Therapist expertise includes, but is not limited to working with:

Dyspraxia (motor coordination skills)

Learning Disabilities (Dyslexia and Dysgraphia)

Autism Spectrum

Attention Deficit Disorders

Sensory Processing Disorder


Developmental Delays

Down Syndrome

Traumatic Brain Injury

Low Vision

Other Psychological, Neurological, or Genetic Conditions

Join Our Team!

At Stepping Stones , we are an equal opportunity employer. We are always accepting resumes from experienced pediatric therapists. Excellent pay, benefit packages, including health and retirement options.

Pediatric Occupational Therapist – Bellevue/Bothell

Occupational Therapists

Beth Tenace - OTR/L

Professional Bio: Elizabeth Tenace, OTR/L is known as “Miss Beth” to her patients. She has been a pediatric Occupational Therapist for nearly 15 years and still thinks it’s the most fun and interesting job on the planet. After graduating from SUNY at Buffalo, she spent 7 years working at Autism Services Inc. There she worked with a variety of children ages 5-21 with autism spectrum disorders, giving her an appreciation for sensory based interventions and a team-based approach to treatment. After spending her life in western New York, Beth and her husband got tired of the cold winters and hot summers, so they moved to Bothell in 2013 along with their pets. Miss Beth started working for a local clinic where she gained skills in vestibular processing, group therapy, and using emotional regulation curriculums such as “Zones of Regulation” and the “ALERT Program.”

Education: Interests: Miss Beth lives with her husband, toddler daughter, cat, and 2 snakes. Her parents now live down the road to be close to their grandchild. When she’s not playing with other people’s children, she enjoys playing with her own child, reading, and playing video games.

Jessica Blue - COTA/L

Professional Bio: Jessica is a native Washingtonian that has received her Certified Occupational Therapy Assistant degree from Lake Washington College of Technology. Her clinical experiences include working with children of all ages, from preschool through high school, in the public-school setting for 6 years, where she taught students the Brain Gym Program, Zones of Regulation, and yoga for self-regulation and body awareness. She has experience working with children’s developmental delays, specific learning disabilities, autism, attention deficit disorder, Down syndrome, physical disabilities, and rare genetic disorders.

Jessica is passionate and creative about incorporating rehabilitation, exercises, yoga, and mindfulness into her therapy programs. She is a lifelong learner and is also a Certified Personal Trainer specializing in nutrition, through National Academy of Sports Medicine. She has previously worked as a personal trainer, as well as in outpatient physical therapy clinics. Her clinical internships include outpatient neurological clinic, skilled nursing facility, and outpatient hand therapy clinic. As a pediatric intern at a school district, she solidified her desire to work with children and to pursue a career within this field. Jessica works collaboratively with both children and their families to facilitate patient participation, maximum occupational performance, and achieve independence. Jessica initiates fun, occupation-based interventions that help children confidently achieve their goals.

Her most recent coursework includes autism and sensory processing disorder, Brain Gym, and Size Matters Handwriting Program.

Education: Lake Washington College of Technology (Certified Occupational Therapy Assistant) – 2012 National Academy of Sports Medicine (Certified Personal Trainer, Nutrition Specialist) – 2000

Interests: In her free time, Jessica enjoys spending time with her children and family, as well as focusing on fitness, nutrition, cooking, and gardening.

Mariah Schuster - OTR/L

Professional Bio: A native of northwest Montana, Mariah is a recent graduate of Eastern Washington University in Spokane, Washington, earning her Master of Occupational Therapy degree in 2017. She also earned a Bachelor of Arts degree in Psychology from Pacific Lutheran University in Tacoma, Washington in 2014. Mariah completed part of her clinical training with St. Luke’s Children’s Rehabilitation in the Boise, Idaho area, where she gained experience working with children with autism, ADHD, sensory processing disorder, gross and fine motor delays, cerebral palsy, and developmental delay.

During her training with St. Luke’s, Mariah had the opportunity to collaborate with a licensed counselor and speech-language pathologist to lead several social group sessions to increase participation and regulation skills of children with autism and other developmental disabilities. Mariah also developed proficiency in primitive reflex integration assessment and intervention, based on The Institute for Neuro-Physiological Psychology protocol. Other programs and interventions Mariah has experience in include the Zones of Regulation, the ALERT program, the Superflex social thinking curriculum, and the Early Start Denver Model (ESDM) approach for children with autism. Mariah is passionate about working with children and families to design fun, occupation-based interventions and home programs that help children achieve their goals.

Education: Eastern Washington University – 2017 Pacific Lutheran University – 2014

Interests: In her free time, Mariah enjoys cooking, hiking, making jewelry, and playing the piano.

