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.

No, but RTs get this question all the time. Physical Therapy (PT) works on your strengthening and movement. RT will sometimes work with PT to encourage strengthening and engagement in treatments sessions, by doing something the patient enjoys, therefore making it meaningful and increasing the likelihood for success! Feel free to reach out if you have more questions.

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

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.

We’ll start by coming to your home 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.

The length of treatment depends on each client’s unique needs, goals, and circumstances. 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 for scheduling.

At this time, most insurance plans do not provide coverage for RT as a standalone service. Because of this, Adaptive Pathways is considered an out-of-network provider, and services are offered on a private-pay basis.

We’re happy to provide documentation (a superbill) that you can submit to your insurance for possible out-of-network reimbursement or to apply funds from an HSA/FSA account, depending on your plan.

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

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

Initial evaluation cost is $175 for 75 minutes where I will come to your home to meet with you (and any family members or caregivers if you would like) to conduct a thorough evaluation and develop a picture of how I can help you through Recreational Therapy services.

After that, treatments sessions start at $150/hour. Sessions requiring longer time will be scheduled directly with us and the price will be adjusted accordingly.

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

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