Meet Nikki Sigona, M.S. OTR/L: Building Skills Through Play, Connection, and Confidence
At Word Play, we believe every child deserves to be met exactly where they are and our therapists bring their own experiences, passions, and personalities into every session. This month, we’re excited to introduce pediatric occupational therapist Nikki Sigona, M.S. OTR/L, whose child-led approach, love of play, and family-centered mindset help children build confidence and skills to help them be successful in school and everyday life.
A Journey Inspired by Family
Growing up with a younger brother who has Spina Bifida meant hospitals, therapy appointments, and healthcare environments were a regular part of life. While she initially imagined becoming a pediatrician, those experiences eventually led her down a different path.
“I thought OT would be a better fit,” Nikki shares.
That decision ultimately led her to earn her Master’s in Occupational Therapy from Washington University School of Medicine in 2000 and begin a career helping children thrive through meaningful, play-based experiences.
Finding Joy in the Early Years
Nikki especially loves working with children ages 3–5 and students in Kindergarten through 2nd grade.
These early years are filled with enormous growth and development, and Nikki enjoys helping children gain skills while building trust and confidence.
Her therapy style? Relaxed, child-centered, and play-based.
“I’m very laid back, but I feel routine is important, especially with younger kids. I like to lead based on the child’s interests and areas of concern.”
That balance of consistency and flexibility helps children feel safe, comfortable, and ready to connect.
Why Play Matters
At Word Play, play is the basis of quality therapy.
To Nikki, child-led, play-based therapy means following what motivates the child and using those interests to create meaningful progress.
“Play is key. It’s where the child feels most comfortable and where, as a therapist, I can see the most growth.”
Nikki believes play opens a window into how children interact with their world and reveals the factors that may contribute to challenges with fine motor development, sensory processing, or communication.
Celebrating the Small Wins
One of Nikki’s favorite parts of therapy is witnessing moments of independence, even when they are small.
She remembers one preschooler successfully drinking from an adapted open cup for the first time.
“It was pretty exciting.”
Those moments remind families and therapists alike that progress often happens one step at a time.
A Message for Parents: Don’t Underestimate Crawling
If Nikki could share one important takeaway with families, it would be this:
Crawling matters.
“Weight bearing through the hands forms the arches of the hand, which affects grasp and hand strength.”
Fine motor development begins long before pencils and scissors enter the picture. Early movement experiences help build the foundation for future skills.
To help families feel empowered at home, Nikki provides simple monthly suggestions and themed activities that naturally build skills into everyday routines.
What Makes Word Play Special?
When asked what she enjoys most about Word Play, Nikki immediately points to the relationships.
“Being able to meet kids where they are and build a bridge between myself and the family. Open communication and support make such a difference.”
Nikki’s Favorites: Quick Fun Facts
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Favorite session activities: Play-Doh and kinetic sand
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Favorite fine motor tools: Visual supports, simple puzzles, sensory play, and cause-and-effect toys
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Therapy win that always makes her day: Watching a child complete something independently
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Advice to new therapists: “Take the child’s lead and pick your battles.”
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Busy day favorite: A 7 Brew energy drink
Final Thoughts
Nikki’s passion for helping children shines through every interaction. Her approach combines play, connection, and family involvement to help children build meaningful skills in ways that feel joyful and natural.
“I truly love working with children and their families. I enjoy including families so they can help their child grow.”
And that’s exactly what Word Play is all about.