A child threading wooden beads during an occupational therapy session

Occupational Therapy · Lexington, Kentucky

Helping every child grow into their everyday.

5-star rated on Google & Yelp

Occupational Therapy

The skills of everyday life, made possible.

Occupational therapy helps people do the things that matter to them — learning, playing, getting dressed, eating, and moving through the day with confidence. Our NBCOT-certified therapists build individualized plans around each person's goals.

Fine motor skills

Grasp, coordination and hand strength for buttons, scissors, zippers and play.

Sensory processing

Helping kids regulate, focus and feel comfortable in busy environments.

Handwriting & school readiness

Pencil grip, letter formation, visual-motor skills and classroom routines.

Self-care & daily living

Dressing, grooming and toileting — independence built one routine at a time.

Feeding & oral-motor

Support for picky eating, utensil use and mealtime participation.

Adult OT & fall recovery

Regaining independence at home after injury, surgery or hospital stays.

Run a senior community? We provide on-site therapy contracts.

Explore senior care & facility contracts

Pediatric Therapy

We meet children where they are.

Kids grow best in familiar places. That's why our pediatric occupational therapists work across every environment a child spends their day — and coordinate care between them.

Pediatric occupational therapy in schools
01

In schools

We partner with schools to deliver OT in the classroom — supporting IEP goals, handwriting, attention, and sensory needs right where learning happens.

Pediatric occupational therapy in our clinic
02

In our clinic

Our Lexington clinic offers one-on-one sessions with sensory equipment, swings and play-based activities designed around your child.

Pediatric occupational therapy on site at aba clinics
03

On site at ABA clinics

We bring OT directly into ABA centers, collaborating with BCBAs and technicians so children get coordinated care without extra trips.

Pediatric occupational therapy at home
04

At home

Therapy in the natural environment — practicing dressing, feeding and routines in the place they happen every day.

Run a school or ABA clinic? We bring OT to your students.

Learn about partnerships

From our families

Parents trust Thrive with their kids.

“We love Thrive Therapy! They are like family. Dependable, professional and always going the extra mile for us with a smile.”

D

Dianne Hughes

Parent

“My son made more progress in three months here than he had in a year elsewhere. The team truly understands kids and sensory needs.”

R

Rebecca Mitchell

Parent of 6-year-old

“The coordination with my son's school and ABA team has been seamless. We finally feel like everyone is working toward the same goals.”

S

Sara Nguyen

Parent

“We set very small realistic goals with the help of Leah. We enjoyed our time with her and appreciate what she did.”

L

Laura Kalbac

Granddaughter

Where we travel

On-site pediatric care across the Bluegrass

We bring occupational, physical, and speech therapy to schools, ABA clinics, and homes throughout the Bluegrass. Find your area below — if you don't see it, just ask.

Counties we serve

Fayette
Jessamine
Scott
Woodford
Bourbon
Clark
Madison
Garrard

School districts & on-site partners

  • Fayette County Schools
  • Jessamine County Schools
  • Scott County Schools
  • Woodford County Schools
  • Bourbon County Schools
  • Clark County Schools
  • Madison County Schools
  • Garrard County Schools
  • Lexington private & ABA clinics

Don't see your county or district? We're growing our coverage all the time — reach out and we'll let you know if we can travel to you.

Two disciplines, one team

Occupational therapy at our heart. Physical therapy by our side.

A child's hands cutting paper with scissors, guided by a therapist
Our focus

Occupational Therapy

For children and adults building the skills to live, learn and play independently — fine motor, sensory, self-care and daily routines.

An adult doing a guided balance exercise

Physical Therapy

Mobility, balance, vertigo and injury recovery for adults. Kentucky's direct access law means no referral needed.

What we treat

Every service, across every discipline.

Our licensed therapists deliver pediatric and adult care in occupational therapy, physical therapy and speech-language pathology — choose a discipline to see the full scope.

Fine motor skills

Grasp, in-hand manipulation and bilateral coordination for buttons, scissors, zippers and play.

Visual-motor & perceptual skills

Eye-hand coordination, tracking and spatial awareness for reading and writing.

Handwriting & school readiness

Pencil grip, letter formation, line spacing and classroom routines.

Sensory processing & integration

Regulation, focus and tolerance of textures, sound and movement.

Self-care & daily living

Dressing, grooming, toileting and mealtime independence.

Feeding & oral-motor

Picky eating, utensil use, safe swallow and mealtime participation.

Executive function & self-regulation

Planning, attention, task completion and emotional regulation.

Motor coordination & praxis

Motor planning, balance and coordination for play and sports.

Play & social skills

Turn-taking, peer interaction and cooperative play.

Adaptive equipment & positioning

Seating, splinting and adaptive tools for independence.

Adult ADL retraining

Bathing, dressing and cooking independence after injury or illness.

