Tumble N' Dots

Pediatric Occupational Therapy

We offer Clinic-Based, School-Based, Community Based, and Telehealth Occupational Therapy services for children in Orange County, CA.

COVID-19 Update:

Our clinic is open for in-person appointments. We have health and safety measures in place for our patients who are coming to the clinic for services. Telehealth appointments are also available. Contact us to schedule an appointment.

What We Offer?

Occupational Therapy

We provide OT services that support and promote the achievement of a child's independence, quality of life, well-being, and overall development.

Feeding Therapy

We offer parents support for mealtime routines at home to encourage a positive experience with food. Our facility is equipped with a kitchen and dining area dedicated to feeding therapy.

Evaluation and Consultations

We provide full evaluation services including testing and direct observation at the clinic, school, or home.

Programs and Group Classes

We offer small group classes following all CDC guidelines and regulations. Classes meet weekly.


A great way to learn about pediatric occupational therapy, the tools, techniques, and the private clinic setting.

What People Are Saying

Some of the reviews and testimonials we got from parents

"I started with Avital with my first son who's on the spectrum. Then my typical daughter started therapy and now my 19mo old son is in the hands of this amazing, talented woman. Her passion for OT and love for my children has driven them to succeed, checking off each goal one by one. I'm SO grateful to have met her. She is truly so skilled and so full of knowledge. Before my son was diagnosed I knew nothing about OT or sensory integration and just by watching their sessions I've learned so much and am able to incorporate it at home. Our goal as parents is to find trustworthy, knowledgeable people when it comes to treating our littles... but with this company you get more than that. You get passion and pure talent and a company that TRULY cares about the future of your child. They know where your child's limits are and push them to their fullest capability. It's so AMAZING to sit back as a parent and watch your babies blossom. We LOVE Tumble n Dots! Thank you Avital for making such an impact on my entire family. Forever grateful. :-)"
M. W.
Trabuco Canyon, CA
"Avital Shuster has been working with our son for a year, & words cannot do justice for how great our experience has been. If you have a child that needs any sensory development assistance, this is the place & she is a wonderful Occupational Therapist. Of all his activities, going to a session with Avital is his absolute favorite. The growth & development he has gone through these past months is amazing! From last Oct to now, he is having a completely different experience in school (turned a 180!) & also so much better at home. Hands down one of the best decision we have made as parents so far. All that being said we have to give credit to Mrs. Danielle Kelso, Kindergarten Teacher at Salem Lutheran in Orange, for suggesting we look into a sensory assessment. So grateful that we are experiencing success!""
T. B.
Orange, CA
"Avital from Tumble N' Dots is hands down the best OT you will find! Our son has improved tremendously since we started receiving services from her. She is dedicated, warm and very professional. Avital make the sessions so fun and interactive for the kids. Our son LOVES going to the clinic. We highly recommend her!"
Irvine, CA
"We came to Tumble N' Dots with my son for private OT sessions. Avital was great with him. She was so professional, playful, and had tons of patience for him. We also got to do a few community sessions at my son's school and at the park, to help him generalize his skills. Avital was always happy and available to consult with my son's teachers and to answer any questions I have."
Aliso Viejo, CA
As a mom to a beautiful nine-year-old autistic boy, I highly recommend the OT services at Tumble n’ Dots. We’ve been going to Avital and Danielle for over a year and have found them to be some of the best OT’s in the business!! I also feel incredibly safe from Covid as they do a wonderful job of cleaning, sanitizing and ensuring that everyone wears a mask while consistently keeping the environment very clean.
S. S.
Irvine, CA