Do you often wonder if your child is meeting his/her developmental milestones?

Do you know the developmental milestones for your child and their current age?

Do you have questions concerning playtime activities you can create for your child’s development?

Being a parent means asking yourself these questions and the Puzzle Pieces Pediatric Therapists are here to help you answer them.

Puzzle Pieces Pediatric Therapy specializes in maximizing each child’s potential and development through play.

Their unique and creative approach is evidence-based and customized to your child’s specific needs and goals. The team is dedicated to working not only with your child but your family to ensure the brightest future for them.

Therapists work closely with the patient and the patient’s family to create individualized treatment plans promoting the brightest future. A behavioral health therapist is available for all Puzzle Pieces Pediatric patients to support change using a variety of evidence-based strategies.

Play at it’s finest! Therapy sessions can include but are not limited to:

Aquatic Therapy
Balance Equipment
Climbing Equipment
Sensory Resources
Social Skills
Cognitive Behavior

Physical Therapy: Pediatric physical therapy helps children to fully participate in their environment at home, school, and in the community by improving their gross motor skills. We work with the patient, parents, and family to guide the treatment goals.

Occupational Therapy: The occupational therapist helps children with physical, cognitive, or sensory difficulties be as independent as possible in their daily lives. Through the use of play and daily tasks the OT can help the child develop skills to better function in their world.

Speech-Language Therapy: The Speech-Language Pathologists (SLP’s) at Puzzle Pieces Pediatric Therapy work with children of all ages who may have trouble speaking, listening, reading, writing, thinking, and/or swallowing/feeding difficulties.

Integrated Health: Children and teens with intellectual, physical, or speech-related limitations are more likely than the general population to experience stress and anxiety, or to develop other mental health issues such as depression, aggressive behaviors, and emotional withdrawal. Without appropriate intervention these issues can affect their overall quality of life, and often carry over into adulthood. Psychological assessment and therapy are provided in our program because of the possibility of related emotional or behavioral problems, and to promote success and emotional well-being.

Contact: (402) 759 – 3192 or


Bryan Felker, PT, DPT

Bryan has 7 years of experience as a physical therapist. He graduated from Creighton University in Omaha, NE. He also performs aquatic therapy, outpatient therapy, and outpatient and inpatient treatment. Making therapy fun yet beneficial is one aspect he loves about working with kids.

Mikayla Nunez, COTA

Maddie Taylor, PTA

Maddie was born and raised in Geneva and graduated from Fillmore Central High School. She received her Bachelor’s Degree in Exercise Science from Nebraska Wesleyan. She then received her Associate’s Degree in PTA from Clarkson College. Maddie has been working at FCH as a PTA for over 7 years. She is also certified in the Graston technique. Her favorite part about her job is working with and treating people she grew up around!

(402) 759-3167 ext 582

Jillyan Schmidt, MA, LIMHP, LPC

I’m a Licensed Independent Mental Health Practitioner who has many years of experience working with all ages, but my specialty is working with children. I have experience in child development, attachment, behavioral disorders, and emotional regulation. I believe in using play therapy to engage and communicate with children in a language that they understand. I’m passionate about helping children find their voice through healing, empowerment, and the development of a positive self-concept. 

(402) 759 – 3192 ext 713