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We provide you with evidence based, integrative therapy through a realistic parenting lens.

Feeding Foundations Icon

We are pediatric OTs who are passionate about integrative, holistic, family centered feeding support. We aim to get to the root cause of feeding difficulties and support families towards reaching their feeding goals whatever they may be. We use play based, no pressure therapy to support overall growth towards health feeding habits.

Our Team

A woman sitting in a chair with two young girls, one of whom is a baby, all smiling at the camera. The woman has dark hair and wears a gray top, the older girl has long brown hair and a pink shirt, and the baby has light hair and is dressed in white.

Alessandra McKenna, MOT, OTR/L CLC

Alessandra is a pediatric occupational therapist and a certified lactation counselor. She is the founder and owner of Feeding Foundations OT. She specializes in infant and early toddler feeding, and has a passion for connecting with and supporting families as they reach their personal feeding goals. 

Alessandra received her Master’s of Occupational Therapy from Bay Path University. She continues to feed her passion for learning through continuing education courses and collaboration with other professionals.

Alessandra is the mom to 3 young girls, all of whom had their own early feeding challenges. Her firsthand experience with feeding issues and parenting has heavily influenced her as a practitioner. Alessandra enjoys being outside, playing with her kids, trips to the cape and baking/eating sourdough bread. 

A smiling woman with curly brown hair wearing a navy blue shirt standing in front of a bush with purple flowers.

Miranda Fox, OTD, OTR/L

Miranda is a pediatric occupational therapist who works with infants and young children to support feeding, motor development, sensory processing, and participation in daily routines. She specializes in early intervention and brings a family-centered, responsive approach to therapy, emphasizing collaboration with caregivers to create positive and sustainable routines at home.  

Miranda received her Masters and Doctorate from Tufts University where she has spent time as a part-time lecturer and remains involved in the mentorship of doctoral research. 

Miranda has had first-hand experience with infant feeding challenges and oral ties with her daughter, born in 2025. This experience fuels her passion for supporting families in their own feeding journeys.

Certifications

Logo featuring a sleeping baby inside a white circle with a blue ribbon that says 'TRAINED Occupational Therapist'.
The Lactation OT Tethered Oral Tissues Continuing Education logo
Healthy Children Project, Inc. Center for Breastfeeding logo
Tummy Time Method logo
Logo for AEIOU with a circular design replacing the 'O' and a green banner around it that reads 'comprehensive professional training programs'.

Speciality Trainings

  • The Occupational Therapist’s Role in Breastfeeding Presented by Marissa Yahil, MSOT, OTR/L, CBS

  • Supporting Oral Motor Skills in the Infant: Assessment, Adaptation, and Remediation Presented by Kimberly Grenawitzke, OTD, OTR/L, SCFES, IBCLC, CTN and Kary Rappaport, MS, OTR/L, SCFES, IBCLC

  • Bottle Feeding Skills: Refining Clinical Reasoning for Selection and Use Presented by Julie Matheney, MS, CCC-SLP, CLEC, IBCLC

  • Tongue Ties, Breastfeeding, and the Lactation Savvy Therapist Presented by Jeanne Pichoff, LOTR, CLT, CLC

  • Baby Jaws & Breathing Nose to Toes Presented by Cynthia S. Peterson, PT, CSOM, CST

  • TMR Tots for Torticollis: From Feet To Feeding Presented by Susan Blum, PT, TMRc

  • Mixed Feedings: How to make Individualized, evidence-based recommendations to support families supplementing with infant formula Presented by Dr. Bridget E. Young, PhD, CLC

  • Failure to Thrive, Suboptimal Weight Gain, and the Lactation Savvy Therapist Presented by Jeanne Pichoff, LOTR, IBCLC

  • AEIOU Systematic Approach to Pediatric Feeding Presented by Nina Johanson MS, CCC-SLP

  • Play With Your Food Presented by Susant Roberts MDiv, OTR/L

A child with blonde hair wearing a pink polka dot long sleeve shirt sitting at a wooden table, holding a white bowl with cereal and milk, using a spoon.
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“I don't have enough good things to say about Feeding Foundations OT! I had the good fortune of being referred to Alessandra regarding some concerns that I had about my son's development, and she promptly scheduled a consultation at my home and provided exceptional support to our family. She is professional, kind, caring, and knowledgeable, and I would recommend her very highly and without hesitation to anyone seeking OT support for their child!”

— Kaitlyn

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“Alessandra is really good at what she does, and you can tell she loves it and is invested in her work. She evaluated my 3 month old after we've had seemingly never-ending challenges with breastfeeding and bottle feeding. She was very holistic in her approach - assessing not just oral motor function, but overall physical function, as well as other health factors/history, temperament, etc. - and tied it all together with a plan for us to move forward. We definitely recommend Feeding Foundations OT!”

— Amanda