Fitaal

What Fitaal does

Fitaal is a private physiotherapy and rehabilitation group headquartered in Drachten, Netherlands, operating as the Friesland regional brand of parent FGN (Fysiotherapie Groep Nederland). The group runs four main clinical locations (Drachten, Heerenveen, Joure, Leeuwarden) with multiple sub-branches, plus the affiliated Fysio-Actief network in Joure, Bolsward, and Sneek, collectively covering seven towns. It employs 51-100 staff and is led by practice owner Gerard Broekema and operational management including Ineke Dikkerboom (Operationeel Manager), Mirjam Harmsma (Praktijkmanager Joure), and Monique Heidstra (Financieel Manager).

The clinical offering spans nearly all physiotherapy subspecialties — manual therapy, sports, pediatric, geriatric, oncology, psychosomatic, lymphedema, hand/wrist, pelvic floor (including a dedicated Bekken en Bekkenbodem Zorgcentrum in Leeuwarden), COPD, claudicatio, Parkinson's, BPPD vertigo, and rehabilitation (knee, shoulder, cardiac, COVID-19, post-operative, sports, field, hydrotherapy) — delivered with therapeutic technologies including shockwave (ESWT), musculoskeletal ultrasound, dry needling, EPTE, INDIBA radiofrequency, Redcord suspension therapy, Biodex isokinetic dynamometry, ISKRA functional magnetic chair, medical taping, TENS, flywheel training, and the FOI and ReAttach methods. A parallel Fit & Gezond wellness program offers supervised fitness, Bootcamp, Yin Yoga, MamaFit, ZwangerFit, ZilverFit, prehabilitatie ('Fit for surgery'), GLI lifestyle intervention, Fitkids, and cognitieve fitness.

Revenue is generated primarily per treatment session under the NZa-regulated tariff system, with reimbursement flowing through contracted agreements with Dutch health insurers and patient out-of-pocket payments where supplemental coverage is absent. The go-to-market is direct-to-consumer: patients self-book via the MijnZorgtoegang online portal, by phone (central number 088-240 1000), or via GP/specialist referrals, with home-based physiotherapy extending service to mobility-limited patients. Marketing relies on the fitaal.nl website, Zorgkaart Nederland reviews (9.2/10 average), local newsletters, the Binnenskamers podcast, and community partnerships. The group is a privately held roll-up, formed by integrating TIGRA Fysiotherapie, Fysiotherapiepraktijk De Merk, Kalkdijk, and Fysio-Actief under the Fitaal brand, with no external funding rounds disclosed.

Name

Fitaal

Legal name

Fitaal

Website

https://fitaal.nl

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

51–100 employees

Short description

Fitaal is a private Dutch physiotherapy and rehabilitation group operating four main clinics plus affiliated Fysio-Actief sites across seven towns in Friesland (Drachten, Heerenveen, Joure, Leeuwarden, Bolsward, Sneek), offering the full range of physiotherapy subspecialties, integrated wellness programs, and specialty rehabilitation technologies to regional patients under NZa-regulated tariffs.

Ownership category

akta.pro rank

Headquarters

HQ city

Drachten

HQ country

Netherlands

HQ region

Europe

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Physiotherapy Treatment Sessions: Revenue generated from individual and recurring physiotherapy treatment sessions billed per appointment. In the Dutch healthcare system, basic health insurance (basisverzekering) covers a defined number of physiotherapy sessions for chronic conditions from the first session; for non-chronic conditions, the first ~9-20 sessions may be covered after the deductible. Patients may have out-of-pocket costs depending on their insurance plan. Fitaal operates as a contracted provider with Dutch health insurers.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Fitaal is a multi-location physiotherapy and rehabilitation practice in Friesland, Netherlands, delivering examination, treatment, and rehabilitation services for musculoskeletal, sports, pediatric, geriatric, pelvic floor, oncological, neurological, and chronic condition patients. Services combine manual therapy, exercise-based rehabilitation, and specialized therapeutic technologies (shockwave, ultrasonography, EPTE, INDIBA, Redcord, Biodex) with an integrated Fit & Gezond wellness and fitness program creating a continuum from clinical care to long-term health maintenance.

