Today we’d like to introduce you to Sarah Moskowitz.
Hi Sarah, thanks for sharing your story with us. To start, maybe you can tell our readers some of your backstory.
My journey to starting Grow As We Go began at Northern Arizona University, where I earned my doctorate in Occupational Therapy. During my doctoral capstone, I specialized in feeding therapy at an outpatient clinic in San Diego. That experience became the foundation of my clinical approach and passion for pediatric occupational therapy. After graduating, I was hired by the same clinic, where I spent the next year developing my skills in sensory processing, feeding therapy, and self-regulation under incredible mentorship.
While I learned so much in the outpatient setting, I began to feel burnt out by the fast pace and heavy productivity expectations that often limited the ability to provide truly individualized care. I knew I wanted to continue growing as a therapist while finding a setting that allowed for more meaningful, family-centered intervention. That led me to transition into home health and early intervention.
Working in the home environment completely changed my perspective as an OT. Instead of relying on a clinic’s sensory gym or specialized equipment, I learned how to recreate sensory opportunities and therapeutic environments using the resources families already had in their homes. I loved helping families where they were at by building strategies that fit naturally into their daily routines and empowering caregivers to feel confident supporting their child’s development. But, I was really so fortunate to learn under wonderful mentorship while continuing to grow clinically and personally.
Over time, I realized I wanted to take on an even bigger challenge: creating a practice that reflected my own values and vision for occupational therapy. I wanted to provide care that was individualized, relationship-based, and centered around meeting families in their natural environments. That vision became Grow As We Go Occupational Therapy, a practice built on the belief that progress happens best through connection, collaboration, and supporting children and families in the spaces where they live, play, and grow.
Would you say it’s been a smooth road, and if not what are some of the biggest challenges you’ve faced along the way?
It’s been a rollercoaster for sure. One of the biggest challenges in starting Grow As We Go was that I truly had no idea where to begin when it came to building a business. I had spent years learning how to become an occupational therapist, but no one teaches you how to form a company, navigate taxes, run payroll, or understand the endless stream of documents and systems that come with entrepreneurship. Starting a business felt like learning an entirely new language.
At first, I tried to do what I had always done, figure everything out on my own. But I quickly realized that building something sustainable required me to ask for help, even when it felt uncomfortable. I spent countless hours researching, networking, and reaching out to colleagues, former employers, lawyers, accountants, and other business owners for guidance. That process taught me one of the most valuable lessons of this journey: asking for help is not a weakness.
There were definitely setbacks and failed attempts along the way. I made mistakes during the business formation process and quickly learned that creating an S-corporation is far from simple when you have no business background. I was suddenly trying to understand payroll systems, taxes, insurance requirements, and forms I had never even heard of before. It often felt overwhelming, especially while still working full-time and maintaining a full caseload of pediatric clients each week. Most evenings and weekends were spent trying to build Grow As We Go in the small pockets of free time I had left.
One of the turning points in the process was finding a local accountant who truly took the time to help me. She walked me through every step patiently (sometimes at a painfully slow and very “dumbed down” pace), until I finally started to understand how to bring Grow As We Go to life. Having someone willing to meet me where I was and teach me without judgment made all the difference.
There were many moments of self-doubt and significant imposter syndrome throughout the process.
Alright, so let’s switch gears a bit and talk business. What should we know?
Grow As We Go is a pediatric occupational therapy practice focused on helping children and families feel supported, understood, and empowered in their everyday lives. I specialize in sensory processing, self-regulation, feeding, emotional regulation, developmental skills, and supporting children ages 0-18 through a relationship-based and family-centered approach. Services are provided within the child’s natural environments, including the home, community, and daycare settings, which allows therapy to be individualized, functional, and meaningful to each family’s daily routines.
I think that what sets Grow As We Go apart is the emphasis on meeting families where they are, both literally and emotionally. Rather than relying solely on a clinic environment, the therapy is designed around the child’s real-life experiences, using the resources, spaces, and routines families already have available to them. This allows families to carry strategies over into everyday life more naturally and confidently.
Grow As We Go is also deeply rooted in connection and collaboration. I believe progress happens best when children feel safe, supported, and genuinely understood. Every child is approached with curiosity, compassion, and respect for their unique sensory, emotional, and developmental needs. I value building strong relationships not only with the child, but with parents, caregivers, teachers, and other professionals involved in the child’s care.
One of the things I am most proud of brand-wise is that Grow As We Go was built from a genuine passion for helping families in a way that feels authentic, personal, and sustainable. The name itself reflects the philosophy behind the practice, that growth is not linear, and children, families, and therapists are all continuously learning and evolving together. I wanted to create a business that felt approachable and supportive rather than clinical or intimidating.
Grow As We Go is often more than just therapy sessions. It is a practice centered on helping children participate more fully and confidently in the activities that matter most to them, while also helping families feel less alone and more equipped along the way. Every recommendation, strategy, and intervention is designed with the understanding that small moments of support and connection can create meaningful long-term growth.
I currently am the only therapist working, but am hoping that soon I will be hiring other occupational and speech therapists to join the Grow As We Go team.
What would you say have been one of the most important lessons you’ve learned?
I would say don’t doubt yourself and your abilities. There are still challenges and moments of uncertainty, but this journey has taught me that I am more capable than I initially believed. Building Grow As We Go has shown me the importance of trusting myself, leaning on my support system, and recognizing that meaningful growth often comes from taking risks, even before you feel fully prepared.
Contact Info:
- Website: https://www.growaswego.net
- LinkedIn: https://www.linkedin.com/in/sarah-moskowitz/ and https://www.linkedin.com/company/grow-as-we-go-occupational-therapy/
