Organization Active NPI

Fitnesstx, PLLC

  • Physical Therapist
  • Fenton, MI
National Provider Identifier
1497248207
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018409 Issued in MI
Legal business name
FITNESSTX, PLLC
Practice address
14261 Torrey Rd Ste C
Fenton, MI 48430-3329
Phone
(734) 752-9799
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alan Fredendall, DPTNPI 1326563602
Title
Co-Owner
Phone
(734) 752-9799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501018409 MI Primary

Addresses

Primary practice location

14261 Torrey Rd Ste C
Fenton, MI 48430-3329

Mailing address

14261 Torrey Rd Ste C
Fenton, MI 48430-3329
Phone (734) 752-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190404002459 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315290988 Receives reassigned benefits from 4 practitioners
Practice locations: Fenton, MI

National Provider Directory

National Provider Directory

Locations

14261 Torrey Rd
Ste C
Fenton, MI 48430
Phone (810) 354-5380

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1497248207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 TORREY RD STE C",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303329",
            "telephone_number": "734-752-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 TORREY RD STE C",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303329",
            "telephone_number": "734-752-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESSTX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "FREDENDALL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-752-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.