About OT Without Limits
Building Strong Foundations for confident kids!
OT Without Limits is a pediatric occupational therapy practice dedicated to helping children build strong foundations for learning, regulation, and everyday success. We take a whole-child, developmental approach—looking beyond behaviors and symptoms to understand the underlying sensory, motor, visual, and neurological systems that support growth.
Our mission is to empower children and families through evidence-based therapy, individualized care, and compassionate support. We believe children thrive when therapy addresses why challenges are occurring—not just what is seen on the surface.
A Holistic, Developmental Approach to Pediatric OT
At OT Without Limits, we specialize in bottom-up pediatric occupational therapy, recognizing that higher-level skills such as attention, emotional regulation, handwriting, and academic participation rely on strong foundational systems.
Our therapy approach may address:
Who We Serve
OT Without Limits serves infants, toddlers, children, and adolescents who experience challenges related to sensory processing, vision, movement, regulation, and daily functioning. We also support parents and caregivers through education, coaching, and consultation—because family involvement is essential for meaningful progress.
Meet Dr. Carrie Punger, OTD, MS, OTR/L
OT Without Limits was founded by Dr. Carrie Punger, OTD, OTR/L, a pediatric occupational therapist with advanced training in sensory integration, reflex integration, vision rehabilitation, and neurological foundations of development.
New England Institute of Technology — Rhode Island
Salus University at Drexel University — specialized focus in remedial vision rehabilitation and traumatic brain injury (TBI)
Her doctoral training deepened her expertise in how vision, vestibular processing, sensory integration, and neurological injury impact functional performance—knowledge she applies to pediatric therapy through a developmental, child-centered lens.
Clinical Experience & Pediatric Specialties
Dr. Carrie brings extensive clinical experience from school-based occupational therapy, private practice, and an Autism Clinic, allowing her to support children across environments and collaborate closely with families and educators.
She specializes in working with children who present with:
- Sensory processing disorder and sensory modulation challenges
- Primitive reflex retention impacting learning and behavior
- Vision and visual-motor difficulties affecting reading, writing, and attention
- Motor planning, coordination, and postural control difficulties
- Emotional regulation and attention challenges
Her work focuses on identifying root causes and building neurological foundations to support long-term functional success.
Advanced Training & Certifications
Dr. Carrie has completed extensive post-graduate training in pediatric occupational therapy, including:
- Brain Gym
- Visual Rehabilitation for Pediatrics
- Primitive Reflex Integration
- RISE – Reflex Integration to Support Education
- Handwriting Without Tears (Certified Level 1 Specialist)
- Bal-A-Vis-X — a rhythm and balance program addressing visual tracking, auditory processing, impulsivity, balance, and anxiety
- Therapeutic Listening — a sound-based intervention supporting attention, balance, body awareness, communication, social engagement, and sensory organization
- Astronaut Training — a vestibular protocol supporting integration of the vestibular-auditory-visual triad
She has also previously worked as a Certified Occupational Therapy Assistant (COTA) and as a vision therapist, giving her a uniquely layered understanding of pediatric intervention.
A Family-Centered, Empathetic Philosophy
Families who seek occupational therapy are often overwhelmed, searching for answers, and unsure where to turn.
At OT Without Limits, parents are viewed as essential partners in therapy. Education, collaboration, and transparency are core values—helping families feel confident, informed, and empowered to support their child’s development beyond the clinic walls.
Life Beyond OT
Outside of work, Carrie enjoys spending time with family and friends, hiking and kayaking outdoors, learning to play the guitar, reading, journaling, and crafting. These creative and grounding interests reflect the same curiosity, balance, and joy she brings into her therapeutic work with children.
Pediatric Occupational Therapy Without Limits
At OT Without Limits, our goal is not just skill development—but helping children feel confident, capable, and supported in their everyday lives. We are committed to providing thoughtful, evidence-based pediatric occupational therapy that honors each child’s unique developmental journey.