Rooted Physical Therapy & Performance PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ROOTED PHYSICAL THERAPY & PERFORMANCE PLLC

Practice address

2724 E Broadway Ave
Maryville, TN 37804-2557

Phone

(260) 570-5482

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Avery Douglas, DPT, PT

Title

Co-Founder, Physical Therapist

Phone

(260) 570-5482

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1124941158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042557",
            "telephone_number": "260-570-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042557",
            "telephone_number": "260-570-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED PHYSICAL THERAPY & PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "CO-FOUNDER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "260-570-5482",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Rogers, LADAC II
• Allan M. Romans, M.D.
• Charles Aaron Romans, D.O.
• Heather Romans, FNP-C
• Paul D Rook, MS, CCC
• Jessica Rop, FNP
• Bethanie Lashea Rose, PTA
• Brenton Rosen, FNP-BC
• Ellen Marie Rossano
• Bethany Roth

• Orthopedic Physical Therapist in Maryville, TN
• Providers in Maryville, TN by specialty
• Orthopedic Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.