Organization Active NPI

Rooted Physio, LLC

Doing business as Rooted Physio & Performance

  • Physical Therapy Clinic/Center
  • Columbia, MD
National Provider Identifier
1184399784
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROOTED PHYSIO, LLC
Doing business as
Rooted Physio & Performance
Practice address
9175 Guilford Rd Ste 300
Columbia, MD 21046-2565
Phone
(443) 671-4116
Fax
(443) 926-0113
NPI assigned
Aug 16, 2021
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Dr. Ariel Addy, PT, DPT
Title
Owner
Phone
(443) 671-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

9175 Guilford Rd Ste 300
Columbia, MD 21046-2565

Mailing address

9175 Guilford Rd Ste 300
Columbia, MD 21046-2565
Phone (443) 671-4116

Other names 1

  • Rooted Physio & Performance Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220510000944 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921485178 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1184399784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9175 GUILFORD RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462565",
            "telephone_number": "443-671-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 GUILFORD RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462565",
            "telephone_number": "443-671-4116",
            "fax_number": "443-926-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED PHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ADDY",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-671-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "9175 Guilford Rd Ste 300",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210462565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rooted Physio & Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rooted Physio & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.