Pediatric Therapy for Kids in Irvine, CA
A warm, play-based space where your child is understood, supported, and celebrated, exactly as they are.
We are an award-winning, family-centered pediatric therapy clinic in Orange County, CA, offering a comprehensive range of services for neurodiverse kids, including Occupational Therapy, Speech-Language Therapy, Feeding Therapy, Animal-Assisted Therapy, Intensive Therapeutic Programs, and Social Skills Group Programs.
Parenting OC Readers' Choice and Editors' Choice Winner!Winner of Best Special Needs Therapy and Best Special Needs Intensive Therapy Camp by Parenting OC readers.
Supporting Sensory-Motor Development and Mastery Through Movement and Play
We specialize in comprehensive and intensive Pediatric Occupational Therapy (OT), Speech and Language Therapy (ST), Animal Assisted Therapy (AAT), Feeding Therapy, and social skills group programs for children from birth to age 12.
Our multidisciplinary team of therapists treat children with varying diagnoses, including autism, ADHD, sensory processing disorders, speech delays, developmental delays, anxiety, feeding issues, and more.
Our goal is to help your child build confidence and navigate the world with ease.
Our Pediatric Therapy Services in Irvine
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.
Speech and Language Therapy
Personalized clinic based and virtual teletherapy sessions targeting specific speech, language, social communication, and academic goals.
Feeding Therapy
We offer 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.
Sensory Integration (SI) Therapy
Occupational therapy for children whose nervous systems have trouble making sense of movement, touch, and sound, in a two-story sensory gym. All of our occupational therapists are trained in sensory integration.
Animal Assisted Therapy
Occupational therapy with a professionally trained therapy dog working as part of your child's session.
Social Skills Groups
Therapist-led groups where children practice connecting with peers through play. Each group is matched to an age and stage, for children ages 2 to 12.
Intensive Therapy
Year-round intensive therapy programs for children who need more than one session a week, with the same play-based, child-led approach we use in weekly sessions.
Seasonal Camps
Therapist-run day camps over winter break, spring break, and summer. Small groups led by our occupational therapists and speech-language pathologists. Open to children of all abilities.
School Collaborations
Screenings, on-campus workshops, consultations, push-in and pull-out services, and group classes for Orange County schools.
Why Families Choose Us
Relationship First
We prioritize trust over compliance. Your child leads the play, and we guide the progress.
All Under One Roof
OT, Speech, Feeding, Animal Assisted Therapy, and Groups in one collaborative Irvine clinic.
Neuro-Affirming
We honor unique brains. We build on your child's natural strengths to help them navigate the world with ease.
What People Are Saying About Us
Some of the reviews, testimonials, and success stories we got from families
“Our son was having body awareness issues. He is always moving and runs rather than walks which was causing him to fall down a lot. I was also noticing he was avoiding simple things like swings, toddler roller-coasters or going down the slide a second time. Our preschool (shout out to the amazing University Synagogue Preschool) recommended Tumble N' Dots, while skeptical we went in for an evaluation and wow! They really listened and worked to understand not just our son, but our family and his environment. They quickly honed in on why he was struggling, came back with recommendations and a plan. His therapist Rebecca notices the smallest things and adapts and challenges him. She also gives us pointers and things we can use at home and school. Today he swung on the swings for the first time. Seeing such progress and confidence in him in a short time is amazing! Thank you Tumble N' Dots!”
“I never leave reviews but TnD is amazing! They have helped my son immensely. Adrienne and Angeline are extremely patient, knowledgable, sweet and caring. They focus on each individual child and work to develop skills and emotional regulation. We love TnD!”
“I came to Tumble and Dots feeling pretty desperate. My daughter was having trouble with emotional regulation, she had sensory issues impacting her ability to get ready in the morning, and she was having trouble eating due to anxiety. They were so amazing to work with that we didn't even stay long. They worked through her clothing sensory issues very fast. They helped her with learning how to manage her big feelings in just a few sessions. Our house went from complete chaos to calm in just a couple of months. I wouldn't hesitate to go back if I needed more help and I also highly recommend. Thanks T&D!”
“The most amazing place for kids! My 5 years old son had some difficulty behaviors that I didn’t know how to help him. I heard about this place from a good friend and I’m so happy!! I saw a change after 3 sessions with Avital ! Finally he is happier and got confidence. This is a very special and amazing place”
“This clinic has done wonders for our lil one with Autism level 2. Their curriculum and commitment by far is the best compared to all the other clinics we've been. They never give up and they find ways to help encourage your child to engage. In such a short amount of time we've seen how hard their team works with our child and we wouldn't trade it for anything. Although Tumble N Dots specialize in OT they also partner with ST to help our munchkin with her speech difficulties. We love Tumble N Dots and we will be forever grateful for all that they've done in helping our child flourish. I personally feel emotional writing this because we found them during a time wherein other clinics and therapist were unable to support our child. They were heaven sent during a very difficult time. Thank you for never giving up and for being there for our family. We wish Ms. Avital and her team nothing but the very best! We love you guys.”