Melissa Miller - OTR/L

Professional Bio: Melissa has been practicing pediatric occupational therapy for over 20 years.  She brings to Stepping Stones a wealth of knowledge as well as specialty certifications in sensory integration, auditory sensitivity, and neurodevelopmental treatment.  Melissa specializes in sensory processing difficulties due to trauma based impairments and most recently received training in reflex integration techniques.  Melissa has worked in a variety of pediatric settings including birth to three centers, public school, hospital and outpatient clinic settings.  She recently developed a handwriting program called The Handwriting Tree, a novel handwriting program designed for preschool aged children and children in need of visual supports.  Melissa is a national speaker and has delivered several workshops on handwriting and why this important skill continues to be relevant today.

She has recently moved to the Pacific Northwest from Washington D.C. to be closer to her children who are currently attending the University of Washington.



Sara Sciarrino - OTR/L

Professional Bio: Sara is a native of New Jersey and received her Master’s and Bachelor’s Degrees in Occupational Therapy from Ithaca College in 2016.

Sara’s clinical experience includes working at a private outpatient pediatric clinic in NJ, CommuniKids, where she treated children from preschool through high school in both clinic and school settings. She has worked with children with various abilities and developmental skills including children with autism, developmental delays, sensory processing disorders, bilateral integration and sequencing disorders, ADHD, and learning disabilities. She has completed intensive clinical rotations at Johns Hopkins All Children’s Outpatient Care in South Tampa, FL, as well as Children’s Specialized Hospital in Mountainside, NJ. Both experiences provided Sara with training in specific therapeutic programs, including infant and toddler rehabilitation, constraint induced (CI) therapy, Handwriting Without Tears, aquatic therapy, chronic pain management, and brain injury. She further gained experience working with children with a variety of neurological and physical conditions such as spinal cord injuries, hemiparesis, Complex Regional Pain Syndrome, and transverse myelitis.  She has taken advanced continued education in the evaluation and treatment of sensory modulation, self-regulation, and sensory discrimination disorders.

Sara truly loves being an OT and is dedicated to making every session fun and meaningful. She  meets each child where they are at to foster confidence and skill development to help them meet their goals.

Education: Ithaca College (B.S. in Occupational Therapy) – 2015 Ithaca College (M.S. in Occupational Therapy) – 2016

Interests: In her free time, Sara enjoys going on hikes, being with family and friends, reading, and singing.

Shannon Sullivan - OTR/L

Professional Bio: Shannon graduated with a degree in studio art with a minor in Spanish from the University of Kansas. After graduating, Shannon received a TEFL (Teach English as a Foreign Language) certificate. She then spent five years traveling around the world, teaching English in a variety of settings: private language institutes, public schools, non-profit organizations, and private homes.

It was during her work teaching that she discovered her desire to provide holistic, individualized, and child-centered care. She then returned to the United States to pursue a degree in occupational therapy, and she received a masters in OT from The Medical University of South Carolina (MUSC).

Shannon has participated in constraint-induced movement therapy (CIMT) intensive camps, Go Baby Go! adapted mobility projects for children with physical disabilities projects, Surfers Healing surf camp for children with autism, and was a MUSC travel grant recipient to provide OT services to underserved populations in Nicaragua with OneWorld Health. Shannon is interested in sensory integration therapy, the Zones of Regulation behavioral regulation program, the Bal-A-Vis-X modulation system, therapeutic listening, and incorporating yoga and mindfulness practices into OT sessions.

Interests: In her free time, Shannon enjoys making art, practicing yoga, hiking, cooking, and watching movies with her husband and their gigantic pet bunny, Money.


Jessica McMurdie - Owner / Clinic Director

Professional Bio: Jessica has been working exclusively as a pediatric occupational therapist for over a decade. She graduated from the Occupational Therapy Program at the University of Washington in 2000 and earned a dual degree in Spanish in 1998. Her professional experience includes working in a wide variety of settings: Seattle Children’s Hospital, the Kindering Center birth to three neuro-developmental center and school based settings. Jessica’s experience has been positively influenced by her work with children not only within the U.S., but also abroad in Mexico, Guatemala and the Russian Far East. Jessica was a key note speaker at the Khabarovsk, Vladivostock & Seattle Partners Conference in Khabarovsk, Russia in 2005. She presented information about occupational therapy in the U.S. and pediatric treatment strategies. Locally, she has been a presenter at the Department of Services for the Blind Preschool Conference, the Infant and Early Childhood Conference , and a featured podcast guest speaker for national Rehab Management Magazine.

Other highlights include: Selected as 1 of 15 occupational therapists in the nation to participate in the American Occupational Therapy Association’s Leadership Training Program in Washington, DC (2016) Awarded the OT and OT Assistant Partnership Award by Washington OT Association in 2015 for clinical excellence in collaboration.

