AGE REHAB
NPI 1184188443
Clinic/Center - Physical Therapy in Macomb, IL

Active since January 30, 2019
1701 W JACKSON ST STE C, MACOMB, IL 61455(309) 331-3590 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2022, Jan 30, 2019 (2 updates tracked since 2019).

About Age Rehab NPPES

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

AGE REHAB (NPI 1184188443) is a healthcare organization registered as a physical therapy in Macomb, Illinois and active in the NPI registry since January 2019. The organization lists Victor Erude Lidaywa, Owner / Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1184188443
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameAGE REHAB & MEDICAL FITNESS
Location Address1701 W JACKSON ST STE CMacomb, IL 61455-3175
Mailing Address1701 W Jackson St Ste CMacomb, IL 61455-3175 · (309) 331-3590
Organization SubpartNo
Authorized OfficialVictor Erude LidaywaOwner / Physical Therapist · (309) 833-1004
Enumeration DateJanuary 30, 2019
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
NPI 1184188443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
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.
1701 W JACKSON ST STE C, Macomb, IL 61455

Other Names 1

Doing Business AsAge Rehab

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 Age Rehab & Medical Fitness's NPI number?

The NPI number for Age Rehab & Medical Fitness is 1184188443. It was assigned to this organization in the NPPES registry on January 30, 2019. The provider is doing business as Age Rehab.

Where is Age Rehab & Medical Fitness located?

Age Rehab & Medical Fitness is located at 1701 W Jackson St Ste C, Macomb, IL 61455. The listed phone number is (309) 331-3590.

What is Age Rehab & Medical Fitness's specialty?

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

When was this NPI record last updated?

The NPPES record for Age Rehab & Medical Fitness was last updated on February 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.