Optimal Function

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OPTIMAL FUNCTION

Doing business as

Optimal Function Physical Therapy and Wellness

Practice address

120 1St St S
Buffalo, MN 55313-1402

Phone

(612) 756-9757

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Mariel NovacekNPI 1124471875

Title

Owner

Phone

(612) 702-1542

Specialties & licenses 1

Addresses

Other names 1

• Optimal Function Physical Therapy and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariel Novacek

  • Physical Therapist
  • Buffalo, MN
  • NPI 1124471875
  NPD Authorized official

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1881208981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 PULASKI RD",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132228",
            "telephone_number": "612-756-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST ST S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131402",
            "telephone_number": "612-756-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL FUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "NOVACEK",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-702-1542"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Function Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Olson, RD, LD
• Mark Dale Olson, DC
• Ryan Jay Olson, D.C.
• Rachal A Omana
• Tecla Ondieki
• Laura Ann Orrock, APRN, CNM
• Margaret Ann Packard, R.PH
• Paden Enterprises LLC, Dba (Eye Care Center of Buffalo)
• Joleen Nanette Palm
• Park Terrace Assisted Living, Inc. (Park View Assisted Living)

• Physical Medicine & Rehabilitation Physician in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.