What paediatric physiotherapy involves
Paediatric physiotherapists support children's physical development — the way they move, balance, coordinate and build strength. Unlike physio for adults, the focus is on play-based, developmentally appropriate activities that help children reach movement milestones such as rolling, crawling, walking, running, jumping and climbing.
A physio might work on gross motor skills (large movements using the arms, legs and whole body), core strength and posture, balance and coordination, and mobility for children who use equipment like walkers or wheelchairs. They often support children with conditions such as cerebral palsy, developmental coordination disorder, low muscle tone (hypotonia), toe-walking, or delays following prematurity. Some also help with sporting and playground confidence.
Signs a child might benefit from support
Every child develops at their own pace, but you might consider a physio assessment if your child:
- Is significantly behind on movement milestones (sitting, crawling, walking)
- Seems unusually stiff or floppy
- Frequently trips, falls or appears clumsy
- Walks on their toes consistently
- Avoids physical play or tires very quickly
- Has an unusual crawling or walking pattern
- Has been diagnosed with a condition affecting movement
If you have concerns, it's worth speaking with your GP, child health nurse or paediatrician first — they can help decide whether an assessment is appropriate and provide a referral if needed.
Suitable ages
Paediatric physiotherapists work with children from birth (including newborns and babies born prematurely) right through to adolescence. Early support can be especially valuable, but children benefit at any age. Therapy is always tailored to the child's developmental stage rather than just their calendar age.
What a first appointment looks like
An initial assessment usually runs 45–60 minutes. The physio will ask about your child's history, pregnancy and birth, milestones and daily challenges. They'll then observe your child moving and playing — watching how they sit, stand, walk, balance and use their body. Assessments are designed to feel like play, so many children enjoy them.
Afterwards, the physio will discuss what they've noticed, set goals with you, and suggest a plan. This often includes activities to do at home, because regular practice between sessions makes a big difference. Bring along any reports, referrals and a list of your questions and concerns.
Typical costs and NDIS funding
As a general guide, paediatric physiotherapy in Australia typically ranges from around $190 to $230 per hour. The NDIS publishes price caps that registered providers work within, and these are updated periodically. Actual fees vary between providers, so always confirm current pricing and any assessment or travel charges directly — this is general information only, not a quote.
Under the NDIS, physiotherapy usually falls under Capacity Building — Improved Daily Living. If your child has NDIS funding in this category, it can generally be used for physio assessments, therapy sessions and reports. Families managing funding may pay privately, claim through Medicare (with a GP Chronic Disease Management plan, which offers limited rebated sessions), or use private health extras. A plan-managed or self-managed NDIS plan may give you more flexibility to choose non-registered providers.
How to choose a provider in Darwin
When comparing options, check the following:
NDIS registration — If you're agency-managed, you'll need an NDIS-registered provider. Plan-managed and self-managed families can also use non-registered providers, so ask each clinic about their registration status.
Therapist credentials — Physiotherapists must be registered with AHPRA (the Australian Health Practitioner Regulation Agency). Ask whether the physio has paediatric experience and any additional training in children's development. You can verify AHPRA registration online.
Waitlists — Darwin demand can be high and waitlists vary. Ask how long until an initial appointment and whether there's a waitlist for ongoing sessions.
Telehealth and mobile options — Some providers offer telehealth or come to your home, school or childcare. This can be helpful across Darwin, Palmerston and outlying areas, or for families who find clinic visits difficult.
Location and fit — Consider travel time, the clinic environment and whether your child feels comfortable with the therapist. A good rapport matters for progress.
Questions to ask
- Are you AHPRA registered and do you have paediatric physiotherapy experience?
- Are you an NDIS-registered provider, and do you work with plan-managed and self-managed families?
- What's your current waitlist for a first appointment and ongoing sessions?
- What are your fees, and do they align with the NDIS price caps?
- Do you offer home visits, school visits or telehealth?
- How do you set goals and measure progress?
- Will you provide reports for the NDIS or my child's school?
- How will you involve me and support home practice?
Taking the time to ask these questions helps you find a provider who's the right match for your child and family. If you're unsure where to start, your GP, paediatrician or NDIS support coordinator can point you in the right direction.