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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOTED PHYSICAL THERAPY & PERFORMANCE PLLC
NPI 1124941158
Physical Therapist - Orthopedic in Maryville, TN

Active since August 04, 2026
2724 E BROADWAY AVE, MARYVILLE, TN 37804(260) 570-5482 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rooted Physical Therapy & Performance Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTED PHYSICAL THERAPY & PERFORMANCE PLLC (NPI 1124941158) is a healthcare organization registered as an orthopedic in Maryville, Tennessee and active in the NPI registry since August 2026. The organization lists Avery Douglas, Co-founder, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1124941158
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameROOTED PHYSICAL THERAPY & PERFORMANCE PLLC
Location Address2724 E BROADWAY AVEMaryville, TN 37804-2557
Mailing Address2724 E Broadway AveMaryville, TN 37804-2557 · (260) 570-5482
Phone(260) 570-5482
Organization SubpartNo
Authorized OfficialAvery DouglasCo-founder, Physical Therapist · (260) 570-5482
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1124941158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2724 E BROADWAY AVE, Maryville, TN 37804
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRINITY CHIROPRACTIC, INC.
Chiropractor
2724 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 379-0505
DR. EVAN WILLIAM BUTCHER D.C.
Chiropractor
2724 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 379-0505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rooted Physical Therapy & Performance PLLC's NPI number?

The NPI number for Rooted Physical Therapy & Performance PLLC is 1124941158. It was assigned to this organization in the NPPES registry on August 4, 2026.

Where is Rooted Physical Therapy & Performance PLLC located?

Rooted Physical Therapy & Performance PLLC is located at 2724 E Broadway Ave, Maryville, TN 37804. The listed phone number is (260) 570-5482.

What is Rooted Physical Therapy & Performance PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Rooted Physical Therapy & Performance PLLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.