Fall recovery & home safety

Balance, strength and hazard reduction after a fall or hospital stay.

Post-stroke & neurological rehab

Arm and hand function, daily routines and confidence after stroke.

Hand & upper-extremity rehab

Splinting, range of motion, strength and fine motor recovery.

Cognitive retraining

Memory, attention and problem-solving for everyday life.

Low vision rehabilitation

Visual strategies and adaptations that keep people independent.

Senior outpatient therapy

Fall prevention in Lexington.

Falls are a leading cause of injury among older adults — but they are not inevitable. Our specialized Fall Prevention Services are part of our comprehensive occupational therapy program, helping clients live safer, healthier and more independent lives.

Balance & strength training

Tailored, evidence-based exercise programs that rebuild coordination and stability — paced to your abilities and progressed as you grow stronger.

Home safety evaluation

On-site and in-home assessments that flag trip hazards and recommend grab bars, lighting and simple modifications that make daily life safer.

Education & confidence

Sessions for clients and families on fall causes, footwear, vision and hearing — plus strategies to overcome the fear of falling again.

Post-fall rehabilitation

For those who have fallen, compassionate PT and OT to restore strength, mobility and the confidence to stay independent.

More than staying upright.

Preventing falls is about building the foundation for an active, independent lifestyle. We cultivate body awareness, recommend adaptive equipment, and adapt every plan to your unique needs — coordinating closely with you, your family and your healthcare providers.

  • Improved body awareness and respect for your limits
  • Personalized adaptive equipment recommendations
  • Coordinated care with family and healthcare providers
  • A proactive plan for an active, independent lifestyle

“At Thrive you don't just get therapy, they address the whole person — they gave me purpose.” — Donna Holland

Request an appointment

Fill out this form and we will contact you about scheduling.

Insurance & Billing

Coverage made clear, billing kept honest.

We believe families deserve to understand their benefits — and to trust every line on their statement. Here's how we handle coverage and payment for pediatric therapy, from first call to final invoice.

01

Share your insurance details

After your consultation request, send us your insurance card (front and back) through our secure portal — or bring it to your first visit.

02

We verify your benefits

Our billing team contacts your insurer to confirm your coverage, co-pays, deductible and any visit limits before we schedule care.

03

We check back with you

We walk you through exactly what's covered and what you'll owe — no surprises — before your first appointment is booked.

04

We reconcile every statement

We cross-check each billing statement against the Explanation of Benefits (EOB) you receive from your insurer in the mail — the same document you get, so nothing is ever billed in error.

Insurance

We bill most major plans directly. You're responsible only for co-pays, deductibles or non-covered services at the time of service.

Private pay

Prefer not to use insurance? Transparent self-pay rates are available — ask our team for current pricing.

Cards on file

Keep a card securely on file in our encrypted portal for effortless, automatic payment after each visit.

The customer is always right.

And we hold ourselves to the same standard. We verify every statement against the Explanation of Benefits your insurer sends you — so the numbers you see are the numbers we see, every time.

Leah Anderson, Owner and Occupational Therapist at Thrive Therapies

14 years

of OT practice

Meet the owner

Leah Anderson, OT & Owner

Lexington born and raised, Leah founded Thrive Therapies in November 2020 after earning her master of science in occupational therapy from Milligan University. She specializes in orthopedic therapy and helping people navigate a change in medical status.

Her 14 years of practice span neuro rehab, acute care, inpatient rehab, outpatient, home health and early intervention — across children, adults and seniors. She is a Certified Dementia Care Practitioner and an active member of AOTA and APTA.

“Those who have a why to live, can bear with almost any how.” — Viktor E. Frankl

IntegrityPassionExcellence
Work with Leah:
5.0

Kind words from our families

Rated 5.0 across 23 Google reviews

“We love Thrive Therapy! They are like family. Dependable, professional and always going the extra mile for us with a smile.”

D

Dianne Hughes

Parent

“We started OT for my grandfather after a few falls and hospital stays. We set very small realistic goals with the help of Leah. We enjoyed our time with her and appreciate what she did.”

L

Laura Kalbac

Granddaughter

“Professional and friendly service. Spent time working on what bothered me the most, and gave handouts of what to continue after therapy was over.”

P

Patricia Sallie

Patient

“My son made more progress in three months here than he had in a year elsewhere. The team truly understands kids and sensory needs.”

R

Rebecca Mitchell

Parent of 6-year-old

“After my shoulder surgery the home visits kept me on track. Always on time, encouraging, and genuinely invested in my recovery.”

J

James Carter

Post-surgery patient

“The coordination with my son's school and ABA team has been seamless. We finally feel like everyone is working toward the same goals.”

S

Sara Nguyen

Parent

Questions

Things parents often ask.