Product overview

Fitaal is a physiotherapy practice network operating across the Friesland region of the Netherlands, with locations in Drachten, Heerenveen, Joure, and Leeuwarden. The organization offers a comprehensive physiotherapy service with multiple specializations including pelvic physiotherapy, manual therapy, sports physiotherapy, pediatric physiotherapy, shoulder physiotherapy, psychosomatic physiotherapy, and geriatric care. Treatment services encompass various modalities such as shockwave therapy, ultrasound imaging, dry needling, EPTE, INDIBA, medical taping, TENS therapy, and Redcord suspension therapy. Additionally, Fitaal provides rehabilitation programs for post-surgical, cardiac, COVID-19, and sports injury recovery, as well as fitness and wellness programs including group classes and condition-specific exercise regimes. The organization distinguishes itself through specialized expertise and collaborations with other specialists to develop individualized treatment plans.

Differentiator

Problem solved

Functional benefit

Products and services

• Fysiotherapie (General Physiotherapy) Core general physiotherapy service across all Fitaal locations, providing examination, treatment, and rehabilitation for injuries, musculoskeletal conditions, and movement disorders for individual patients.
• Bekkenfysiotherapie (Pelvic Floor Physiotherapy) Specialized treatment for pelvic floor dysfunction, urinary/fecal incontinence, pelvic pain, pregnancy-related pelvic complaints, and prolapse, delivered via the integrated Bekken en Bekkenbodem Zorgcentrum at the Leeuwarden location.
• Manuele Therapie (Manual Therapy) Joint mobilization and manipulation techniques ('kraken') to improve joint movement and reduce pain for patients with musculoskeletal complaints.
• Sportfysiotherapie (Sports Physiotherapy) Specialized physiotherapy for sports injuries and rehabilitation, with expertise in sport-specific conditions and return-to-sport protocols for athletes and sports participants.
• Kinderfysiotherapie (Pediatric Physiotherapy) Physiotherapy services for children from 0 to 18 years, focusing on motor development, sensory integration, neurological conditions, and growth-related movement issues.
• Schouderfysiotherapie (Shoulder Physiotherapy) Specialized treatment for shoulder complaints including frozen shoulder, rotator cuff issues, and post-surgical shoulder rehabilitation, supported by participation in Schoudernet Friesland and Schoudernet Noord.
• Psychosomatische Fysiotherapie (Psychosomatic Physiotherapy) Treatment for unexplained pain, fatigue, stress, and tension complaints, focused on the balance between body and mind for patients with stress-related physical symptoms.
• Hand- en Polstherapie (Hand and Wrist Therapy) Specialized treatment for hand, wrist, and forearm complaints to help patients regain smooth, strong, and pain-free hand function, including post-surgical hand rehabilitation.
• Shockwave Therapie (ESWT) Extracorporeal shock wave therapy treatment that delivers shock wave impulses to injured tissue to stimulate healing, used for tendon and musculoskeletal conditions.
• EPTE (Echogeleide Percutane Tendon Elektrolyse) Echoguided percutaneous electrolysis treatment for tendon injuries, combining ultrasound imaging with electrical stimulation to treat chronic tendon pathology.
• INDIBA Therapie Radiofrequency therapy treatment offered at Fitaal locations for various musculoskeletal conditions, using INDIBA equipment.
• Redcord Neurac Behandeling Suspension exercise therapy using the Redcord system for neuromuscular activation, core stabilization, and functional rehabilitation.
• Revalidatie (Rehabilitation) Post-surgical, cardiac, COVID-19, knee, shoulder, and sports injury rehabilitation programs delivered by Fitaal physiotherapists across its locations.
• Fit & Gezond (Fitness and Wellness Programs) Supervised fitness training and group classes including Bootcamp, Yin Yoga, ZwangerFit, ZilverFit, MamaFit, Cognitieve Fitness, sports-specific strength training, GLI lifestyle intervention, and Fitkids across Fitaal locations.
• Geriatrie / Ouderenzorg (Geriatric Care) Physiotherapy specialized for elderly patients, including fall prevention (valpreventie), osteoarthritis management, dementia care support, and post-hospitalization mobility recovery.
• Oncologische Fysiotherapie (Oncological Physiotherapy) Specialized physiotherapy support for cancer patients during and after oncology treatment, delivered by Onconet-certified Fitaal therapists.
• Oedeemfysiotherapie (Lymphedema Therapy) Treatment for lymphedema and swelling disorders using specialized manual drainage techniques and therapy approaches.
• COPD Behandeling Physiotherapy for chronic obstructive pulmonary disease patients to improve breathing capacity, exercise tolerance, and physical condition, delivered by Chronisch Zorgnet-registered therapists.
• Claudicatio Intermittens (Supervised Walking Therapy) Supervised walking therapy for patients with peripheral arterial disease to improve walking distance and reduce ischemic leg pain.
• Parkinson Behandeling Specialized physiotherapy for Parkinson's disease patients to maintain mobility, balance, and functional capacity, delivered by a Parkinsonnet-registered therapist.
• BPPD (Vertigo) Behandeling Treatment for Benign Paroxysmal Positional Vertigo (BPPD) using repositioning maneuvers to resolve positional vertigo symptoms.
• Fysiotherapie aan Huis (Home-Based Physiotherapy) Physiotherapy services delivered at the patient's home for elderly, post-surgical, or mobility-limited patients unable to travel to clinic locations.

