Meet Our Team
Who we are and why we love helping you
Dr. Hoover is a Wisconsin native practicing since May 2012
Why did you want to be a physical therapist?
After sustaining a fracture of my low back when I was 16 years old when snowboarding, I personally learned the great benefits of physical therapy. My back injury motivated me at a young age to pursue my dream of helping patients regain their function and decrease their pain to participate in what they enjoy.
EDUCATION
Undergraduate: UW-La Crosse in Exercise Sports Science
Graduate: Doctorate in Physical Therapy at UW- Madison
Residency: UW Hospitals and Clinics and UnityPoint Health – Meriter Orthopedic Physical Therapy Residency
CERTIFICATIONS
- Orthopedic Clinical Specialist
- Trigger Point dry needling
- APTA Credentialed Clinical Instructor
- American Heart Association CPR and AED Certified (this is true for all clinicians)
What can the patient expect when they have you as a doctor?
“My patients can expect a detail-oriented, caring approach to their care. I take great pride in understanding what my patient is having trouble completing and work with them to meet personalized goals. I value education, manual therapy and exercise. I feel that if a patient can understand and learn the reason for their pain or dysfunction, they will be successful in changing it.”
What is the most important factor in a doctor-patient relationship and why?
Communication. Clinicians need to understand what a patient is going through to be able to help them most effectively. Sound communication allows for empathy, appropriate intervention, education and ultimately goal attainment.
GOING ABOVE AND BEYOND
- American Physical Therapy Association Member
- American Physical Therapy Association - Wisconsin Chapter - Member
- Southwest District Committee Member
- AAOMPT Member
FREE TIME: Dr. Hoover is a devoted husband and father to his son, Edwin. His physical activities: Golfing, hunting, softball, biking and chasing after his rescue dog, Redbone Coonhound, Harley.
PATIENT INSIGHTS:

Tiffany grew up in Winona, MN and made her way to Wisconsin to start her professional education. Her love of learning continues as she is the Director of our Aquatic Therapy program.
Why did you want to be a physical therapist assistant?
I fell in love with learning about the body in a Human Anatomy class in high school. While participating in many sports, I enjoyed learning why we move the way we do and how to correct improper movements in the body.
EDUCATION
Undergraduate - Bachelor’s degree in Exercise Science from Carroll University
Physical Therapist Assistant – Herzing University
CERTIFICATIONS
Aquatic Therapy
Ballroom Basics for Balance Instructor
Areas of special interest:
- Post-op
- Geriatrics
- Knee rehabilitation
- Balance and Falls Prevention/recovery
What can the patient expect when they have you as a therapist?
A personalized one-on-one treatment plan where you not only learn why you are in pain but more about yourself as an individual. Listening to the patient and clearly communicating a plan has made a huge impact on results. You should feel comfortable working on the plan and working with me. Trusting your therapist is imperative as well as making the process fun instead of work.
What is the most important factor in a therapist-patient relationship and why?
Communication! Being open and honest with each other is important in meeting 100% of your goals.
GOING ABOVE AND BEYOND
- Memberships APTA, Wisconsin chapter, and Aquatics section
- Volunteer Relay for Life, Parkinson’s class at the YMCA
STAYING FIT: Volleyball and hiking.
FUN TIME: Reading suspense novels while curled up with her cat Milo.
Favorite treatment and Why?
Total knee replacements. We reteach you how to correctly return to walking, challenge your balance, and encourage you on those tough first weeks after surgery.
PATIENT INSIGHTS:
“Tiffany and Optimal helped me move around again without pain. Tiffany was very knowledgeable.” - Bill Blaska
“The staff here are amazing. They are professional, knowledgeable, and encouraging every step of the way. After thoroughly assessing my individual needs, a therapy plan was developed that supported strengthening and returning me to my optimal health. The collaboration is throughout the entire recovery process with constant feedback and communication. They listen, encourage, support, and work with you every step of the way. Another great option that you don't find everywhere is the exercise pool. It's another level of therapy that isn't offered everywhere and it's so wonderful.
I started therapy before my surgery. Dr. Nate and Tiffany helped with strengthening and prepared me for what to expect after my surgery. I am thoroughly convinced that I am walking better because of the therapy plan that Dr. Nate and Tiffany worked with me on both before and after my surgery.
I can't recommend Optimal Physical Therapy enough. I am thankful that I found them and can't imagine going anywhere else!” - Vicki Fitzsimmons
Mara grew up in central Wisconsin, moved to Madison to attend college in 2011. Mara joined Optimal in 2021 and provides physical therapy treatment at The Ranch in Marshall under Optimal Physical Therapy. She also operates a gym in Marshall called The Ranch Training Center with her boyfriend Max.
Why did you want to be a physical therapist assistant?
In high school, I realized from my anatomy & physiology class that I was fascinated by the human body. I researched potential majors and landed on studying Kinesiology in college. I was offered many unique opportunities working with different populations of people throughout the next few years, such as in-home caregiving, volunteering with UW-Madison’s Adapted Fitness program, becoming a personal trainer, and leading multiple programs for MSCR’s Adapted Recreational Department. From these experiences, I knew I wanted to continue working with people in a healthcare setting and was most interested in the profession of physical therapy. I decided to become a PTA because it was more cost-effective for me and I was able to stay in the Madison area, where I had been building invaluable relationships for the past several years.
Why Marshall?
Marshall is a community that has been lacking in both fitness and physical therapy resources. The Ranch had already established many connections in the neighboring town of Waterloo, so we decided to expand our small personal training studio into a fully operating gym in late 2020. We knew we could offer more services with the size of our new facility, so we reached out to Optimal about expanding its physical therapy services through our gym in Marshall.
