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Preschool & Pediatric Therapy

Embracing uniqueness.
Expanding Possibilities. 

Grounded in 40+ years of expertise, High Hopes embraces uniqueness and expands possibilities for thousands of children across Middle Tennessee through expert pediatric therapy and high-quality early childhood education. 

Our Impact Across Tennessee

40+

years of educational and theraputic expertise

10,000+

children and families served

18

counties across Middle Tennessee

A child in a therapy swing

The High Hopes Difference

Expert Care That Transforms Lives

Since 1984, High Hopes has combined therapy with inclusive early education in ways that change what families thought was possible. Our specialized therapists and educators work as an integrated team—embedding evidence-based interventions into daily learning and play. 

 

The result? Children of all abilities thrive.  

 

With over 32,600 therapy visits and 179,750 instructional hours delivered annually, we've built a proven track record—one child, one goal, one family at a time. 

Three toddlers sitting together

Preschool

Where Developmental Expertise Makes the Difference

What makes High Hopes Preschool unique isn't just what we do—it's how we do it. Our integrated approach, where therapists and teachers collaborate daily in inclusive classrooms, represents a paradigm shift in early childhood care.  

  • 100% of children make developmental progress across speech, language, motor, and behavior skills. Progress is tracked from the start, ensuring no developmental delay goes unidentified and unaddressed before kindergarten.

  • Small group instruction from our pediatric therapists and educators accelerates learning trajectories for all children. 

  • All children benefit: Children leave High Hopes with the academic skills, social confidence, and adaptability needed to thrive in school and beyond. 

A child working with an occupational therapist

Pediatric Therapy

Expert Therapists Partnering with Families to Produce Results 

High Hopes provides comprehensive pediatric therapy services to children from birth through young adulthood across Middle Tennessee. But we don't just provide therapy—we expand what's possible. 

Our pediatric therapists—specializing in speech, occupational, physical, feeding, and behavior therapy—implement evidence-based interventions proven to drive meaningful progress. Each treatment plan is individualized, data-driven, and structured to help children develop functional skills that transform their daily lives. 

With over 32,600 therapy visits annually, we help children make meaningful progress, gain independence, and participate more fully in their daily lives and communities. 

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Expert Care

Meet the Experts Behind Our Impact

High Hopes brings together a highly credentialed team of 40 pediatric therapists and 25 early childhood educators—all dedicated to helping children reach their fullest potential. 

Combined, our team brings decades of clinical and educational expertise, supported by ongoing professional development and the latest research in pediatric therapy and early childhood education. 

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Lindsay

High Hopes Parent

Our 2-year-old twins attend High Hopes Preschool, and the experience has been a true blessing. Our son is typically developing, and our daughter, who has Down syndrome and underwent open-heart surgery to repair AVSD, has made incredible progress here. The dedication and expertise of the therapy team and teachers have helped her reach milestones we once thought were beyond reach. What High Hopes accomplishes every day in both their preschool and clinic is simply outstanding.

A Wells

High Hopes Parent

I highly recommend High Hopes therapy clinic! The staff is incredibly caring and skilled, making each visit a positive experience for my child. The facility is welcoming and well-organized, and the personalized therapy plans have really helped my daughter make great progress. They truly focus on both the child’s needs and their comfort!

Samantha

High Hopes Parent

We have had an incredible experience at High Hopes! Our child attends for speech and occupational therapy. His therapists are wonderful and he absolutely loves going to therapy every week!

Anna

High Hopes Parent

I have been so impressed with this inclusive preschool and pediatric therapy clinic! The teachers are fantastic and create a welcoming environment for all children. My children feel supported and valued, and the activities are designed to engage every child’s unique needs and abilities. It’s wonderful to see such a caring, inclusive approach to early education. I couldn’t be happier with the progress my daughter made at High Hopes thanks to the wonderful therapists and teachers.

Testimonials

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Community Partners

Get Involved

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We are a nonprofit organization where each donation matters.

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Volunteer opportunities are open to individuals and groups alike.​

Engage

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Join us through community events and fundraisers year-round.

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