Step by Step, transitioning to the name Sprout Therapy Group, is an outpatient pediatric therapy clinic serving families in the Rochester, New York, community. For more than 20 years, the clinic has provided physical, occupational, speech, and feeding therapy, along with early language, music, toddler book club, and group services. Care is delivered at its clinic and is accessed through participating commercial insurance plans or private pay; the clinic does not provide therapy at home or daycare.

The team takes a holistic, child-centered approach, considering each child’s strengths, needs, interests, developmental level, and family goals. Evaluations guide individualized treatment plans, with follow-up appointments based on the therapist’s recommendations. Therapy uses evidence-based practices and developmentally appropriate, play-based methods to build functional skills for everyday life. Caregivers are active partners in goal setting and home programming, and the clinic collaborates with therapists, educators, and medical providers to support coordinated care. Step by Step aims to create a respectful, supportive environment where children and families feel heard and equipped to encourage progress beyond the clinic.