Quantifiable outcome

• Average patient satisfaction rating of 9.2 out of 10 based on Qualiview and Zorgkaart Nederland reviews

Named customers1 record

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Fysio-ActiefcoreOthersFysio-Actief, with locations in Joure, Bolsward, and Sneek, is part of the Fitaal organization (under the FGN — Fysiotherapie Groep Nederland umbrella). This extends Fitaal's geographic footprint to 7 towns across Friesland, creating a comprehensive regional network.
• Bekken en Bekkenbodem ZorgcentrumcoreStrategic or Co-development PartnerThe Bekken en Bekkenbodem Zorgcentrum (Pelvic and Pelvic Floor Healthcare Center) operates within the Fitaal Leeuwarden location at Tijsmaweg and Birdaarderstraatweg. This specialized center focuses on pelvic floor physiotherapy, pediatric pelvic floor therapy, and related conditions, operating as an integrated specialty within Fitaal's network.
• Chronisch ZorgnetcoreStrategic or Co-development PartnerFitaal therapists participate in the Chronisch Zorgnet network, which specializes in physiotherapy for chronic conditions including COPD, claudication (etalagebenen), osteoarthritis (GLA:D), and diabetes-related complications. Multiple Fitaal therapists (Kim Munsterman, Kirsten Wagena, Xander Broos, Kevin Hommes, Claudine Taconis) are registered Chronisch Zorgnet practitioners.
• Schoudernet Friesland & Schoudernet NoordminorStrategic or Co-development PartnerSeveral Fitaal therapists (Jillis van der Voort, Dick van der Velde in Friesland; Frank Peters, Leon van den Hoven in Noord) are members of shoulder specialist networks (Schoudernet Friesland and Schoudernet Noord), which coordinate care protocols with orthopaedic specialists for shoulder conditions.
• OnconetminorStrategic or Co-development PartnerFitaal therapists Anita Verdegaal and Dorothea Dijkstra are Onconet-certified oncology physiotherapists, part of a national network for cancer rehabilitation. This enables Fitaal to offer specialized oncological physiotherapy within its regional network.
• HoofdpijnnetwerkminorStrategic or Co-development PartnerTherapist Susanne Govers is affiliated with the Hoofdpijnnetwerk (Headache Network), enabling specialized treatment of headache disorders including cervicogenic headache through a coordinated care approach.
• ParkinsonnetminorStrategic or Co-development PartnerTherapist Xander Broos is registered with the Parkinsonnet, a specialized network for physiotherapy treatment of Parkinson's disease patients, enabling evidence-based neurological rehabilitation.
• Stichting Maatklas HeerenveenminorOthersInge van Santen, a pediatric physiotherapist at Fitaal Heerenveen, is involved with Stichting Maatklas Heerenveen, a community initiative supporting children's development and education.
• Taaltrein LeeuwardenminorOthersInge van Santen is also involved with the Taaltrein Leeuwarden, a community initiative supporting language and literacy development for children in Leeuwarden.

