Village Pathways Kids-9
The following developmental milestones are reported by the American Academy of Pediatrics.  If you have concerns regarding your child’s development, please call your pediatrician or us for a detailed evaluation.  The earlier the intervention is obtained, the better the progress with the child and the caregivers.


Birth to 3 Months

Acquired Communication and Motor skills: birth-3 Months of age

  • Moro reflex diminishes after four months
  • Responds to loud sounds
  • Notices his/her hands by two months
  • Smiles at the sound of your voice by two months
  • Follows moving objects with his/her eyes by two to three months.
  • Grasp and hold objects
  • Smiles at people by three months
  • Support his/her head well at three months
  • Reaches for and grasp
  • Begins babbling, and tries to imitate any of your sounds by four months
  • Pushes down with his/her legs when his/her feet are placed on a firm surface
  • Pays attention to new faces or does not seem very frightened by new faces or surroundings
  • Tonic neck reflex diminishes at four to five months

4 to 7 Months

Acquired Communication and Motor skills: 4-7 Months of Age

  • Muscles are not tight or stiff
  • Not very floppy, like a rag doll
  • Head does not flop back when body is pulled up to a sitting position
  • Reaches with both hands
  • Enjoys cuddling
  • Shows affection for the person who cares for him/her
  • Enjoys being around people
  • Responds to sounds around him/her
  • Mouths objects
  • Turns his/her head to locate sounds by four months
  • Rolls over in either direction (front to back or back to front) by five months
  • Consolable at night after five months
  • Smiles spontaneously by five months
  • Sits with help by six months
  • Laughs and makes squealing sounds by six months
  • Actively reach for objects by six to seven months
  • Follow objects with both eyes at near (1 foot) and far (6 feet) ranges by seven months
  • Does bear some weight on legs by seven months
  • Babbling by seven months
  • Shows interest in games of peek-a-boo by eight months

8 to 12 Months

Acquired Communication and Motor skills: 8-12 Months of Age

  • Crawling.
  • Does not drag one side of body while crawling.
  • Can stand when supported.
  • Searches for objects that are hidden while he/she watches.
  • Says single words (“mama” or “dada”).
  • Does learn to use gestures, such as waving or shaking head.
  • Does point at objects or pictures.


1 to 2 Years

Acquired Communication and Motor skills: 1-2 Years of Age

  • Can walk by eighteen months
  • A mature heel-toe walking pattern after several months of walking
  • Speaks at least fifteen words by eighteen months
  • Uses two-word sentences by age two
  • By fifteen months knows the function of common household objects (brush, telephone, bell, fork, spoon)
  • Imitates actions or words by the end of this period
  • Follows simple instructions by age two
  • Can push a wheeled toy by age two

2 to 3 Years

Acquired Communication and Motor skills: 2-3 Years of Age

  • Infrequent falls and no difficulty with stairs
  • Speech is understood by strangers
  • Ability to build a tower of more than four blocks
  • Manipulates small objects
  • Ability to copy a circle by age three
  • Ability to communicate in short phrases
  • Involvement in “pretend” play
  • Understands simple instructions
  • Interest and plays with other children
  • No difficulty separating from mother

3 to 4 Years

Acquired Communication and Motor skills: 3-4 Years of Age

  • Can throw a ball overhand
  • Can jump in place
  • Can ride a tricycle

4 to 5 Years

Acquired Communication and Motor skills: 4-5 Year Old

  • Not exhibiting extremely aggressive or fearful behaviors
  • Able to concentrate on any single activity for more than five minutes
  • Shows interest in playing with other children
  • Responds to people in general, or responds only superficially
  • Uses fantasy or imitation in play
  • Seems happy much of the time
  • Engages in a variety of activities
  • Does express a wide range of emotions
  • Differentiates between fantasy and reality
  • Can correctly give his/her first and last name
  • Uses plurals or past tense properly when speaking
  • Talks about his/her daily activities and experiences
  • Can build a tower of six to eight blocks
  • Seems comfortable holding a crayon
  • Takes off clothing without difficulty
  • Can brush his teeth efficiently
  • Can wash and dry his/her hands
  • Can grasp a crayon between thumb and fingers
  • Can scribble
  • Can stack four blocks
  • Shows interest in interactive games
  • Engages with other children
  • Responds to people outside the family
  • Engages in fantasy play
  • Dresses, sleeps, and uses the toilet without resistance
  • Exhibits self-control when angry or upset
  • Can copy a circle
  • Uses sentences of more than three words
  • Uses “me” and “you” appropriately
  • Can brush his teeth efficiently
  • Can wash and dry his/her hands

Our policy requires a prescription from your child’s physician for therapy services every 6 months in order to come to our clinic. We have had more success with prior approvals from insurance companies when a doctor provides support that therapy services are medically necessary.