Hi, I'm Dr. Paige Ryan, PT, founder of Foundation First Physical Therapy.

I'm a pediatric physical therapist and caregiver coach — and those two things are not separate in my work. They never have been.

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I've spent my career working alongside families of disabled, neurodivergent, and medically complex children across clinics, schools, hospitals, and homes. And what I kept seeing was the same thing: the child was getting support. The caregiver was not.

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Not because nobody cared. Because the system was never designed to ask how the caregiver was doing.

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Foundation First exists to change that.

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For your child, I provide pediatric physical therapy that is play-based, child-led, and neurodiversity-affirming. We work in your home, in your child's real environment, building skills that actually carry into daily life. And because I believe you are part of the equation, coaching is woven into every session. You won't just observe. You'll understand what we're doing, why it matters, and how to carry it forward. That's not an add-on. That's how I practice.

 

For you, I offer caregiver coaching that addresses what nobody else is addressing. The mental load. The physical strain. The systems that don't talk to each other. The routines that aren't working. The feeling that you've been handed a hundred pieces and no plan.

 

Because you've been given pieces. Not a plan. That's the gap I built Foundation First to fill.

 

I work with families in the Chelmsford, MA area for in-home PT and coaching, and virtually with caregivers nationwide. However you need support, and wherever you are in your journey, I'd be honored to be in your corner.