EDUCATION
- Bachelor’s degree in Kinesiology from UW-Madison
- Physical Therapist Assistant Associate’s degree from Madison College
CERTIFICATIONS
- Barbell Rehab Method Certification
- Injury Prevention Specialist Certification
- American Heart Association Heartsaver CPR/AED Certification
Areas of special interest:
Barbell strength training, manual therapy, orthopedics, injury prevention
What can the patient expect when they have you as a therapist?
Listening to my patients because there is often much more to the puzzle underneath the surface. Being stubborn, solutions for your physical limitations can be found in many ways.
What is the most important factor in a therapist-patient relationship and why?
Trust. If you can’t trust your provider with your health, you’re not getting the care you deserve.
GOING ABOVE AND BEYOND
- Associations: Marshall Area Business Association and the Lake Mills Chamber of Commerce.
- Memberships: American Physical Therapy Association—Wisconsin
- Volunteer: Assistant coach for The Ranch Training Center’s Powerlifting team
STAYING FIT: I enjoy lifting weights, biking, and hiking.
FUN TIME: Exploring new restaurants, traveling, and spending time with my malamute, Arya.
Favorite treatment and Why?
I love incorporating manual therapy techniques into my practice, particularly soft-tissue mobilization (massage). The human touch is so important for both its physical and emotional benefits, such as establishing trust with a person.
PATIENT INSIGHTS
"Mara is not only my PTA with Optimal, but also my (Personal) Trainer at the Ranch Training Center, helping me to overcome some physical issues through treatment and strength. She has the ability and techniques to not only address the aches and pains that come with life, but also continue to build my strength and agility to be able to help me see my personal health goals become a reality. Her understanding of how the body works is amazing. I ask a lot of questions and she has great answers. She listens, she cares, and she strives to make me strong and healthy.” - Lynn P.
"Optimal Physical Therapy helped me by correcting a bicep issue that was holding back my strength gains, Mara is the best!!" - Patrick Edge
“When I decided to have my knee replacement, I knew I would have a ton of PT appointments. My insurance allowed me choices where I was able to go for therapy. I chose Optimal PT because of its location. From the first appointment, I felt heard, valued and respected. The pain was incredibly intense in the beginning and Dr. Nate devised an exercise routine that allowed for recovery with respect to my pain. He pushed me gently to respect my body and still meet my own goals. As I work with Mara PTA at The Ranch in Marshall now, she is continuing to build on what Dr. Nate started. She has continued to encourage me as I recover. I would highly recommend going to Optimal PT for post-op recovery!” - Rebecca Milam
Greg is a Physical Therapist Assistant that moved here from Marshfield Wisconsin and is a former personal trainer, strength and conditioning coach, current powerlifting coach and competitor who received his associate degree from Bryant and Stratton College for Physical Therapist Assistant.
Why did you want to be a physical therapist assistant?
I have been a personal trainer, coach and competitor for years. In this journey, I found a respect for how the body moves and why we hurt. Being in personal training and coaching I was able to get people to do things they never thought possible, as a PTA I am able to help people move and feel better in a way that not only improves how they are feeling but their overall quality of life.
EDUCATION
Undergraduate - Bachelor’s Degree in Business Marketing with a minor in communication from Carroll University
Physical therapist Assistant - associate degree from Bryant and Stratton College in Wauwatosa
CERTIFICATIONS
Certified Personal Trainer
Strength and Conditioning Coach
Areas of special interest:
Manual Therapy
Myofascial Decompression
Strength and power training
What can the patient expect when they have you as a therapist?
I am results-driven. I like most people do not like to waste their time or money. I am a solutions person in both the restorative and preventive stages of recovery. Love it when people are feeling and moving better which equals a better quality of life.
What is the most important factor in a therapist-patient relationship and why?
Optimizing results. Delivering life-changing patient outcomes while understanding patient goals is my passion.
GOING ABOVE AND BEYOND
STAYING FIT: Powerlifting, coaching, and general fitness
FUN TIME: Spending time with my wife and our dog named Tank. I also love training for powerlifting and getting my athletes ready for meets. I just picked up golf because everyone in the clinic golfs and I can’t embarrass myself.
FAVORITE TREATMENT and WHY?
I love to do myofascial deep tissue work and manual therapy interventions

Kris was raised in Beaver Dam, WI. and lives in Watertown. Her patient skills learned from Watertown Regional Medical clinic in Lake Mills and people skills as a hairdresser for 20 + years is perfect for Optimal Physical Therapy patients. She likes one-on-one interaction and making a patient’s life easier.
When can a patient expect to engage with you?
Kris makes it a goal to create a safe, positive, caring, and welcoming atmosphere for all who enter the clinic. She goes above and beyond to provide convenient schedules for the patients. She is thrilled to grow as a team member at Optimal Physical Therapy and looks forward to making a difference in the lives of all who enter our building.
What is the most important factor in patients choosing Optimal Physical Therapy?
Patient access to healthcare is so important. The people of Jefferson County can find unparalleled service and expertise in a very easy, uncomplicated way.
STAYING FIT: Walking, working out, paddling and snowshoeing.
FUN TIME: Kris has been married for 36 years to her Lakeside Lutheran high school sweetheart. Spending time with their 3 married daughters, 3 grandsons, 9-month-old English cream golden retriever "Callie".
Favorite Service at Optimal? Coming soon
“Early treatment is the key to maximizing movement, managing chronic pain and recovering from surgery and injuries.”
Dr. Jennifer Jeschke PT, DPT, CMPT, MFDc
Words from Our Patients
Your Health is Our Top Priority
Request an Appointment today and we promise to help you with every issue you may have