Scale indicators1 record

Recent moves11 records

Expansion highlights6 records

Broad incumbents

• ATI Physical Therapy: ATI is a large US-based multi-location outpatient physical therapy provider offering orthopedic, sports, and rehabilitation services. Comparable to Fitaal in scale, specialization breadth, and multi-site clinical operating model, though at significantly larger scale.
• U.S. Physical Therapy: USPH operates a large network of outpatient physical therapy clinics across the US. Comparable to Fitaal as a roll-up acquirer of regional physiotherapy practices with a hub-and-spoke specialty model and contracted-payer reimbursement structure.
• FGN (Fysiotherapie Groep Nederland): FGN is the parent organization of Fitaal and Fysio-Actief, operating as a strategic roll-up platform for Dutch physiotherapy practices. Comparable to Fitaal as the umbrella group managing multi-region practice consolidation across the Netherlands.
• Covalent Health: Covalent Health is a US-based diversified provider of post-acute and outpatient rehabilitation services. Comparable to Fitaal in offering a continuum from post-acute rehabilitation through wellness, though at significantly broader scale and geographic reach.

Direct peers

• TopFysio: TopFysio is a Dutch physiotherapy group with multiple regional practices offering a similar mix of clinical physiotherapy and wellness services. Comparable to Fitaal in its multi-site, multi-specialty approach and reliance on Dutch health insurer contracts.
• FysioHolland: FysioHolland is one of the largest physiotherapy chains in the Netherlands with multiple regional locations and similar multi-specialty coverage. It is the closest direct peer to Fitaal in terms of multi-location Dutch physiotherapy services and operates under a comparable contracted-care model.
• PMC Fysiotherapie: PMC is a Dutch physiotherapy network offering outpatient physiotherapy, sports physiotherapy, and rehabilitation across multiple locations. Comparable to Fitaal as a multi-site Dutch physiotherapy provider with similar patient segments and NZa-regulated reimbursement model.
• Fysio-Actief: Fysio-Actief operates locations in Joure, Bolsward, and Sneek and is part of the Fitaal group under FGN. As a sibling brand within the same parent organization, it represents the closest organizational peer with overlapping Friesland market coverage.

Emerging players

• FYZICAL Therapy & Balance Centers: FYZICAL is a US-based franchise network of physical therapy practices with similar specialization breadth including balance, vestibular, and orthopedic therapy. Comparable to Fitaal in its specialty-stacked, multi-location outpatient physical therapy model and franchise/roll-up growth approach.

Regional players

• Basic-Fit: Basic-Fit is the largest low-cost fitness chain in Europe with significant Dutch presence. Comparable to Fitaal's Fit & Gezond wellness/fitness business line, though Basic-Fit operates at vastly larger scale in a different price tier and without clinical rehab integration.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/fitaaldrachten
• Facebookfacebook.com/fitaalleeuwarden
• LinkedInlinkedin.com/company/fitaal-fysiotherapie

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Fitaal