Small Hands Big Hearts (SHBH), a Merakey company is dedicated to the work of healing through our commitment to empowering children and their families. SHBH is made up of a diverse group of trained professionals in the areas of Physical Therapy, Occupational Therapy, and Speech Pathology proudly serving both the Dallas/Fort Worth "Metroplex" and the San Antonio areas.

We are a rapidly growing limited liability company currently servicing nineteen counties in and around the Dallas/Fort Worth Metroplex area as well as twenty-eight counties in and around San Antonio.  Small Hands, Big Hearts Pediatric Therapy Management, LLC is a Medicaid certified, Home Health Licensed organization which manages the relationship between occupational therapists/physical therapists/speech therapists, patients, and insurance companies.

Small Hands Big Hearts is dedicated to the work of healing through it’s commitment to empowering children and their families. SHBH is made up of a diverse group of trained professionals in the areas of

• occupational therapy,
• physical therapy, and
• speech therapy.

Our dedication to exceptional service is exceeded only by our compassion and commitment to the children & families we serve.