What FysioTotaal does

FysioTotaal is a privately held physiotherapy, rehabilitation, and wellness practice headquartered in Harderwijk, Netherlands, founded in 1992/1993 and operating as part of TopzorgGroep since November 2023. The practice delivers a broad multidisciplinary portfolio spanning five interconnected pillars: (1) core physiotherapy services including general physiotherapy, manual therapy, sports physiotherapy, dry needling, musculoskeletal ultrasound (MSU), electrolysis therapy (PNE), breath and relaxation therapy, mobilizing awareness, and fascia therapy; (2) rehabilitation programs for cardiac/vascular conditions, claudicatio, hip/knee replacement, Long-COVID, back pain, rheumatism, and shoulder injuries (coordinated with St. Jansdal hospital orthopaedic specialists); (3) wellness services including psychosomatic therapy, MBSR mindfulness training, yoga (multiple forms), Qi Gong, Pilates, integrative coaching, and lifestyle coaching (Beweegkuur program); (4) sports programs including personal training, FysioFit (group training), FysioSport (independent training), and medical fitness; and (5) massage services. The practice holds PlusPraktijk certification and Keurmerk Fysiotherapie, with contracts to all Dutch health insurers, enabling direct billing for insured treatments.

The business operates a predominantly direct-to-consumer go-to-market model. Patients access services via GP or specialist referral, self-referral through online booking (Mijnzorgtoegang), or community channels including weekly injury clinics at v.v. Hierden football club. Revenue is generated through multiple streams: (a) insurance-billed physiotherapy and manual therapy sessions (€49–€66 per session; €80.50 for home visits and screening); (b) monthly sports and fitness subscriptions (FysioFit, FysioSport, Pilates, Yoga, Qi Gong) at €38–€68 per month; (c) integrative coaching (€115 per 60-minute session) and the reimbursed Beweegkuur lifestyle program; (d) MBSR training (€395 for 8-week cycle); and (e) non-reimbursed massage (€39 per 25 minutes). Technology is operational rather than proprietary: FRM for scheduling, Virtuagym for sport planning, MailChimp for newsletters, iZettle for payments, and Quali-view / Keurmerk Fysiotherapie for quality benchmarking. The practice serves a single geography (Harderwijk and surrounding region) through a primary location at Achterste Wei 2 and the adjacent De Roef Positive Health Centre (Middelste Wei 2-4), with ~20+ staff including physiotherapists, manual therapists, sport physiotherapists, sport instructors, yoga/Qi Gong teachers, MBSR trainers, administrative staff, and embedded specialists from Beweeg in Balans (Mensendieck and psychosomatic therapy).

Name

FysioTotaal

Legal name

FysioTotaal

Website

https://fysiototaal.info

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

11–50 employees

Short description

FysioTotaal is a multidisciplinary physiotherapy, rehabilitation, and wellness practice in Harderwijk, Netherlands, operating as part of TopzorgGroep since 2023. It serves individual patients via GP referrals, self-referral, and insurance billing, offering physiotherapy, sports rehabilitation, chronic disease programs, and subscription-based wellness classes.

Ownership category

akta.pro rank

Product category

Physiotherapy and Rehabilitation Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Home Health Care Services (62161)

SIC

Services-Misc Health & Allied Services, Nec (8090), Electromedical & Electrotherapeutic Apparatus (3845)

akta.pro primary industry

Orthopedic Physical Therapy & Post-Op Rehab (HSADAIAA)

akta.pro secondary industries

Neurologic Rehabilitation (Stroke, TBI, Parkinson’s, MS) (HSADAIAC), Cardiopulmonary Rehabilitation (Cardiac & Pulmonary Rehab) (HSADAIAK), Rehabilitation Return-to-Exercise Training (Non-Clinical) (HSADAAAK)

Keywords

• Physiotherapy services
• Rehabilitation programs
• Manual therapy
• Sports physiotherapy
• Wellness coaching

