Organization Active NPI

Rooted Pelvic Health Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Madison, WI
National Provider Identifier
1083568224
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Michelle Shively, PT, DPTNPI 1487145553
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.