VICTOR ERUDE LIDAYWA DPT
NPI 1083178198
Clinic/Center - Physical Therapy in Macomb, IL

Active since January 23, 2019Accepts Medicare Assignment
1701 W JACKSON ST, STE C, MACOMB, IL 61455(309) 331-3590 Get Directions Write a Review

NPPES record last updated: February 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2019, Jan 23, 2019 (2 updates tracked since 2019).

About Victor Erude Lidaywa Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR ERUDE LIDAYWA DPT (NPI 1083178198) is an individual physical therapy provider in Macomb, Illinois, licensed in Illinois (070.017800) and active in the NPI registry since January 2019. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1083178198
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameVICTOR ERUDE LIDAYWACredential: DPT
Location Address1701 W JACKSON ST, STE CMacomb, IL 61455-3175
Mailing Address305 E Summit StMacomb, IL 61455-3223 · (309) 837-1748
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 23, 2019
Last NPPES UpdateFebruary 2, 20192 updates tracked since enumeration
NPI 1083178198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in IL · 070.017800
Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Also ListedPhysical TherapistTaxonomy 225100000X · License 070.017800 (IL)
1701 W JACKSON ST, Macomb, IL 61455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Victor Erude Lidaywa Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668711557
PECOS Enrollment IDI20190312001593

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
6,319 services96 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
3,003 services94 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
77 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1701 W JACKSON ST
MACOMB, IL 61455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Lidaywa's NPI number?

The NPI number for Victor Lidaywa is 1083178198. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Victor Lidaywa located?

Victor Lidaywa practices at 1701 W Jackson St Ste C, Macomb, IL 61455. The listed phone number is (309) 331-3590.

What is Victor Lidaywa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Victor Lidaywa enrolled in Medicare?

Yes. Victor Lidaywa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Victor Lidaywa was last updated on February 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.