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.

Get Started. Book your session today for a better tomorrow.