Located in Montgomery County, MD, Cultivate Rehabilitation Services is a therapist-owned private practice that offers therapy services in a variety of settings including nature based therapy, hippotherapy, home and clinic based therapy sessions. Cultivate primarily serves children, teens and young adults. The services we offer at the farm begin as early as age 2. Home visits and clinic visits are appropriate for children ages 6 months and up.
Cultivate Rehabilitation is currently offering Occupational Therapy Services (OT). Occupational therapy (OT) is a healthcare profession that focuses on rehabilitation. OT can help people of all ages to increase their independence in meaningful daily activities, otherwise known as “occupations”. For a child, occupations can include: play, social interaction, self-care skills and academic skills. OTs evaluate motor skills, cognitive skills, psychological skills, social skills and sensory skills to determine deficit areas that are impacting a child’s independence. OTs utilize research based techniques to treat these deficits in order to help improve the child and caregivers quality of life.
Our Treatment Space
Our nature based therapy sessions, hippotherapy and clinic based outpatient occupational therapy sessions take place at Great and Small Therapeutic Riding in Boyds, MD. Great and Small is a beautiful farm setting that allows for a unique multi-sensory experience for patients.
Common Diagnoses we treat:
- Autism
- Sensory Processing Disorder
- Cerebral Palsy
- Down Syndrome
- Developmental Delay
- ADHD
- Learning Disabilities
- Neurological Disease and Trauma
- Genetic Disorders
- Anxiety/Mental Health Disorders
- Motor Delay
Meet Our Staff
Nathalie Miller, MS, OTR/L, Owner/Occupational Therapist
Nathalie has been riding and working with horses for 20 years. She has been utilizing the outdoor environment and animal assisted activities to help others for the past 9 years. Her career began as a Certified Therapeutic Riding Instructor through the Professional Association of Therapeutic Horsemanship (PATH). Next, she certified as an Equine Specialist through the Equine Assisted Growth and Learning Association. Then, she decided to further her education and went to Salus University to get her Masters degree in occupational therapy. As an occupational therapist, Nathalie has continued her education in the use of equine movement and the use of the farm environment by completing level 1 and level 2 courses through the American Hippotherapy Association. She is passionate about utilizing equines and the outdoor environment as a treatment tool and educating other professionals on the use of this amazing tool.