“My 8 years old son with ADHD has been coming to Tumble N' Dots for the past 7 months. We were seen at a different clinic before coming here but didn't feel like we're progressing anywhere. His progress is amazing in the past months. His school teachers also notice his progress. We are very happy!”
“We owe so much to Tumble N'Dots. Last year our daughter, then 2, started dropping foods, refusing to eat, and wound up in the hospital for a severe food aversion. At the time she would only eat fruit snacks and infant puffs. Desperate, we reached out to Tumble and got set up with food therapy with Lichelle. Here we are a year later and our daughter is thriving and eating over 25 different foods. Lichelle's innovation and dedication got us here. The connection she formed with our daughter was almost instantaneous, and our little one is not quick to trust. We are so grateful to have found this program. The owner, Avital, is so knowledgeable and kind, it's a great staff. Really cannot say enough good things. Thanks Tumble N' Dots!”
“The best feeding therapy program in Orange County. The team is amazing and helped us tremendously with both kids. Very professional and highly recommended.”
“We took our daughter to Tumble N' Dots for a feeding therapy evaluation and were impressed immediately by the professionalism, attention to details and the approach taken by the OT, Ms Lichelle Fernando, and the team. We were able to see noticeable improvements with our daughter within couple of sessions and have seen significant improvements with each subsequent session. The interactive and gentle approach they are taking makes it an activity that our daughter looks forward to attending. With realistic and practical instructions given to us as parents by Ms Lichelle, we've been able to help our daughter continue her exercises at home with ease. We highly recommend Lichelle and Tumble N' Dots!”
“We love Tumble n Dots. When I found out my daughter was struggling with gross motor delays and social anxiety, we started with their social skills groups. Absolutely life changing for my daughter. Dr. Lynsey and Ms. Adrienne are incredible. She then did individual OT with Ms. Janna, who bonded so well with our girl. Anytime we tell her it’s time to see Ms. Janna, she lights up with excitement. She has come SO far in her confidence and capability. I credit Tumble n Dots for so much of the growth we’ve seen in our daughter this past year. Avital is also wonderful - when we were struggling with an issue at school, she volunteered to step in and advocate for our daughter herself. I truly feel like I have a team of women who love my daughter walking with me. What a tremendous gift.”
“Tumble-N-Dots is an amazing center! Our autistic daughter attended their summer camp, and we were absolutely blown away by the progress she made. She's not a morning person, and it's usually a challenge to get her out of bed for school, but for this program, she hopped up every morning excited to go! The staff is incredibly kind and helpful, and it's clear they truly care about the children. You can tell this isn't just a job for them; they are dedicated to supporting the kids in a meaningful way. I 100% recommend Tumble-N-Dots for anyone who has a child that needs a little extra support.”
“We brought our child (my grandson) to TUMBLE N DOTS therapeutic learning program, and it is the absolute best thing ever for a child that has developmental needs, or if they're developing their speech and language and you want them in a academic environment. Ms Avital is a visionary that anticipates the needs of both the children and parents! We are so happy to find the perfect place where there is a positive motivating environment. And his instructors Ms Angelina and Ms Adrienne are professional, friendly, warm and welcoming! If you are looking for an academic setting that is also therapeutic for your child that has speech delay, developmental delay or any kind, of developmental challenges, including ASD this is a safe, happy and healthy place for your child to prepare for K thru 8 grade. And it is not a public school with a ridged environment. Ms Avital's Tumble N' Dots is a fabulous place. (They have everything including zip lining in the building)! IT'S SIMPLY AMAZING!!”
Location & Hours
We are located at 15265 Alton Parkway, Suite # 140, Irvine, CA 92618.
- Monday
- 8:30am - 7pm
- Tuesday
- 8:30am - 7pm
- Wednesday
- 8:30am - 7pm
- Thursday
- 8:30am - 7pm
- Friday
- 8:30am - 7pm
- Saturday
- 8:30am - 5pm
- Sunday
- 10am - 3pm
Appointments Required.
Interested in a clinic tour? Schedule a tour here.
15265 Alton Parkway, Suite #140, Irvine, CA 92618Get directions to Tumble N' Dots in Google Maps
How do I get started at Tumble N' Dots?
