accompany them.

For most of us, this process develops naturally through our usual activities, but when the system does not develop as effectively as it should, the result may be difficulties in learning, motor development, social awareness, or behavior.

Sensory Integration and Praxis Test (SIPT) Certified Staff

With a staff that is SIPT certified and training in sensory integration theory and treatment, the OT Center has become a leader in recognizing and meeting the special needs of those with autism disorders and other developmental disabilities.

We specialize in:

  • Evaluation and treatment of sensory processing issues
  • Use of current programs for self-regulation
  • Therapeutic Listening
  • Fine motor and handwriting skill development

For more information, contact us at or call 413-588-5279

Noel Kesselheim, OTR/L

Position: Clinic Coordinator, OTR/L Registered Occupational Therapist, SIPT certified


Phone: 413.588.5279

Karen Fiegenbaum, OTR/L

Position: OTR/L Registered Occupational Therapist


Phone: 413.588.5279

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