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

Rooted Physical Therapy & Performance PLLC

Organization Orthopedic Physical Therapist · NPI 1124941158

Rooted Physical Therapy & Performance PLLC is an Orthopedic Physical Therapist in Maryville, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2724 E Broadway Ave
Maryville, TN 37804-2557
Phone: (260) 570-5482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1124941158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avery Douglas — Co-Founder, Physical Therapist · (260) 570-5482
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address2724 E Broadway Ave, Maryville, TN 37804-2557

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