Come in for a tour and meet our clinical staff. You will see the gyms and the rooms your child would actually use, and you can talk through what you have been noticing at home and at school. If your child does not have a valid evaluation from the last 10 months, we start with one. If you already have one that is less than 10 months old, send it over and we will work from it. Schedule a tour.
Do I need a doctor's referral to start therapy?
No. A referral is not required to start with us. Some insurance plans do require one for reimbursement, so it is worth checking with your carrier before you submit a superbill. After our evaluation, we are happy to schedule a call with your pediatrician to consult on your child's current development.
What ages do you work with?
Birth through age 12. Our group programs are age-banded, starting with Curious Caterpillars for ages 2 to 4.
How long is a therapy session, and how often will we come?
Each session is 50 minutes of direct 1:1 treatment, with the last few minutes used to talk with parents and caregivers about how it went. Most children come once a week. The recommended frequency and duration are part of your evaluation report.
Do you accept Regional Center or other third-party payments?
Yes, we accept third-party payments. If you are interested in using a third-party payment system such as Regional Center or a Financial Management Service (FMS), ask your case manager to reach out to us. We do not bill the FMS directly. All superbills go directly to the family, and you are responsible for sending them on to your FMS.
Do you take my insurance?
We are an out-of-network clinic, which means we do not bill insurance companies directly. This allows us to make decisions based on what your child actually needs—not what an insurance adjuster dictates. However, we provide detailed "Superbills" that you can submit to PPO plans for potential reimbursement. Many of our families get a significant portion of their costs covered this way!
For guidance on how to seek reimbursement with our superbills, please refer to our guide on out-of-network insurance reimbursement.
Occupational Therapy (OT) and Speech Therapy (ST) are covered services under a flexible spending account.
Our therapy programs are delivered by licensed clinicians: occupational therapists (OTs), certified occupational therapy assistants (COTAs) under OT supervision, and speech-language pathologists (SLPs). All services follow individualized treatment plans documented to professional healthcare standards, which is what allows them to qualify for FSA/HSA reimbursement and PPO superbill claims.
Why is "Out-of-Network" better for my child?
When we aren't bound by insurance contracts, we have the freedom to treat the whole child. We aren't forced to stop therapy just because a "quota" was hit, and we can spend more time collaborating with you, teachers, and other specialists. It allows for a higher quality, more personalized level of care that truly fits your family.
Read our In-Network vs. Out-of-Network Therapy: What Parents Need to Know (And Why It Matters for Your Child) for more information.
How long is your waitlist?
We know that when you need support, you need it now. Our availability changes weekly based on after-school schedules and therapist caseloads. The best first step is to book a free consult so we can hear your story and give you a realistic timeline for your specific needs.
Can I stay in the room during therapy?
Absolutely! We are a family-centered clinic. You are the expert on your child, and we love when parents join in to learn strategies they can use at home. Depending on the day and the child's needs, some sessions might be "kid-only" to build independence, but we always keep you in the loop.
How to Request a Network Gap Exception for Your Child’s Therapy
If your plan has no in-network pediatric therapist who can actually see your child, you can ask your insurer to cover an out-of-network provider at in-network rates. Here is how.
Read GuideWhat Is a Superbill? A Parent’s Guide to Getting Reimbursed
A superbill is the itemized receipt that lets you claim back out-of-network therapy costs. Here is what is on it, how to submit it, and what makes claims go through.
Read GuideIs My Child a Late Talker? Speech Milestones by Age
A parent's guide to speech and language milestones by age, signs of a late talker, and when to reach out for support. From a pediatric clinic in Irvine, CA.
Read GuideThe Connection Between Sleep and Regulation
Sleep resets the nervous system, refining attention and reducing stress responses; lack of sleep increases reactivity. Autism often involves sleep problems. When sleep improves, mornings are steadier, attention and problem-solving improve, sensory tolerances broaden, and daytime routines become smoother. Practical steps include consistent wake times,...
Read GuideHow Posture Affects Eating and Drinking
Posture and seating significantly impact eating safety and efficiency. A neutral pelvis, upright trunk, and head in midline with a slight chin tuck support efficient jaw movement, tongue control, and coordinated swallowing, reducing choking risk. Avoid slumping or tilting the head back while drinking. Key...
Read GuideWhen Feeding Time Becomes Stressful: How to Bring Back Joy
Mealtimes should feel safe, not battlefields. Many children, including those with sensory differences common in autism, may react strongly to textures, smells, or sounds. Key guidance: build safety before skill-building; use predictable 20–30 minute routines, calm space, and a visual cue for “all done.” Start...
Read Guide