Maddie Tight-Alfiero, DPT, OCS
I grew up in Marin, where an active lifestyle was woven into everyday life. Time on the trails, on the field, and in the outdoors shaped how I think about movement, health, and longevity. It also shaped the foundation of my practice: helping people move well, perform optimally, and continue doing what they love through every decade.
I earned my Doctorate in Physical Therapy from the University of Montana, where I trained under world-renowned tendon and bone-health researcher Dr. Rich Willy. Learning from him kickstarted my passion for treating running-related injuries, and instilled the importance of bone and tendon health across the lifespan. To elevate my exercise prescription, I became a Certified Strength and Conditioning Specialist (CSCS) during my doctoral studies, and later earned my Board-Certified Orthopedic Clinical Specialist (OCS) designation—an advanced credential held by fewer than 10% of physical therapists nationwide.
As a former dual-sport athlete at Colby College, where I competed in soccer and mid-distance track, I know firsthand the discipline, identity, and joy that comes with being active. After college, I returned to Marin and immersed myself in the activities that still define me today: trail running, gravel biking, skiing, yoga, soccer, strength training, and of course skiing (downhill, backcountry, and cross-country) in Tahoe. Those experiences allow me to connect deeply with the clients I serve, from ambitious high school athletes, to weekend warriors, to active adults who take a proactive, intentional approach to their health.
At Panoramic Physio, I offer a highly individualized, fitness-forward approach to physical therapy. I believe exceptional care should be personal, precise, and rooted in both evidence and experience. I aim to treat you the way I would want any of my family members treated; my goal is not simply to treat pain and restore baseline function, but to help you build resilience, and optimize the way your body performs in both sport and in life.