Headquarters

HQ city

Harderwijk

HQ country

Netherlands

HQ region

Europe

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Physiotherapy and Manual Therapy Treatments: Core revenue from individual treatment sessions. FysioTotaal directly bills health insurance companies for insured treatments. Patients with insufficient coverage pay out-of-pocket. Session types include standard physiotherapy (€49), home visit physiotherapy (€80.50), and manual therapy (€66).
2. Sports and Fitness Subscriptions: Monthly subscriptions for group sports programs including FysioFit, FysioSport, medical fitness, Pilates, Yoga, and Qi Gong. Priced at €38–€68 per month depending on frequency and program. These represent recurring monthly revenue from consumers not requiring medical treatment.
3. Integrative Coaching and Lifestyle Programs: Individual integrative coaching sessions (€115 per 60 minutes) and structured lifestyle programs such as the 2-year Beweegkuur program (covered by basic health insurance with GP referral). Also includes 8-week MBSR training (€395).
4. Massage Services: Relaxation and sports massage sessions (€39 for 25 minutes) paid out-of-pocket as not covered by health insurance.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

FysioTotaal is a multidisciplinary physiotherapy and rehabilitation practice in Harderwijk, Netherlands, operating as part of TopzorgGroep. The practice delivers physiotherapy, manual therapy, sports physiotherapy, and specialized therapies (dry needling, electrolysis/PNE, musculoskeletal ultrasound, fascial therapy) alongside structured rehabilitation programs (cardiac, post-surgical, Long-COVID, rheumatism, claudication) and wellness offerings (yoga, Pilates, Qi Gong, MBSR mindfulness, psychosomatic therapy, lifestyle coaching). Services are billed directly to all Dutch health insurers, with supplementary consumer subscriptions for group fitness and lifestyle programs.

Product overview

FysioTotaal is a physiotherapy and rehabilitation practice in Harderwijk, Netherlands, operating as part of the TopzorgGroep since 2023. The practice offers a comprehensive portfolio organized across five interconnected service pillars: (1) Core physiotherapy services including general physiotherapy, manual therapy, sports physiotherapy, and specialized treatments (Dry Needling, Ultrasound Imaging, Electrolyse Therapy PNE, Breath & Relaxation Therapy, Mobilizing Awareness, Fascia Therapy, Hand Therapy, and targeted therapies for Parkinson's, dizziness, jaw, and tailbone conditions); (2) Rehabilitation programs covering cardiac/vascular, claudicatio walking, hip/knee replacement, Long-COVID, back pain, rheumatism, and shoulder injuries plus hydrotherapy; (3) Wellness services including psychosomatic therapy, MBSR mindfulness training, Yoga (multiple forms), Qi Gong, Pilates, integrative coaching, lifestyle coaching, and the two-year Beweegkuur lifestyle program; (4) Sports programs including personal training, FysioFit (group training), FysioSport (independent training), and medical fitness; and (5) Relaxation massage and sports massage. The practice serves as a multidisciplinary health center combining conventional medicine with evidence-based complementary approaches, with a stated emphasis on the connection between body and mind.

Differentiator

Problem solved

Functional benefit

Brands

• FysioFit: Sports training in small groups under supervision of a sports instructor
• FysioSport
• Medische Fitness
• VrouwenKracht

