
My pathway...
I discovered my passion for occupational therapy in high school while running a swimming business inspired by my mother. My first client was a woman recovering from a traumatic brain injury who needed to re-learn how to swim. She shared how her occupational therapist had helped her reintegrate into daily life, sparking my interest in the field. This led me to pursue a degree in occupational therapy, graduating from Texas Woman’s University in 1999.
I began my career at MD Anderson Cancer Center, working across various hospital units, from the ICU to rehabilitation. From there, I transitioned to Texas Children’s Hospital and later expanded my experience in home health care and outpatient settings. In 2006, I established my private practice, where I have continued to provide care ever since.
When COVID hit, I noticed changes in my mother’s health, which led me to refresh my adult care skills. I briefly worked part-time for Rehab Without Walls until balancing my private practice and caregiving responsibilities became my primary focus. Over the past five years, I have served as my mother’s medical power of attorney, guiding her through a diagnosis of Primary Progressive Aphasia. This journey transformed my role from daughter to advocate, navigating the complexities of the healthcare system on her behalf. And with her recent passing in the Spring of 2025, Senior Pathways is a way to honor her life and create a lasting legacy in her name.
Through this experience, I realized the growing need for guidance in aging and disease management. The medical system is fast-paced, technology-driven, and increasingly impersonal. I found myself ensuring my mother remained an engaged consumer, making informed decisions about her quality of life. Now, I feel called to help others navigate this journey—empowering families to advocate for their loved ones and make confident, informed choices in the aging process.
Monique Manning
OTR, P.L.L.C.
Monique Manning
Owner, OTR-PLLC
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