Certifications include: SIPT certified (2015 certification in sensory integration), Advanced Mentored Clinician in Diagnosis & Treatment of SPD Level 1 , Comprehensive Course in Sensory Integration (USC/WPS), Integrated Listening Systems , Sensory based feeding Treatment: S.O.S. Approach to Feeding (Sequential Oral Sensory).

Advanced coursework includes: Dysgraphia and Handwriting Remediation, Attention Deficit Disorders, Learning Disabilities, DIR Training (Developmental Individual-Difference Relationship-Based Model), and ALERT Program for Self-Regulation. Jessica is an active member of local Sensory Integration professional groups. Education: University of Washington – 2000

Interests: In her free time, Jessica enjoys spending time with her husband and two daughters, traveling, gardening, playing golf and walking her American Eskimo dog named Indy.

Janell Miller - Operations Manager

Professional Bio: Janell is a native Washingtonian who calls Woodinville home.  She has owned and operated several businesses over the years.  Before coming to us she was part owner/operator of a Bellevue Physical Therapy Clinic. She is a founding member of Rock Out ALS a 501c3 charity for Lou Gehrig’s Disease that advocates for patients and their families. ROALS supports ALSA Evergreen Chapter and ALSTDI in their fundraising and patient advocacy efforts in hopes of finding a cure. She is a Northshore School District Golden Acorn award winner who was recognized for her years of service and advocacy on behalf of her community’s children and families. Janell brings years of organizational management, program development, executive training, communication and community outreach skills to the team.

Interests: She has been married for 28 years and has 3 wonderful adult children. In her off time, she enjoys hiking, soccer (GO SOUNDERS), football (GO HAWKS), helping her friends, traveling, and supporting her local community.

Klaudia Berenyi - Family Service Coordinator

Professional Bio: Klaudia graduated with her Bachelor’s degree in Health Psychology from Bastyr University in 2014. She has over 8 years of experience as an office manager and administrative assistant, and specializes working in a behavioral health setting. From a young age, Klaudia has always been fascinated by human behavior and has since devoted her time as Family Service Coordinator to helping families find the care they need in a compassionate and proactive fashion. Klaudia is also seeking to pursue a Master’s Degree related to behavioral health in the near future.

Interests: In her free time, she enjoys spending time with family and friends, history, traveling, and being in nature.

Stepping Stones provides a positive, caring environment where therapists carefully consider each child’s strengths and learning style.  We will customize a therapy program that not only boosts your child’s development but also fits your child’s unique personality and interests.  We’re pediatric therapists, so we excel in finding the FUN in learning while teaching kids skills and coaching for confidence.


At Stepping Stones, we think it’s extremely important to live and breathe our company core values every day and in every interaction.  We believe in…

  • Providing excellence in clinical treatment and client services
  • Engaging with enthusiasm and focusing on relationships
  • Showing kindness, consideration and empathy
  • Collaborating on behalf of the greater good
  • Taking initiative & owning your experience
  • Bringing innovative ideas to all that we do
  • Giving of our time and resources towards education and community outreach

They say, “Great minds think alike.”  So, if you agree with our core values and philosophy, let’s start working together!


It all started with a trunk full of toys and a lot of mileage… Stepping Stones Therapy Network was founded by occupational therapist Jessica McMurdie who started the company, literally, from the trunk of her car.  Her mobile office providing home visits eventually grew into what it is today, with two clinic locations, a highly talented therapy team and multiple partnerships with private schools on the Eastside.  Stepping Stones has been recognized at the state and national level for clinical excellence, advocacy and leadership.

Honors and Awards

  • Puget Sound Business Journal guest columnist highlighting Stepping Stones Therapy Network and SBA (February 2018)
  • Testified in front of WA state legislature.  Advocated on behalf of bills to make it easier for patients to access therapy services by mitigating barriers to insurance.
  • Winner of National Small Business Association’s Emerging Leaders Streetwise MBA Program (Seattle, class of 2016)
  • Selected as 1 of 15 occupational therapists in the U.S. for the American Occupational Therapy Association’s “Leadership Development Program (Washington D.C., 2016)
  • Winner of OT/OTA Partnership Award – Washington Occupational Therapy Association (2015)
  • Rehab Management Magazine, Podcast Interview “How to Run a Healthy Private Practice” (2015)
  • Guest panelist at the Empower Conference sponsored by Clinicient (Chicago, 2014)
  • Winner of National SCORE Small Business Award.  Company was 1 out of 102 small businesses selected in the U.S. (Houston, 2012)

Coming Soon!


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If you are interested in receiving services from our clinic please visit the link below.  Once we have received your contact information, we will follow up with you to send you the intake paperwork.


At Stepping Stones Therapy Network we are an equal opportunity employer.  We are always accepting resumes from experienced therapists.  Excellent pay with job flexibility including part time and Saturday work available.  Fax or send resumes to our office directly.


Forest Office Park

14715 Bel-Red Road

Building G, Suite 104

Bellevue, WA 98007