Products and services

• Fysiotherapie (Physiotherapy) General physiotherapy treatment for pain and movement problems, including mobilization, massage, and exercise programs covering muscles, ligaments, joints, neck, shoulder, back, and hip complaints. For individual patients referred by GPs/specialists or self-referred.
• Manuele Therapie (Manual Therapy) Specialized treatment for spine and joint complaints including headaches, neck pain, back pain, and joint mobility issues, performed by specially trained manual therapists. For patients with complex joint or spinal dysfunction.
• Sportfysiotherapie (Sports Physiotherapy) Specialized physiotherapy for sport injuries including acute trauma, overuse injuries, and post-surgery rehabilitation (ACL, meniscus, ankle). Master-trained therapists provide field and indoor sport rehabilitation. For athletes from recreational to competitive levels.
• Dry Needling Treatment method using thin needles to puncture muscles, triggering a reflex that causes short contraction followed by relaxation, effective for stiff and painful muscles. For patients with myofascial trigger points.
• Echografie (Musculoskeletal Ultrasound) Musculoskeletal ultrasound used by therapists to image tendons, muscles, ligaments, bursae, bones, and joints for diagnosis and treatment evaluation in real time during movement. For patients requiring precise diagnostic imaging of musculoskeletal conditions.
• Electrolyse Therapie (PNE) Percutaneous Electrolysis (PNE) using a thin needle and small electrical current to stimulate the body's natural healing response for chronic tendon injuries, applied under ultrasound guidance. For patients with chronic tendon complaints unresponsive to standard therapy.
• Adem- en Ontspanningstherapie (Breath and Relaxation Therapy) Therapy teaching natural and relaxed breathing patterns to restore natural breathing movement, reducing physical and mental tension including hyperventilation, fatigue, and burnout. For patients with stress-related breathing dysfunction.
• Mobilizing Awareness Total therapy combining gentle movement exercises, conscious body awareness, and breathing techniques to restore natural movement patterns and improve posture, coordination, balance, and overall wellbeing. For individuals seeking body-mind integration.
• Fasciatherapie (Fascia Therapy) Therapy targeting the fascia (connective tissue) surrounding muscles, joints, bones, and organs, addressing adhesions and restoring body balance. For patients with chronic tension or connective-tissue restrictions.
• Massages (Relaxation and Sports Massage) Relaxation massage for muscle tension relief and improved circulation, and sports massage for faster post-training recovery, waste removal, and injury prevention. For individuals seeking manual muscle relief without medical necessity.
• Fysiotherapie bij Parkinson (Parkinson's Physiotherapy) Specialized Parkinson's physiotherapy covering mobility improvement, gait training, balance, fall prevention, and activities of daily living. Delivered by René Visser through the ParkinsonNet network of specialized care providers across 69 Dutch regions. For Parkinson's disease patients.
• Fysiotherapie bij Duizeligheid (Vertigo/Dizziness Physiotherapy) Physiotherapy treatment for dizziness and balance disorders using exercises effective for BPPD, vestibular migraine, Meniere's disease, and PPPD. For patients with vertigo and balance dysfunction.
• Fysiotherapie bij Kaakklachten (Jaw Complaints Physiotherapy) Treatment for jaw complaints including jaw joint issues, chewing muscle problems, and related ear pain and headaches, provided by CRAFTA-trained therapists. For patients with TMJ disorders and craniofacial pain.
• Fysiotherapie bij Stuitklachten (Tailbone Complaints Physiotherapy) Treatment for tailbone (coccyx) complaints using techniques to return the tailbone to its natural position. For patients with coccydynia, often effective within 2 sessions.
• Handtherapie (Hand Therapy) Specialized treatment for conditions of the hand, wrist, and forearm. For patients with hand and upper-limb dysfunction; service temporarily unavailable pending staffing.
• Hart en Vaat Revalidatie (Cardiac & Vascular Rehabilitation) Active exercise therapy for patients recovering from heart surgery, infarction, or those with vascular disease, improving physical resilience and daily activity capacity. For post-cardiac-event and vascular patients.
• Looptraining bij Etalagebenen (Claudication Walking Training) Specialized walking training for claudicatio intermittens patients, provided by Marjan Haverkamp within the Chronisch ZorgNet network, to stimulate formation of new blood vessels. For patients with peripheral arterial disease.
• Revalideren bij Nieuwe Knie of Heup (Hip & Knee Replacement Rehabilitation) Three-phase rehabilitation program for hip or knee replacement: pre-operative training, post-operative home/practice training (0-6 weeks), and clinic rehabilitation (6-25 weeks). For patients undergoing joint replacement surgery.
