Recreational Therapy (sometimes called Therapeutic Recreation), as defined by the American Therapeutic Recreation Association (ATRA) is a systematic process that utilizes recreation and other activity-based interventions to address the assessed needs of individuals with illnesses, disabling conditions, and/or adverse circumstances to promote psychological and physical health, recovery, and well-being. Recreational Therapy aims to restore, remediate, or rehabilitate the client’s level of functioning and independence in life activities.

A CTRS is a professional certification awarded by the National Council for Therapeutic Recreation Certification (NCTRC). A CTRS is a qualified recreational therapist who has met national standards in education, experience, and competency in the field of therapeutic recreation. To earn this credential, an individual must:

• Complete a bachelor’s or master’s degree in Recreational Therapy or a related field

• Fulfill a supervised internship in therapeutic recreation

• Pass the national certification exam administered by the NCTRC

• Maintain certification through ongoing continuing education

Recreational Therapy uses goal-driven, evidenced-based activities that you enjoy—like bicycling, art, exercise, games, and community outings—to improve physical, emotional, and social well-being.

Unlike other therapies, it focuses on meaningful, real-life engagement to build skills that carry over into daily life.

We’ll start by coming to your home, or meeting virtually, and having a conversation about your needs and preferences, and then work together to create a customized therapy plan—whether that’s through one-on-one sessions, small group programs, or community-based experiences.

You’ll receive individualized, evidenced-based recreational therapy that’s tailored to your goals, interests, and abilities. Our approach is client-centered, strength-based, and designed to support your overall well-being—physically, emotionally, socially, and cognitively.

• Spinal cord injuries

• Traumatic brain injuries

• Strokes

• Limb differences and amputations

• Parkinson’s Disease

• Post-op orthopedics

• Developmental disabilities

• Autism

• Cognitive and memory deficits

• Mental health

• Service members & Veterans

• Chronic illnesses

• Many others

Minimum time is one hour.

Some individuals benefit from short-term support, while others may continue therapy longer to reach more complex or evolving goals. We work with you—and when appropriate, your healthcare team—to determine what’s best for your journey.

*Please reach out with questions about booking. We will work with you on scheduling.

Adaptive Pathways is considered an out-of-network provider, and services are offered on a private-pay basis. Payment is made via credit card, check, ACH, or FSA/HSA at the time of the service.

We’re happy to provide documentation (a Superbill) that you can submit to your insurance for possible out-of-network reimbursement depending on your plan.

*We recommend checking with your insurance provider to verify eligibility.

**Please note I cannot provide a Superbill for Medicare clients.

***Please reach out if finances are a barrier - we are happy to work with you on this through our sliding-scale program

Initial evaluation (75 minutes): $175 (in-person or telehealth)

Follow-up treatments sessions (minimum 60 minutes): $150 (in-person or telehealth)

Consultation session (60 minutes): $150 (phone or telehealth) - This is a deeper discussion to review needs, explore options, and plan next steps. Perfect for families or caregivers who want guidance before scheduling a full evaluation or therapy session.

Sessions requiring longer time will be scheduled directly with us and the price will be adjusted accordingly.

Price includes preparations for the visit, documentation during and after the visit, and any communication with you and other healthcare providers.

We accept major credit cards, bank transfers (ACH), checks, and major HSA/FSA cards.

*Clients paying with credit card will have an additional 2.9% charge for each transaction.

*Please note that if you live outside of the immediate service area (North Bend, Snoqualmie, Fall City, Carnation, Issaquah, Bellevue, Mercer Island), additional charges for travel may be applied.

Telehealth (virtual) therapy may be a great fit if you:

• Prefer to stay at home

• Live outside our current in-person service area

• Want greater flexibility in scheduling

• Are comfortable using a computer, tablet, or smartphone with internet access