MR. RICHARD ALAN FRUITMAN (MPT) – Physical Therapist, NPI 1710991674

MR. RICHARD ALAN FRUITMAN (MPT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 5501010181 (MI). The NPI Number for MR. RICHARD ALAN FRUITMAN (MPT) is 1710991674

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD ALAN FRUITMAN (MPT)
NPI
1710991674
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
28 July 2006
Last Update Date
25 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486857272
Graduation Year
1999 (27 years ago)
PAC ID
5193960896
Group Practice PAC ID
6901165893
Professional Enrollment ID
I20130401000080
Address ID
MI483812758MI135XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MR. RICHARD ALAN FRUITMAN (MPT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • Ford Road, Canton, Wayne County, Michigan, 48185:48187, United States

    CANTON, MI 481873308

    Phone: (734) 981-2100

    Fax: (734) 981-2622

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130401000080IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40042$0
97140Therapy procedure using manual technique, each 15 minutes40033$0
97530Therapy procedure using functional activities33339$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16928$0
97162Evaluation for physical therapy, typically 30 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901165893View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What identifier follows MR. RICHARD ALAN FRUITMAN (MPT) across health systems?
The NPI 1710991674 uniquely identifies MR. RICHARD ALAN FRUITMAN (MPT) in U.S. healthcare data.
Is MR. RICHARD ALAN FRUITMAN (MPT)'s NPI status active today?
Active status means MR. RICHARD ALAN FRUITMAN (MPT)'s NPI record is not deactivated in the public file.
What does the directory say MR. RICHARD ALAN FRUITMAN (MPT) does?
Insurance directories may phrase it differently, but here MR. RICHARD ALAN FRUITMAN (MPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. RICHARD ALAN FRUITMAN (MPT)?
The directory associates MR. RICHARD ALAN FRUITMAN (MPT) with Bolingbrook, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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