• Revalideren bij LongCOVID (Long-COVID Rehabilitation) Specialized rehabilitation for post-COVID complaints including breathlessness, reduced lung function, muscle weakness, and endurance loss, incorporating psychosomatic physiotherapy. For patients recovering from Long-COVID.
• Revalideren bij Rugklachten (Back Pain Rehabilitation) Active exercise therapy for back pain focusing on strength, flexibility, coordination, conditioning, and relaxation with individual specialist guidance. For patients with chronic or recurrent back complaints.
• Revalideren bij Reuma (Rheumatism Rehabilitation) Exercise program tailored to rheumatic complaints to increase physical capacity for daily activities, focusing on strength, flexibility, conditioning, and relaxation. For patients with rheumatism and chronic inflammatory conditions.
• Revalideren bij Schouderklachten (Shoulder Rehabilitation) Three-phase shoulder rehabilitation including pre-operative mobilization, post-operative guidance (0-6 weeks), and advanced rehabilitation (6-25 weeks to 1 year), coordinated with St. Jansdal hospital orthopaedists and SchouderNetwerken Nederland. For patients with shoulder complaints or surgery.
• Hydrotherapie (Hydrotherapy) Exercise therapy in warm water, offered as part of rehabilitation programs for various conditions. For patients benefiting from buoyancy-supported movement.
• Psychosomatiek (Psychosomatic Therapy) Treatment combining physical and psychological approaches for psychosomatic complaints including hyperventilation, stress, burnout, fibromyalgia, chronic fatigue, IBS, headaches, anxiety, sleep problems, and fear of failure. For patients with stress-related and medically unexplained physical symptoms.
• Mindfulness Stress Reductie Training (MBSR) 8-week Mindfulness-Based Stress Reduction training covering meditation exercises, movement exercises, observation tasks, and cognitive behavioral therapy techniques. Taught by VMBN-certified trainer. For adults seeking structured stress and burnout management.
• Yoga Multiple yoga forms including Flow Yoga, Hatha Yoga, Yin Yoga & Meditation, Restorative Yoga, Ashtanga Yoga, and Men's Yoga (Yoga voor Mannen). For individuals seeking group yoga practice with multiple style options.
• Qi Gong Traditional Chinese movement therapy improving energy flow (Qi), heart rate, and breathing, suitable for heart/lung disease, high blood pressure, joint complaints, and post-surgery recovery. For adults seeking gentle movement and breath coordination.
• Pilates Mat-based Pilates training developing a strong and stable core (abdomen, back, pelvis), improving strength, balance, flexibility, and coordination. For all ages and fitness levels.
• Integratieve Coaching (Integrative Coaching) Coaching for stress and fatigue combining psychotherapeutic methods including working with inner parts, underlying beliefs and emotions. Led by Lydia Somers. For individuals experiencing stress, burnout, or fatigue.
• Leefstijlcoaching (Lifestyle Coaching) Lifestyle coaching using the Integrative Medicine AGO-FEMS model (Innate/Behavior/Environment/Physical/Emotional/Mental/Spiritual) for holistic health improvement. Delivered by Marieke Plas. For individuals seeking structured lifestyle change.
• Leefstijlprogramma Beweegkuur (Beweegkuur Lifestyle Program) Two-year lifestyle program combining exercise, nutrition, and coaching for people with overweight. Requires GP referral and is reimbursed from basic health insurance. Delivered in collaboration with TopFit Harderwijk.
• Persoonlijke Training 1-op-1 (Personal Training) One-on-one personal training by a physiotherapist including intake, fitness test, goal setting, lifestyle coaching, and personalized exercise programs. For individuals seeking supervised personal fitness training.
• FysioFit (Group Sports Training) Small-group sports training under supervision of a sports instructor, including strength, flexibility, conditioning, and team activities. Suitable for all ages and abilities. For individuals seeking group-based guided training.
• FysioSport (Independent Sports Training) Independent sports in training halls under supervision of a sports instructor, with flexible subscription scheduling and personal training programs. For individuals seeking self-directed supervised training.
• Medische Fitness (Medical Fitness) Sports training in small groups for people with physical limitations or sports injuries, under physiotherapist supervision with personalized programs. For patients needing medically supervised fitness.
• VrouwenKracht (Women's Sport Group) Women's sport group led by Arabic and Dutch speaking physiotherapist Muna Salih, targeting women of all ages and fitness levels, including moslima's. For women seeking accessible, culturally inclusive group exercise.

