Our therapy services help children:

  • Gain independence in dressing, feeding, and toileting
  • Improve their handwriting skills
  • Increase upper body strengthening and postural control
  • Improve their sensory processing skills
  • Decrease sensory sensitivities
  • Teach self control and improve emotional regulation
  • Achieve optimal attention and focus
  • Improve ocular motor skills for reading and writing
  • Teach safey habits while out in the community

An evaluation may be needed if your child struggles with:

  • Feeding difficulties ("picky eater", oral motor skills)
  • Handwriting (grasping, letter formation, spacing)
  • Transitions between activities/places
  • Clumsiness/Bumping into things
  • Fine motor activities (coloring, puzzles, cutting)
  • Maintaining focus or joint attention (sitting)
  • Decreased strength and low muscle tone
  • Sensitivity to touching a variety of textures
  • Fearful of movement (swinging, having feet off the ground)

Our occupational therapists and physical therapists work with children who need support in:

Fine / Gross Motor Skills
  • Endurance
  • Coordination
  • Strength
  • Balance
  • Motor Planning
  • Postural Control
Activities of Daily Living
  • Grooming/Hygiene
  • Dressing
  • Eating
  • Tolieting
  • Sleeping
Sensory Integration
  • Tactile Processing (touch input)
  • Oral Processing (food or mouth)
  • Vestibular Processing (movement)
  • Olfactory Processing (smell)
  • Visual Processing (light)
  • Auditory Processing (sound)
  • Achieving Optimal Arousal
Executive Functioning Skills
  • Attention Span
  • Memory
  • Sequencing
  • Following Directions
  • Problem Solving
  • Organizing/Planning
Social Participation
  • Self-Concept
  • Self-Control
  • Time Management
  • Emotional Regulation
  • Stress Management
  • Transitions

Will my insurance cover Occupational and Physical Therapy services?

Keiki Therapy, LLC is a contracted provider with HMSA (PPO, HMO, QUEST), HMAA, AlohaCare, Ohana Wellcare, Tricare, CIGNA, United Healthcare (Commercial Plans and Medicaid), UMR, UHA, Aetna and Kaiser insurance. Please contact your insurance company for specifics regarding OT and PT benefits. You will be responsible for all co-insurance, co-pays, deductibles and non-covered services.

About Keiki Therapy

Nicole Koranda
Occupational Therapist Registered/Licensed

Nicole Koranda, OTR/L graduated from Mount Mary University in 1998. Her passion has always been working in pediatrics. She has experience working in outpatient pediatric clinics, hospitals, schools, and home health. Nicole has been trained in treatment techniques for Irlen Syndrome at the Irlen Institute in Longbeach Calf., Primitive Reflexes, Pediatric Kinesio Taping, Interactive Metronome, The Astronaut Protocol, Therapeutic Listening, Sequential Oral Sensory Feeding, and the TEACCH Autism Program. Nicole also developed a Handwriting Camp for print and cursive that she has been running since 2016 on the west side of the Big Island.

Nicole moved to Hawaii with her husband and two children in the summer of 2010. When they landed on the Big Island of Hawaii they were greeted with Aloha and decided to embrace the island life. While working in the Waimea and Kohala schools, Nicole was surprised of the limited outpatient pediatric clinics for children with special needs. At that moment, Nicole's husband said, "some day you will own a pediatric clinic on this island." That dream/vision came true in 2019.

Educating parents and family members on how to maximize a child's independence in daily living skills is Nicole's passion. In her free time, she enjoys playing pickleball, swimming, snorkeling, and hiking with her family.

Lyda Liu
Master of Science in Physical Therapy

Lyda Liu, MSPT was born and raised in Hawai'i, on the islands of O'ahu, Maui, and Moloka'i. The Big Island has been her home since 2001. Lyda graduated with a master's in physical therapy from Pacific University, OR in 1994. She began her career in pediatrics at Kapi'olani Medical Center where she received mentorship and training in the NICU, PICU, oncology unit, burn unit, and pediatric outpatient rehabilitation clinic. Over the last 27 years, Lyda has worked in all areas of pediatric rehabilitation and has many years of home health care experience as well.

Lyda currently provides physical therapy services at Keiki Therapy, where she works with children ages birth to 18 years with orthopedic conditions, neurodevelopmental delays, and sensori-motor integration issues. Lyda enjoys the dynamic and creative setting that the arena of pediatric physical therapy provides. Her passion is helping children with special needs and disabilities to reach their highest potential.

In her spare time, Lyda enjoys cycling, hiking, camping, pilates, traveling, paddling, and hanging out with her 2 children (ages 18 and 16 years).


Referral Form
Client Health Questionnaire
Client Personal Data Sheet
HIPPA Compliance Form
Keiki Therapy

Pediatric Occupational and Physical Therapy Services

Our locations

64-957 Mamalahoa Hwy
Kamuela, HI 96743

2148 Awapuhi St
Hilo, HI 96720

Home Visits

Contact us

phone 808-209-7934
fax 808-883-6262

Our WAIMEA clinic is located on the South Side of Mamalahoa Highway (Hawaii Belt Rd) one mile east of North Hawaii Community Hospital. We are located behind Fish and the Hog restaurant. Parking and bathrooms are shared with the restaurant and other businesses.