Gretna Tree Top Therapy Clinic

At Tree Top Therapy, we provide skilled therapy services in a safe and child friendly atmosphere tailored to the needs of each child. We are a specialized outpatient rehabilitation clinic providing Occupational Therapy, Physical Therapy, Feeding Therapy and Speech Therapy. We are experienced and trained in the care and management of infants, children, and adolescents. While Tree Top Therapy specializes in the treatment of pediatric patients, our staff and clinic are equipped and able to treat the whole family in need.

820 Village Square
Gretna, Nebraska 68028
Phone: 402-932-0747
Fax: 402-991-5685


Medical based treatment/therapy is often appropriate for children in addition to school based services. In the medical model, therapists identify the underlying deficits of a problem and address those deficits directly through rehabilitative activities. Medically based treatment offers a much wider spectrum of services, impacting the child as a whole. Children develop skills to do well at home, school, play and in life.

Tree Top offers a variety of summer camps to include:

  • Young Athletes Program (Special Olympics)
  • Handwriting Camp
  • Feeding Camp
  • Language Camp
  • Social Group Camp
  • We offer Animal Assisted Therapy in the use of an animal, dog, as a tool in therapy to help facilitate communication, socialization, active movement and play. It can significantly increase a child’s ability to participate during treatment by easing anxiety and make tasks more motivating.

Physical Therapy

Our team of physical therapists specialize in providing one-on-one care with developmental, neuromuscular and orthopedic conditions. We specialize in movement and gross motor development such as crawling, walking, running and ball skills. Our therapists are play-based to help increase strength, balance, coordination and motor skills.

Our Physical therapists are trained in the following areas:

  • Wheelchair assessments
  • Selecting assistive devices such as walkers, standers, adaptive seating
  • Orthotic recommendation and management
  • We have an on-site helmet clinic with partnership with Innovative Prosthetics and Orthotics
  • Developmental delays
  • General strengthening
  • Torticollis and plagiocephaly
  • General Orthopedic/Sport injuries
  • Toe walking and other gait disturbances
  • Balance and coordination difficulties
  • Hyper/Hypotonia
  • Vestibular rehab
  • Various genetic syndromes (Down Syndrome, Muscular Dystrophy)
  • Cerebral Palsy
  • Brain Trauma/Injuries
  • Autism Spectrum Disorders
  • Spina Bifida and Spinal Cord Injuries
  • & Much More!


We offer specialized treatment program

  • We offer Cortical Visual Impairment (CVI) assessments, therapy and training. Our therapists have additional training and endorsements to provide the CVI Range, Irlen overlays and vision therapy.

*We are so proud to offer the CVI  assessments as our Occupational Therapist, Michelle Westengaard, is the only person within five states certified in this specialty!

  • We have three Child Passenger Safety Technicians on staff that have additional Special Needs Training. Based on the needs of the community, our therapists provide evidence-based programs such as, one-on-one personalized instruction on how to properly install car seats, car-seat checkups, and Day Care Transportation Training.

*One of our Physical Therapists, Amanda Herlein, has even more training qualifications than the typical requirements.

  • Our therapists have specialized training in Neuro-Developmental Treatment (NDT). This is widely used to treat neurological involvement such as Cerebral Palsy and stroke by inhibiting abnormal movements and promoting normal ones by using key points of motion.

Occupational Therapy

Our occupational therapy program looks to evaluate the performance skills of children and help them decrease the fine and gross motor, sensory, processing and cognitive skills that are necessary for activities of daily living. Our sessions are play based and child centered.

Occupational therapy gives people the skills for the job of living necessary for living life to the fullest.

Our Occupational therapists are trained in the following areas:

  • Self Help Skills
  • General Strengthening
  • Developmental Delays
  • Balance and Coordination
  • Reflex Integration Therapy Vision Therapy
  • Balametrics/ Bal-A-Vis-Ex
  • Brain Gym
  • How Does Your Engine Run?
  • Orthotics and Splints
  • Feeding Therapy
  • Adaptive Equipment
  • Bilateral Coordination
  • Interactive Metronome
  • Handwriting Without Tears
  • Sensory Integration Treatment
  • Brain Trauma/Injuries
  • Autism Spectrum Disorders
  • Cerebral Palsy
  • Spina Bifida and Spinal Cord Injuries
  • Vision Therapy
  • Hyper/hypotonia
  • Vestibular rehab


  • Our clinic offers a Litegait for body weight support treadmill training:
  • Fine motor/Gross Motor Delays
  • Autism- get rid of Aspergers NOS
  • Sports Injuries


Speech Therapy

At Tree Top Therapy, our speech language pathologists work with patients and families to provide individualized treatment and assessment for an array of disorders including speech, language, social communication and much more.

Our Speech therapists are trained in the following areas:

  • Apraxia
  • Alternative and Augmentative Communication (AAC)
  • Articulation errors
  • Autism Spectrum Disorders
  • Brain Trauma/Injuries
  • Cognitive communication
  • Early intervention
  • Expressive Language
  • Parent and caregiver training
  • Phonological Awareness
  • Phonological disorders
  • Play development
  • Reading Comprehension
  • Receptive language
  • Social skills
  • Spina Bifida and Spinal Cord Injuries
  • Stuttering and Disfluency
  • Tongue Thrust
  • Voice and resonance

Our Staff

(Back row/upper level, pictured left to right)

Nicky Holtam: Physical Therapist Assistant

Nicky grew up in Neligh Nebraska and then moved to Illinois. She went to the University of Nebraska at Omaha and the Methodist College. She went into Physical Therapy because it is the only form of medicine where you use your body’s own tissue to heal itself. Her favorite part of her day is celebrating the successes of every session, in every day with her patients and families. It doesn’t get any better than to be a part of watching a parent see their baby roll over, sit, or crawl for the first time, especially when they’ve worked so hard to get to that point. In her spare time she enjoys being active in her three boys’ events, reading, shopping and traveling- especially to warmer climates! Nicky’s quote she lives by is, “Celebrate the small things in life because to some those small things are huge accomplishments.”

