Call Us: 1-509-315-5711    Fax 1-509-443-4170

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© 2013-2019 by Children FIRST Therapies of Spokane. 

Children FIRST Therapy has a long history of success and a bright future for growth and continued success in preparing children to reach their fullest potential because of the incredible therapists and early childhood development staff that are a part of our team. Our therapists provide the highest quality, most up-to-date physical, occupational and speech therapy to our kids. Our staff are all degree-level educated and provide incredible preschool education and family resource support.

Nichole Bergam


Nichole Bergam is the director of Children FIRST Therapy.  She is a teacher with a Reading major and an Early Childhood Education minor from Eastern Washington University.  Nichole has been a part of the Children FIRST Therapy for 9 years.  She has been an Early Childhood Teacher for 13 Years.  She collaborates with Spokane Gymnastics and teaches/coaches a few preschool classes.  Her passions are toddlers and nurturing family relationships.


Nichole was a student teacher in a first grade classroom and has taught in ECEAP and kindergarten in the Central Valley School District. She is expanding her education with graduate courses in Special Education and regularly attends additional training in the field.

Nichole enjoys spending time with her family.  She is a dog lover, and an avid yard-saler.

Carol Ross
Occupational Therapist

Carol completed her Bachelor of Science in Occupational Therapy at

San Jose State University in California. She has a passion for working with children and families specializing in pediatrics for the past eighteen years. 

Carol has experience working in public schools, early intervention, private practice, home health and pediatric outpatient settings. She is certified in Sensory Integration and Praxis Testing and Therapeutic Listening. Carol has attended additional courses in sensory processing, neurodevelopmental training/NDT, feeding strategies, visual deficits, autism/ADHD, Alert Program and Handwriting Without Tears

Melissa Reamer
Speech-Language Pathologist

Melissa Reamer is a SLP who received her master's degree in Communication Disorders and Deaf Education from Utah State University.  She earned an emphasis in Listening and Spoken Language (LSL) through additional coursework to support children who are deaf and hard of hearing (DHH).  Melissa has over 12 years of experience working with children from birth to age 18 in clinical, school and home settings.  She feels passionately about early intervention and its benefits to children and families.  She has a family-centered approach and believes that primary caregivers are the most valuable asset to a child's growth and development.  Her belief is that behaviors are communication, and she strives to support children in obtaining healthy relationships and strong communication skills to achieve their highest quality of life.  Melissa stays current in her field through professional development and related coursework to support the whole child and the families who love them.

Conn Wittwer
  Consulting Physical Therapist

Conn is a Physical Therapist born and raised in Spokane.  He graduated from Eastern Washington University's Doctorate of Physical Therapy program in 2006.  He has been working in a variety of settings since graduation, including, outpatient, home health, and pediatrics in the school settings and has returned to pediatrics at Children FIRST Therapy.  He has 13 years f experience with a wide variety of diagnoses and ages.  He loves working with kids of all ages and their families and helping them to find fun and creative ways to assist in the development of gross motor skills.  When not at work, Conn enjoys spending time with his wife and son, being outdoors, paddle boarding and swimming in the summer and skiing in the winter.

Allyson Blackhart

Nurse Coordinator

Allyson Blackhart has a BSN with over 18 years of nursing experience. She has worked in a variety of direct patient care environments including family practice clinics, specialty care clinics, hospitals and surgical environments. Throughout her work experience, she has cared for many adult and pediatric patients and their families. Allyson has performed intervention skills, communication and education on treatment options, to establish a direct plan of care while meeting ongoing needs for her patients.

Allyson regularly attends continuing education classes to further he knowledge in different nursing roles. She plans to advance her education for nursing case management and specialize in family and pediatric needs in coordination of care as a nurse liaison. 

Currently, Allyson holds a license as a Registered Nurse in Washington State.

Diane Saggau
Assistant Director in charge of Finance

Diane Saggau has been part of the Children FIRST Therapy program since 1999. She has her BS in Business Management and over 25 years' experience in business and finance. Diane is also the Executive Chair on the Spokane County Inter-Agency Coordinating Counsel working with other providers in Spokane County in the decision making processes for our birth to three community.

As the parent of a child with disabilities, Diane brings added compassion to her work with families and is able to directly relate to the challenges they are facing. 

Karen Swanson

Family Resource Coordinator and Developmental Specialist

Karen Swanson is a Special Education teacher with a major in Reading and minor in Early Childhood Education from Eastern Washington University. She has a Masters in Educational Technology from Lesley University.


Karen has worked in Special Education for the past 16 years. She has taught preschool and kindergarten age children as well as elementary and middle school age children. She continues her education by taking classes that increase her knowledge on infant to age three development.

Lauren Strout
Speech Language Pathologist

Lauren is an SLP-CF who received her Bachelor's degree in psychology from Whitworth University before completing her Master's degree in communication sciences and disorders at Eastern Washington University.  Throughout her graduate experience, Lauren had rotations in both inpatient, outpatient and school settings, before ultimately deciding that the pediatric population was her favorite.  She is passionate about collaborative intervention, looking at the whole child while empowering families to support speech and language development at home.

Amy Maddox
Physical Therapist

Amy was born and raised in Edmonds, Washington.  She received her Bachelors of Arts degree in Biology from the University of San Diego in 2015, where she was also a member of the women's rowing team.  She moved to Spokane in 2016 to attend Eastern Washington University's Doctor of Physical Therapy program, which she graduated from in 2019.  She was introduced to pediatric physical therapy during her education at EWU, and has experience in early intervention and inpatient and outpatient pediatrics.  She is excited to start her career as a pediatric therapist at Children FIRST Therapy.  Amy enjoys hiking, biking, swimming, watching cooking shows, and spending time with her friends and family.

Michelle Lease
Teaching Assistant
Medical Records/ Insurance PreAuth. Specialist

Michelle Lease is our classroom teaching assistant. She helps all of the therapists in any way they need throughout the day. Michelle is a great asset to our classroom with her terrific craft ideas for the kids for fine motor tasks and her gentle, soothing demeaner for those children who have difficulty adjusting to being away from mom for the first time.

Michelle is also assisting in the Business Office with Medical Records and Preauthorizing Services .

Michelle enjoys photography,, spending time at her Cabin on the river and time with her family.

Shannon Hughes
Family Resource Coordinator

Shannon Hughes is the Family Resource Coordinator for Children First Therapy.  After attending Eastern Washington University, she graduated with a BA in Elementary Education; major in Reading and minor in Special Education.  She completed her Masters in Educational Leadership at Concordia University of Portland, and Administration Credentials at Whitworth University. 

Shannon comes to us after teaching Middle School for 12 years in a rural school.  She enjoys spending time with her family, coaching volleyball, and baking all sorts of treats. 

Additional referrals for Behavioral, Vision, and Hearing Services are available through off-site contracted agents.