Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optimal Form & Function, LLC

Organization Physical Therapist · NPI 1194402180

Optimal Form & Function, LLC is a Physical Therapist in Teaneck, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1029 Teaneck Rd Ste 2E
Teaneck, NJ 07666-4514
Phone: (551) 246-9340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X
Occupational Therapist Taxonomy 225X00000X
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1194402180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Formisano — Founder/Physical Therapist · (201) 817-9976
NPI enumeratedJune 30, 2023
Last updated in NPPESDecember 16, 2023
Certification dateDecember 16, 2023
Mailing address3-18 Virginia Dr Apt A, Fair Lawn, NJ 07410-4727

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