Mandi Herlein: Physical Therapist

Mandi is from Omaha, Nebraska and went to the University of Nebraska Medical Center.  She always knew she wanted to go into a career where she could help people, but it wasn’t until she watched a pediatric therapist help a delayed child from China learn to crawl. There is nothing like both the challenge and the reward of working with kids with disabilities and teaching them skills they will continue to utilize every day. Her favorite part of her day is being able to play all day and provide kids with various types of mobility they may never have experienced before. In Mandi’s spare time she enjoys running, be outside, spending time with her Visla and has her hands full being a first time parent to a baby boy. A quote she goes by is, “Life isn’t about waiting for the storm to pass.. it’s about learning to dance in the rain.”

Carrie Wilson: Physical Therapist

Carrie lived in Dunlap, IA until 2nd grade when they moved to Blair, NE.  She went to the University of Nebraska at Omaha and received her advanced degree from Rockhurst University in Kansas. She always wanted to be in the medical field so in high school she did observations with a Physical Therapist and found a love for the field. She loves that every day is a different day with different patients and loves to see the excitement on her patients face when they meet their goals. In Carrie’s spare time she loves spending time with her three children whom love sports so they do a lot of activities in baseball, basketball and soccer. She also enjoys boating, water skiing, and swimming. A quote she lives by is, “Dance like nobody’s watching, love like you’ve never been hurt, sing like nobody’s listening, live like its heaven on earth.”

Jessica Dietze: Office Manager

Jessica grew up in Council Bluffs, Iowa. She has always worked in office settings, but was looking for something more rewarding. Tree Top Therapy/Family Physical Therapy has always been near and dear to her heart after her daughter was a patient shortly after we opened the clinic. One of her favorite parts of her day is getting to know the patients and their parents. In her spare time she enjoys spending time with her two children and husband, researching topics of interest, baby-wearing, dabbling with crafts and bargain shopping. A quote she lives by is, “Every day may not be good, but there is good in every day.”

Rachel Weakland: Speech Therapist

Rachel grew up in Grand Island, NE and went to the University of Nebraska at Lincoln and got her advanced degree from the University of Nebraska at Kearney. She became interested in speech therapy when she worked as a rehab tech during high school. She loved the interactions between the therapists and children. Her favorite part of being a speech therapist is seeing how happy children are when they meet their goals. In her spare time she loves watching movies, reading, going to concerts with her family and friends. A quote she loves is, “The more that you read, the more things you will know. The more that you learn, the more places you’ll go.”

(Second row, bottom level)

Emily Webb: Speech Therapist

Emily grew up in Wilmington, IL., 60 miles south of Chicago. She got her undergraduate from Augustana College and her advanced degree from the University of Nebraska at Lincoln. She was able to observe a speech therapy session and fell in love with the idea of helping people communicate. Her favorite part of her day is that there is so much variety in the patients that she works with. There is such a large range of skills needed to be able to communicate, and she loves seeing patients connect to their world by gaining these skills. In her spare time she enjoys cooking, traveling, bike riding, reading and attending concerts. A quote she lives by is, “If you go out and make some good things happen, you will fill the world with hope, and you will fill yourself with hope.”

Alexis Neugebauer: Rehabilitation Tech

Alexis grew up in Omaha, Nebraska and went to the University of Nebraska at Omaha. She is a tech to gain out-patient experience before applying to an OT/OTA program. Her favorite part of her job is how many warm fuzzies she gets every day from working with dozens of pediatric patients. In her spare time she enjoys hot yoga/barre classes and taking her dog Bubba for a walk. A quote she lives by is, “Live simply. Love generously. Learn Constantly.”

Caroline Anderson: Occupational Therapist

Caroline is from Omaha, Nebraska  and went to school at the University of Wisconsin-Madison. She enjoys rollerblading, crochet, spending time with family and watching her parents dog Maisy. Caroline’s grandmother had a fall and broke her hip and her Occupational Therapist was Caroline’s inspiration to go into her career field. Her favorite part of being a therapist is finding a use for any toy in therapy to promote skills. 

Michelle Westengaard: Occupational Therapist

Chelli grew up in Grand Island and Red Cloud, Nebraska and went to the University of Nebraska at Kearney and got her advanced degree from the College of Saint Mary. She went into the field because she loved the flexibility and the endless possibilities with Occupational Therapy. She loves meeting so many unique and fun individuals and families. She also feels like there is always something new for her to learn and grow.  In her spare time she enjoys spending time with her family, sewing, reading and playing board games. A quote she lives by is, “You give good, you get good.”

Kaiti King: Occupational Therapist (Not pictured)

Kaiti grew up on a farm near Central City, NE and went to Creighton University. She went into her field to make this wild world an easier place to be for her patients. She wanted to be able to do the things that keep us healthy and happy, and feels some people just need a little help in learning how to do those things. Her favorite part of her day is building a relationship with her patients and their families. She loves learning about different backgrounds, interests and what makes each patient unique . In her spare time she enjoys spending time with family, being outside, live music, and great food! A quote she lives by is,  “Weeds are flowers too, once you get to know them.” –A. A. Milne

Therapy Dog- Benelli, whom is a registered therapy dog that helps Kaiti during OT sessions to motivate kids and provide emotional/behavioral support.

Mapped Location