Individual provider Active NPI

Jena Roeber, OTR/L, PHS, CLC

  • Occupational Therapist
  • Gretna, NE
National Provider Identifier
1063328557
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2203 Issued in NE
Practice address
11015 S 218TH St
Gretna, NE 68028-5121
Phone
(402) 440-0613
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2203 NE Primary

Addresses

Primary practice location

11015 S 218TH St
Gretna, NE 68028-5121

Mailing address

11015 S 218TH St
Gretna, NE 68028-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1063328557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 S 218TH ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680285121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 S 218TH ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680285121",
            "telephone_number": "402-440-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBER",
        "first_name": "JENA",
        "credential": "OTR/L, PHS, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.