Active NPI
Rooted Pelvic Health Physical Therapy LLC
- Physical Therapy Clinic/Center
- Madison, WI
National Provider Identifier
1083568224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ROOTED PELVIC HEALTH PHYSICAL THERAPY LLC
- Practice address
- 159 S Fair Oaks Ave
Madison, WI 53704-5820 - Phone
- (608) 285-2599
- NPI assigned
- Feb 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Shively, PT, DPT
- Title
- Physical Therapist
- Phone
- (608) 957-9964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
159 S Fair Oaks Ave
Madison, WI 53704-5820
Mailing address
525 Clemons Ave
Madison, WI 53704-5505
Phone (608) 957-9964
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Madison, WI
- NPI 1487145553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1083568224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 CLEMONS AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537045505",
"telephone_number": "608-957-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 S FAIR OAKS AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537045820",
"telephone_number": "608-285-2599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED PELVIC HEALTH PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "SHIVELY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "608-957-9964",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.