Serving Texas


Small Hands Big Hearts Pediatric Therapy Management, LLC, (SHBH) serves the entire North Texas region (counties surrounding Dallas/Fort Worth) and South Central region (counties surrounding San Antonio) with in home speech therapy, occupational therapy, and physical therapy.

Hispanics make up 38 percent of the population in Texas, and they’re on track to become the majority population by 2030. Because of this, many children needing therapy are Spanish speakers and need a bilingual therapist. Small Hands Big Hearts offers both English (with translators) and Spanish/bilingual therapists for our clients. All efforts are made to accommodate other languages, including sign language.

Our parent resources section of our blog offers suggestions for parents of children with special needs. By providing needed resources, building community among families of children with special needs, and promoting acceptance, we aim to build an online community of encouragement. We are committed to seeking out and sharing the best resources on special needs our area has to offer, because every family—can always benefit from a community of wisdom and caring. Thank you for choosing Small Hands, Big Hearts Pediatric Therapy Management!