Pediatric Therapy Clinic

We offer Occupational Therapy, Feeding Therapy, Speech-Language Therapy, and Physical Therapy services to children with a range of diagnoses and abilities in Orange County, CA.

Accepting new clients in person and via telehealth

Therapy Services

We treat children with varying diagnoses, including autism, ADHD, sensory processing disorders, developmental delays, speech delays, feeding issues, and more. Supporting sensory-motor development and mastery through movement and play.

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 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.

Speech Therapy

Personalized clinic based and virtual tele-therapy sessions targeting specific speech, language, social, and academic goals.

Group Classes and Camps

We offer small group classes and camps following all CDC guidelines and regulations.


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 families

"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."
M. C.
Diamond Bar, CA
"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 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
"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
"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

Where Are We Located

Our clinic is located in One Technology Park at 1 Technology Drive, Suite # F211, Irvine CA 92618

Insurance Questions?

Tumble N’ Dots is not part of any insurance network however we do provide detailed superbills for potential reimbursement from your health insurance carrier.

We will provide a superbill that includes all the insurance codes needed to seek reimbursement from your insurance carrier but we do not bill the insurance company directly.

You can submit our superbill for a possible reimbursement from your insurance company for an out-of-network provider.

Occupational Therapy (OT), Speech Therapy (ST), and Physical Therapy (PT) are covered services under flexible spending account.