February 1, 2024

Take this checklist along to your child's 2 year doctor visit to determine if he is on track with gross motor, fine motor and speech skills.

Building off of last month’s 1 year check-list for Pediatrician check-ups, we bring you a check-list to look at prior to your child’s 2 year old check-up.

Building off of last month’s 1 year check-list for Pediatrician check-ups, we bring you a check-list to look at prior to your child’s 2 year old check-up.  Again Pediatricians have a set of developmental red flags, but these only hit the “big-bad-uglys” as we like to call them, including the following questions: does your child get frustrated when trying to talk, can he or she jump or attempt to jump, did your child walk by 18 months. These red flags are very specific, meaning a child who exhibits these red flags would be identified for services, but not very sensitive, meaning many children who would benefit from therapy services are missed. To help bridge the gap between Pediatricians’ red flags and children who need therapy services, I have put together a checklist of things to discuss with your Pediatrician at your child’s 2 year check-up.

2-Year Check-Up Red Flags:

Gross Motor Skills

  • Runs forward 10 feet, without a loss of balance
  • Jumps in place, jumps forward, and jumps down from a step
  • Walks forward, backwards, and sideways independently and without a loss of balance
  • Walks up and down a set of stairs, using a handrail
  • Kicks a ball forward 3 feet

Fine Motor Skills

  • Turns pages of thick page book, 1 at a time
  • Stacks 5 cubes
  • Draws vertical lines given demonstration
  • Takes off button-less clothing and socks independently

Speech Skills

  • Begins saying 2 word phases and 2 word questions
  • Increases vocabulary to saying >50 words and understanding >300 words, with new words added every week
  • Answers “yes or no” questions
  • Points to objects named
  • Speech should be understood at least  50-75% of the time by a familiar listener

Take this checklist with you to your 2-year visit. If you have further concerns, schedule a pediatric physical therapy evaluation.

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
Oops! Something went wrong while submitting the form.
The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

Continue Reading


Why we do what we do.
Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-verbal and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Contact us to get started

  • 1
    Submit an inquiry form
    Completing this secure form helps us understand how we can serve you.
  • 2
    We'll reach out to you!
    One of our dedicated team members will connect with you to discuss services, your insurance benefits, and your family’s needs.
  • 3
    Paperwork & insurance
    We'll review and confirm your insurance benefits, and we'll work with you to gather additional paperwork required and discuss financial expectations based on insurance.
  • 4
    Treatment personalization
    We'll schedule an assessment date for your child with one of our clinicians. This assessment will serve as the basis for your child’s personalized treatment plan. After, we'll meet to discuss recommendations and your child’s treatment plan and start date.
  • 5
    Start making progress!
    We will greet and welcome your child to our warm and supportive environment where our staff will provide 1-on-1 care to meet our treatment goals.