Milestones Staffing

Helping every step forward become a milestone.

Compassionate Speech and Physical Therapy services designed to help children and adults build confidence, independence, and progress — one milestone at a time.

Therapy built around one person

Every plan starts with a conversation about your goals — not a template.

About Milestones Staffing

Every journey has milestones. We’re here to help you reach them.

Milestones Staffing provides personalized therapy support for children and adults through professional Speech Therapy and Physical Therapy. Care begins with understanding the person — their history, their routine, and the goals that matter most to them and their family. From there, our therapists build an individualized plan and adjust it as progress happens. The experience is meant to feel comfortable and supportive at every visit, with clear communication and steady, purposeful steps forward.

Speech-language and physical therapy, delivered right where you live. We currently offer 1:1 in person therapy in California and virtual options in Colorado and California. Our flexible virtual platform brings consistent, uninterrupted care into your home, so progress happens in a space where clients already feel comfortable and supported. Proudly serving clients across Colorado and California — no matter where you’re located within the state, quality care is always within reach.

Personalized Care

Therapy designed around individual needs and goals.

Professional Expertise

Dedicated therapists focused on meaningful progress.

All Ages

Support for both children and adults.

Progress With Purpose

Helping clients move confidently toward their next milestone.

Our Services

Therapy designed around your goals.

Two specialized services, each delivered one-to-one, whether in person or virtually, by a therapist who plans around the person in front of them.

Services

Pediatric Speech Therapy

Supporting communication, language, speech clarity, confidence, and social interaction. Specialties include bilingual Spanish/English services, social pragmatics for teens, early language and communication development, articulation, and executive function skills.

Adult Speech Therapy

Supporting adults through cognitive communication therapy, including memory deficits, attention, safety awareness, and expressive and receptive language challenges following a stroke. Through personalized, compassionate care, we support meaningful progress and help every individual communicate more comfortably in everyday life.

Services

Physical Therapy

Our physical therapy services help children and adults improve strength, mobility, balance, coordination, movement, and overall physical function. We provide personalized, evidence-based care tailored to each individual’s needs, abilities, and goals.

Whether helping a child develop foundational motor skills, supporting an adult recovering from an injury, managing a chronic condition, or improving independence and participation in everyday activities, our physical therapists create individualized treatment plans designed to promote confidence, function, and lasting progress.

Who We Serve

Care for every stage of life.

A first word, a first step, or a return to something that used to feel easy — every milestone counts, at every age.

Therapy for Children

Helping children develop communication, movement, confidence, and essential skills through supportive, personalized therapy.

Therapy for Adults

Supporting adults in improving communication, mobility, strength, independence, and everyday quality of life.

Our Therapists

Meet the people behind the care.

Experienced, compassionate professionals committed to helping every client move forward.

Kelly Ascanio Gomez

Bilingual Speech Therapist

Kelly focuses on speech, language and communication — working closely with each client and family to build a plan that fits their everyday life. Her sessions are patient, encouraging and built around real communication goals.

Joe Swingle

Physical Therapist

Joe specializes in movement, mobility, and strength, designing progressive physical therapy programs that meet clients where they are. He keeps every session practical, measurable, and focused on independence and confidence.

2

Specialized Services

Speech + Physical Therapy

2

Age Groups

Children + Adults

1

Goal

Meaningful Progress

Why Milestones Staffing

Care that puts your goals first.

Therapy works best when it is personal. Our therapists bring professional expertise and a compassionate, unhurried approach to every session — so progress is measured by what matters to you, not by a checklist.

Personalized Care

Every therapy journey is different. Care is tailored to individual needs and goals.

Professional Expertise

Dedicated therapists focused on delivering thoughtful, effective support.

Support for All Ages

Services designed for both children and adults.

Compassionate Approach

A welcoming environment where clients feel respected, supported and encouraged.

Our FAQ

Questions? We’re here to help.

Whether it’s a first word, a first step, or reclaiming something that used to feel simple, every milestone counts, no matter your age.

1. What services does Milestones Staffing provide?

We offer speech-language therapy and physical therapy for children and adults, delivered one-to-one, in person or virtually, with plans tailored around each individual. We also offer summer camps for additional skill-building and social opportunities.

Send us a message through the contact form below or reach out by phone. We’ll talk through what you’re looking for and help you take the next step.

The first session is a conversation and an assessment. Your therapist will listen to your goals, understand your history, and outline a personalized plan for the work ahead.

A week of therapist-led adventure for ages 11–14, combining physical therapy and speech therapy through hands-on activities designed to build strength, coordination, and gross motor skills alongside social pragmatics, conversation, and problem-solving. Campers work on real-world skills like teamwork, perspective-taking, and cognitive flexibility, with daily therapy sessions and a personalized home exercise plan each week.

At this time, we do not accept insurance. We are a private-pay practice, and payment is due at the time of service.

Next Steps

Your Path to Personalized Therapy Support.

Take the next step toward better communication and movement with personalized guidance, professional evaluation, and therapy tailored to your needs.

Phone Call Consultation

We offer a FREE 15-minute phone consultation to help you explore how our services can meet your needs. You will have the opportunity to discuss your concerns, ask questions about our therapy approaches, and learn how we can tailor our services to support your communication goals.

Evaluation

We will ask questions, conduct exercises, and observe speech and language skills and identify any areas where one might need help. The goal is to understand strengths and challenges so that we can create a personalized plan to help. A written report will be provided to you.

Speech Therapy / Physical Therapy

If the evaluation reveals a need for therapy sessions, we will discuss a plan and time that works for you. Children participate in 30 minute sessions 1-3 times weekly, depending on need and severity. Adults participate for 30-45 minutes 1-2 times weekly, and sessions will be tailored to your needs.

Get Started

Ready to make the next milestone?

Whether you’re looking for Speech Therapy or Physical Therapy, we’re here to help you take the next step.

Email

milestonesstaffing@gmail.com

Locaton

North San Diego County

Hours

Mon–Fri, 8:00 AM–6:00 PM

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