
Welcome to Optimal Therapy Works (OT Works) Pediatric & Family Therapy
At OT Works, we celebrate every unique journey with genuine care and support. Our state-of-the-art sensory motor gym is filled with caring hearts, clinical expertise, and skilled hands. Our team is dedicated to empowering individuals and families. We blend the magic of play with the science of evidence-based therapy to create a nurturing environment where everyone can thrive. We believe in the power of positivity, the warmth of community, and the beauty of seeing individuals blossom in all aspects of life. So come on in, meet our friendly team, and let's embark on this exciting journey together!
Our Evidence Based Approach Is:

Our Services
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Occupational Therapy
Currently Accepting Patients
NO WAITLIST
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Speech Therapy
Patient List Currently Full
Waitlist available (short!)
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Mental Health Therapy
Coming Soon
NOW HIRING!
Services on the Farm
OT Works is excited to bring therapy to life on a beautiful 5-acre farm in Brush Prairie, WA.
Led by Dr. Courtney McIntyre, OTD, OTR/L—an American Hippotherapy Certified Occupational Therapist (AHCB)—our program blends the power of nature, meaningful activity, and equine movement to support children’s growth and development. Hippotherapy is the skilled use of a horse’s movement by licensed & certified occupational, physical, or speech therapists to engage sensory, motor, and cognitive systems in ways that promote lasting functional outcomes.
As part of a comprehensive therapy plan, farm-based sessions go beyond traditional clinic walls. Children gain strength, coordination, and problem-solving skills through hands-on experiences like planting, caring for animals, and exploring the outdoors. These natural activities foster confidence, resilience, social connection, and self-regulation—while making therapy fun and purposeful.
At OT Works, we believe every child deserves a setting where they can thrive, build independence, and discover joy in learning. Our farm is that place.