About Trellis Occupational Therapy
Supporting children’s growth, confidence, and independence through individualized, play-based care.
Trellis Occupational Therapy is a pediatric occupational therapy practice based in Durham, North Carolina, dedicated to supporting children’s growth and independence through play-based, individualized care.
Services are provided in natural environments, including homes, schools, daycares, parks, and community settings. With a focus on family-centered support, meaningful participation in daily life, and meeting each child where they are, Trellis Occupational Therapy fosters growth, confidence, and independence through engaging, relationship-based interventions tailored to each child’s unique strengths and needs.
Why the name “Trellis”?
A trellis gives plants structure, support, and space to grow in their own way. That image reflects the heart of Trellis Occupational Therapy.
Children do not all grow in the same direction, at the same pace, or with the same supports. Some need help building confidence in daily routines. Some need support with sensory processing, motor skills, handwriting, self-care, or participation at school. Others need a trusted guide to help the family understand what is getting in the way and what strategies may help.
Trellis OT exists to guide growth and support independence while honoring each child’s individuality.
Meet Meg Massengill, M.S., OT/L
Meg's Approach
Meg’s approach is warm, thoughtful, playful, and individualized. She values building trust and connection with each child, using their interests and strengths to support engagement and growth.
Her work includes support for:
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- Sensory processing and self-regulation
- Fine and gross motor development
- Self-care and daily living skills
- Handwriting and school participation
- Motor planning and coordination
- Social and community participation
Meg also values collaboration with the child’s broader team, which may include parents, caregivers, teachers, speech therapists, physical therapists, psychologists, physicians, or other professionals involved in the child’s care.
Experience and Education
- Master of Science in Occupational Therapy
East Carolina University - Bachelor of Arts in Psychology
Meredith College
Meg earned her Master of Science in Occupational Therapy from East Carolina University in 2017 after completing her Bachelor of Arts in Psychology at Meredith College.
Since beginning her career, she has gained clinical experience across a variety of settings, including pediatric outpatient clinics, home health, schools, community-based programs, inpatient rehabilitation, and the NICU. This broad experience helps her understand how children’s needs may affect participation across different environments and daily routines.
Meg’s work may include support for sensory processing, self-regulation, handwriting, fine and gross motor development, visual-perceptual skills, motor planning, self-care, feeding-related skills, social participation, bike riding, scootering, and community participation.
She also values collaboration with the child’s broader support team, including parents, caregivers, teachers, speech therapists, physical therapists, psychologists, physicians, and other professionals involved in the child’s care
Meg earned her Master of Science in Occupational Therapy from East Carolina University in 2017 after completing her Bachelor of Arts in Psychology at Meredith College.
Since beginning her career, she has gained clinical experience across a variety of settings, including pediatric outpatient clinics, home health, schools, community-based programs, inpatient rehabilitation, and the NICU. This broad experience helps her understand how children’s needs may affect participation across different environments and daily routines.
Meg’s work may include support for sensory processing, self-regulation, handwriting, fine and gross motor development, visual-perceptual skills, motor planning, self-care, feeding-related skills, social participation, bike riding, scootering, and community participation.
She also values collaboration with the child’s broader support team, including parents, caregivers, teachers, speech therapists, physical therapists, psychologists, physicians, and other professionals involved in the child’s care.
Advanced Training & Professional Highlights
- Handwriting Without Tears Level 1 Certified Handwriting Specialist
- Certified in administration of iLs Safe and Sound Protocol
- Masgutova Neurosensorimotor Reflex Integration Core-in-Training, Level 1
- Educated on DIR/Floortime-based strategies
- Experience using Ayres Sensory Integration-based approaches
- Sensory certification through Summit Professional Education
- Experience with Zones of Regulation
- Experience with the Alert Program
- Experience with Deep Pressure and Proprioceptive Technique, also known as Wilbarger Brushing Protocol
- Experience with iLs Focus System
- Experience with Astronaut Training
- Experience with Social Thinking programs
- Experience developing therapeutic group programs
- Experience leading individual handwriting clinics
- Experience leading individual bike riding clinics
Her Path to Occupational Therapy
Meg Massengill, M.S., OT/L, is a pediatric occupational therapist who is passionate about helping children learn, grow, and participate more fully in the activities that matter most to them and their families.
A Cary, North Carolina native, Meg discovered her love for occupational therapy while studying at Meredith College. During an externship at a local pediatric occupational therapy clinic, she realized that supporting children and families was the path she wanted to pursue. Her work with the Meredith Autism Program and the Autism Society of North Carolina further strengthened this passion.
Meg uses a play-based, child-led approach to build meaningful connections with children and make therapy engaging, supportive, and individualized. She believes families are essential members of the therapy team and incorporates collaboration, parent coaching, and practical strategies that can be used in everyday routines.
Beyond the Therapy Session
Outside of occupational therapy, Meg enjoys gardening, especially learning about native plants and creating spaces that encourage growth. She also enjoys yoga, playing games, traveling, hiking with her dogs, and searching for seashells and shark teeth at the beach.
Her love of nature, movement, play, and exploration connects naturally with her approach to therapy. Meg brings curiosity, creativity, patience, and warmth to her work, along with a strong belief that every child can grow with the right support, encouragement, and space to develop in their own way.
(She/They)
Trellis Occupational Therapy
Durham, North Carolina
- Pediatric OT since 2017
- Play-based and child-led
- Durham, North Carolina
