Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Richard Alan Fruitman, MPT

Individual provider Physical Therapist · NPI 1710991674

Mr. Richard Alan Fruitman, MPT is a Physical Therapist in Private Practice in Canton, Michigan. Qualified in 1999, 27 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

42955 Ford Rd
Canton, MI 48187-3308
Phone: (734) 981-2100
Fax: (734) 981-2622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501010181 (MI)

Record details

NPI number1710991674
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJune 25, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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