Developmental Milestones

Pediatric Therapy may help your child meet important developmental milestones.

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Developmental Milestones

Developmental Milestones

Developmental milestones are important benchmarks that serve as indicators for typical child development. These milestones include a wide range of skills and abilities that children typically acquire by a certain age.


0 - 3 Months

Fine Motor Skills

  • Likes to look at hands
  • Attempts to reach
  • Closes fingers to grasp
  • Enjoys putting hands in mouth

Gross Motor Skills

  • Moves arms and legs in all positions
  • When held, holds head steady
  • Turns head side to side on belly and back
  • Starts to lift head when on belly

Feeding Skills (Birth to 4 – 6 Months)

  • Nipple feeding (breast or bottle)
  • Reaches for food or bottle

Language Skills

  • Coos in response to caregiver voice
  • Shows awareness of speaker
  • Makes sounds to express pleasure
  • Cries to get attention
3 - 6 Months

Fine Motor Skills

  • Brings hands together
  • Reaches for and bangs objects in play
  • Pats at a mirror image
  • Reaches with both hands
  • Grasps and holds objects for a short time (15 – 30 seconds)

Gross Motor Skills

  • Plays on belly
  • Pushes up on straight arms on belly
  • Pulls up to sitting when hands are held
  • Brings feet to mouth
  • Starts to lift head when on belly

Feeding Skills (Birth to 4 – 6 Months) 

  • Nipple feeding (breast or bottle) 
  • Reaches for food or bottle
  • Begins smooth pureed foods and thin cereals (6 months) 

Language Skills 

  • “Babbles” when alone or with others
  • Maintains eye contact
  • Reaches for and bangs objects in play
  • Smiles/laughs in response to others
6 - 9 Months

Fine Motor Skills

  • Points with index finger
  • Grasps small objects/food pieces with thumb and finger
  • Holds and shakes rattle

Gross Motor Skills

  • Crawls forward on belly
  • Sits independently
  • Rolls independently from back to belly/belly to back

Feeding Skills 

  • Eats thins, smooth puree from spoon
  • Begins finger feeding
  • Holds bottle
  • Begins munching meltable foods
  • Starts accepting soft mashed table foods
  • Begins chewing soft teething cookies and biscuits

Language Skills 

  • Shouts/makes sounds to gain attention
  • Responds to request of “come here”
  • Stops when name is called
  • Babbles like “baba” and “dada”
9 - 12 Months

Fine Motor Skills

  • Takes off hat, shoes and socks
  • Begins to finger feed
  • Pushes arms through sleeves

Gross Motor Skills 

  • Pulls to standing
  • Creeps on hands and knees
  • Walks sideways at a support surface
  • Takes steps with hands held

Feeding Skills 

  • Drinks from open or straw top cup
  • Eats lumpy, mashed foods
  • Starts to use spoon independently
  • Eats soft cubed foods (avocados, bananas, kiwi, cooked vegetables) 

Language Skills

  • Waves hi and bye
  • Plays “peek a boo”
  • Gives objects on request “give me”
  • Says “mama” or “dada” meaningfully
12 - 18 Months

Fine Motor Skills

  • Turns 2 – 3 pages in a book
  • Builds/stacks objects
  • Scribbles on paper with large crayon

Gross Motor Skills 

  • Walks independently
  • Squats to pick up toy

Feeding Skills

  • Grasps spoons with whole hand
  • Holds cup with 2 hands
  • Eats chopped table foods and mixed textured pureed foods (macaroni and cheese, moist ground meats, soft chicken nuggets) 
  • Brings most liquids from a cup

Outpatient Therapy & Specialized Therapy Methods


  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Feeding Therapy
  • Audiology
  • Early Intervention
  • Aquatic Therapy
  • Interactive Metronome
  • PROMPTs
  • Special Skills Groups
  • Sensory Integration
  • Bottle/Breastfeeding consultation
  • Virtual Therapy