Quantifiable outcome

• FysioTotaal achieves measurable quality outcomes through systematic patient satisfaction surveys via Quali-view (Fysio Prestatie Monitor) and internal data collection for the Keurmerk Fysiotherapie benchmarking program.
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature4 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• TopzorgGroep NederlandcoreStrategic or Co-development Partner · 1 November 2023In 2023, FysioTotaal was acquired by TopzorgGroep Nederland, a national chain providing complete and affordable healthcare. This partnership enables the practice to continue offering quality physiotherapy while benefiting from scale advantages and shared resources. Marieke Plas, who had owned the practice since 2001, stepped down. TopzorgGroep's vision of making people fitter, healthier, and happier aligns with FysioTotaal's mission.
• ParkinsonNetcoreStrategic or Co-development PartnerRené Visser, psychosomatic physiotherapist at FysioTotaal, is a member of ParkinsonNet — a national network of specialized Parkinson's care providers across 69 Dutch regions. The network ensures treatments are expert and well-coordinated among neurologists, physiotherapists, occupational therapists, speech therapists, and nurses.
• Hogeschool Utrecht (HU)minorStrategic or Co-development PartnerFysioTotaal collaborates with Hogeschool Utrecht (University of Applied Sciences) for internship placements for physiotherapy students. The practice also participates in data collection for the Keurmerk Fysiotherapie quality benchmarking program.
• Keurmerk FysiotherapiecoreStrategic or Co-development PartnerFysioTotaal holds the Keurmerk Fysiotherapie certification, which sets quality standards for physiotherapy practices. The practice participates in quality data collection and patient surveys as part of the certification process.
• Ziekenhuis St. JansdalcoreImplementation/ SI/ Consulting PartnerFysioTotaal maintains close consultation with orthopaedic specialists at St. Jansdal hospital for post-operative rehabilitation (hip, knee, shoulder). Shoulder rehabilitation protocols are coordinated with St. Jansdal orthopaedic surgeons and affiliated shoulder therapists in the region.
• OrthoXpert groepminorImplementation/ SI/ Consulting PartnerOrthoXpert is an expertise group in rehabilitation, collaborating with FysioTotaal on post-surgical and orthopaedic rehabilitation programs.
• Beweeg in Balans (Mensendieck and Psychosomatiek)coreImplementation/ SI/ Consulting PartnerBeweeg in Balans is a Mensendieck and psychosomatic therapy practice operating from within FysioTotaal's premises. Therapists Ilse van Anrooij and Hester Looijen provide exercise therapy and psychosomatic treatment at FysioTotaal's location. René Visser also serves as psychosomatic physiotherapist within the practice.
• Wijkcentrum de RoefcoreStrategic or Co-development PartnerDe Roef is a community health centre adjacent to FysioTotaal. The practice has expanded into De Roef as part of its growth. Monthly walking events are organized in collaboration with De Roef. The centre officially opened in September 2023 as a Positive Health Centre.
• Chronisch ZorgNetcoreStrategic or Co-development PartnerFysioTotaal is affiliated with Chronisch ZorgNet, which focuses on exercise and lifestyle for chronic conditions. Marjan Haverkamp specializes in claudication (etalagebenen) treatment within this network. Chronisch ZorgNet works to improve chronic care close to patients' homes.
• SchouderNetwerken NederlandminorStrategic or Co-development PartnerFysioTotaal is affiliated with SchouderNetwerken Nederland (Shoulder Networks Netherlands), a national network of shoulder-specialized therapists coordinating care for shoulder complaints in alignment with orthopaedic standards.
• v.v. Hierden (football club)minorGTM or Marketing PartnerFysioTotaal provides weekly injury assessment clinics at v.v. Hierden football club. The contract was renewed for three years, with sport physiotherapist Koen present one evening per week at the club.
• TopFit HarderwijkminorImplementation/ SI/ Consulting PartnerFysioTotaal collaborates with TopFit Harderwijk for the Leefstijlprogramma Beweegkuur. The Beweegkuur lifestyle program is administered at TopFit Harderwijk by leefstijlcoach Nelleke Steenman.

