Maddie Tight-Alfiero earned her Doctorate in Physical Therapy (DPT) from the University of Montana. While there, she became certified as a Strength and Conditioning Specialist (CSCS). She brings a deep well of knowledge and experience to her practice by further refining her expertise and becoming an Orthopedic Certified Specialist (OCS) in 2022. Maddie’s personal journey has shaped her approach to helping others achieve their goals. During her undergraduate years she was a dual sport athlete, playing soccer and running mid-distance track for Colby College. She was captain for Colby’s soccer team, and received numerous accolades during her four years there. After Colby, she moved back to the Bay Area and embraced ultra running in the hills and trails where she grew up in Marin County, and continues to enjoy gravel biking, downhill skiing, weight lifting, and running. She aims to translate her learned experiences to optimize both performance and healthspan within the community. 

Maddie has a special interest in working with runners, with a goal of building resilience through a balanced approach that emphasizes strength, recovery, and speed. While working at Agile Physical Therapy, she was the Director of the Running Assessment program, and a part of Agile’s running team who worked to disseminate the latest literature so patients could be certain they were getting up to date care.

Maddie is committed to educating and empowering athletes. She has teamed up with Stanford’s FASTR (Female athlete Science and Translational Research) program, as well as Montana Running Lab, to give talks to the community regarding the importance of strength training for the high school runner. She has worked with NCAA and Olympic-level athletes and knows firsthand how important movement is—not just for performance but for longevity and joy in life.

Whether you're an outdoor enthusiast, a professional athlete, or someone striving to stay active, Maddie provides evidence-based, individualized care tailored to your unique needs.