Heidi M MacAlpine
Heidi MacAlpine is a seasoned holistic healthcare provider and founder of Align OT PLLC, bringing over 35 years of clinical experience to her work with individuals, families, and communities. As an occupational therapist, she offers personalized wellness and clinical services across the lifespan—blending in-person care with virtual programming to expand access and connection beyond traditional boundaries.
Her approach is rooted in nervous system regulation, health promotion, and whole-family wellness. Heidi integrates both Eastern and Western practices—including yoga therapy, Reiki, and functional movement—to support sustainable, meaningful change. Her work is especially centered on empowering women and caregivers, helping them build strength, resilience, and balance as they navigate the evolving demands of daily life.
Throughout her career, Heidi has worked extensively in pediatrics, from early intervention through school-aged populations. She has since expanded her impact through community-based programming, supporting young adults, assisted living populations, and nonprofit initiatives. Her collaborative work includes partnerships with organizations such as STRIVE LI and Monday’s Cancer Care, where she brings innovative, accessible wellness programming into the community.
In addition to her clinical and community roles, Heidi serves as an adjunct professor and clinical supervisor across healthcare institutions on Long Island, where she mentors emerging practitioners and fosters the next generation of holistic, client-centered care.
• Occupational Therapist
• Boston University- Doctorate
• Outstanding clinician in the field of Occupational Therapy. Exemplifies best practice in ethical and compassionate manner Jan. 2021 from Touro University School of Health Sciences
• NYOTA (New York Occupational Therapy Association)
• Monday's Cancer Care
What do you attribute your success to?
I attribute my work and growth to a blend of lived experience and dedicated practice. Supporting my parents through their journeys with cancer, navigating motherhood, and tending to my own health challenges—as well as learning alongside family, friends, and clients—have deeply shaped my perspective and strengthened my empathy.
With more than three decades in pediatric occupational therapy, I have refined my clinical skills while remaining committed to compassionate, person-centered care. I value continuous learning, trust both evidence and intuition, and strive to be fully present with each individual—meeting them with respect, understanding, and care exactly where they are.
What’s the best career advice you’ve ever received?
Follow your intuition and research the most up-to-date information regarding your concern, both Western and complementary interventions.
What advice would you give to young women entering your industry?
I would advise young women entering this field to prioritize self-care so they can fully support others, focus on connection and collaboration, and always meet people where they are without letting a diagnosis define them.
What are the biggest challenges or opportunities in your field right now?
One of my greatest challenges as an occupational therapist working from a whole-person, wellness-based lens is clearly communicating—and advocating for—the value of this approach in systems that often prioritize quick, symptom-focused outcomes. Occupational therapy’s strength lies in our ability to see the full picture—how emotional, physical, social, and spiritual factors shape a person’s ability to engage in meaningful daily activities and community life. However, helping others recognize that true, lasting change requires time, awareness, and individualized care can be difficult. It requires ongoing education, collaboration, and a shift in mindset from both clients and systems. While it would be ideal for these services to be fully supported by insurance, the current system largely operates within an illness-based model rather than a prevention-focused, wellness-centered approach. This gap reinforces the importance of continuing to advocate for the true value of occupational therapy and its role in promoting long-term health, participation, and quality of life.
What values are most important to you in your work and personal life?
The values most important to me in my work and personal life are community, compassion, creativity, and connection. I prioritize health and self-care while helping others recognize that they are more than their diagnoses, fostering a shared energy that uplifts and expands everyone around us. I believe in creating and sharing positive energy, building connections that empower both individuals and the collective. At the heart of my work is a deep commitment to advancing the role of occupational therapy within a wellness model. I bring a unique lens that considers the whole person—emotional, physical, social, and spiritual—recognizing how each of these dimensions can either support or interfere with meaningful participation in daily life and community engagement. My approach moves beyond symptom management, focusing instead on helping individuals reconnect to purpose, routine, and the activities that matter most.
Locations
Align OT, PLLC
Manorville, NY 11949