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

Organization Occupational Therapist · NPI 1790592517

Optimal Form & Function, LLC is an Occupational Therapist in Teaneck, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
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: (201) 887-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1790592517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Formisano — Owner · (201) 887-2409
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 15, 2024
Mailing address3-18 Virginia Dr, Fair Lawn, NJ 07410-4727

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