Scale indicators3 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Fys'Optima: Fys'Optima is a Dutch physiotherapy practice chain delivering manual therapy, sports physiotherapy, and rehabilitation programs. Comparable to FysioTotaal in service mix, multi-therapist model, and Dutch healthcare setting.
• Spot on Fysio: Spot on Fysio is a Dutch physiotherapy practice group offering general physiotherapy, manual therapy, and sport rehabilitation. Comparable specialist scope and Dutch regional clinic model to FysioTotaal.
• FysioHolland: FysioHolland is a Dutch national physiotherapy chain offering multi-specialty treatments, manual therapy, and sports rehabilitation through affiliated practices. Directly comparable to FysioTotaal as a Dutch PT brand operating under a network model with all-insurer contracts.

Broad incumbents

• Basic-Fit: Basic-Fit is the largest low-cost fitness chain in the Netherlands and Europe, offering subscription-based group fitness. Comparable to FysioTotaal's subscription sports/fitness programs (FysioFit, FysioSport, Yoga, Pilates) at a much larger scale.
• U.S. Physical Therapy: U.S. Physical Therapy operates a large network of outpatient physical and occupational therapy clinics. Comparable to FysioTotaal's multi-clinic PT model with specializations in orthopedic and sports rehab, at much larger scale.
• TopzorgGroep: TopzorgGroep is the parent organization of FysioTotaal and operates a national chain of Dutch physiotherapy and allied healthcare practices. As the parent, it provides context for scale, brand standards, and shared services that FysioTotaal benchmarks against.
• SportCity: SportCity is a Dutch mid-market fitness chain offering group classes, personal training, and wellness programs. Comparable to FysioTotaal's subscription fitness pillar (Pilates, Yoga, Qi Gong, FysioFit) at chain scale.

Emerging players

• FysioMasters: FysioMasters is a Dutch physiotherapy network of master-qualified therapists focusing on evidence-based care. Comparable to FysioTotaal's emphasis on master-trained manual and sports therapists and quality accreditation.

Regional players

• ATI Physical Therapy: ATI Physical Therapy is a large US outpatient physiotherapy practice offering orthopedic, sports, and work-health rehab. Comparable to FysioTotaal in multi-specialty outpatient PT model, though operating in a different geography and reimbursement system.
• Back in Motion: Back in Motion is a UK-based physiotherapy and rehabilitation group offering multi-specialty outpatient care. Comparable to FysioTotaal's combination of physiotherapy, rehabilitation, and wellness programs, though operating in the UK system.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/TeamFysioTotaal
• YouTubeyoutube.com/channel/UCpYHRC8IzVX91zIiycTZ4Gg
• Facebookfacebook.com/fysiototaalharderwijk
• LinkedInlinkedin.com/company/fysiototaal
• Instagraminstagram.com/fysiototaalharderwijk

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

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 FysioTotaal