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.

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, strength training, and of course skiing 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.

I earned my Doctorate in Physical Therapy from the University of Montana and also became a Certified Strength and Conditioning Specialist (CSCS). In 2022, I achieved my Orthopedic Certified Specialist (OCS) designation, an advanced board certification that reflects a higher level of expertise in orthopedic care. My goal is to continue learning throughout my career in order to offer the best service possible. 

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. My goal is not simply to treat pain, but to help you build resilience, restore function, and optimize the way your body performs in sport and in life.

I created this practice for people who want a more elevated level of care. People who value attention to detail. People who want a plan built specifically for them. People who are not interested in one-size-fits-all rehab, but in a thoughtful partnership focused on long-term performance, recovery, and healthspan.

Whether you are recovering from injury, training for your next goal, or investing in the ability to stay active for decades to come, I am here to help you move forward with confidence.

Maddie’s 3 Philosophy Pillars:

~ MOVEMENT

~ EDUCATION

~ EMPOWERMENT

Maddie’s top 3 athletic achievements:

(Unofficial) female FKT ski mountaineering up Mt. Yotei in Japan (pictured above)

1st half marathon sub 1 hr 30 min

Returning to sport postpartum

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