Age Rehab & Medical Fitness
NPI 1184188443 · Physical Therapy Clinic/Center · Macomb, IL
Age Rehab & Medical Fitness is a Physical Therapy Clinic/Center organization in Macomb, IL (NPI 1184188443).
Provider details
- NPI number
- 1184188443
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Victor Lidaywa, Owner / Physical Therapist(309) 833-1004
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Age Rehab
- Doing business as
- Age Rehab
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2022-02-02
- Certified
- 2022-02-02
Frequently asked questions
- What is Age Rehab & Medical Fitness's NPI number?
- Age Rehab & Medical Fitness's National Provider Identifier (NPI) is 1184188443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Age Rehab & Medical Fitness?
- Age Rehab & Medical Fitness is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Age Rehab & Medical Fitness located?
- Age Rehab & Medical Fitness's practice location on file with NPPES is 1701 W Jackson St Ste C, Macomb, IL 61455-3175.
- What is Age Rehab & Medical Fitness's phone number?
- The practice phone number listed in the NPPES registry for Age Rehab & Medical Fitness is (309) 331-3590.
- Who is the authorized official for Age Rehab & Medical Fitness?
- The authorized official listed on Age Rehab & Medical Fitness's NPPES record is Victor Lidaywa, Owner / Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Age Rehab & Medical Fitness's NPI active?
- Yes — Age Rehab & Medical Fitness's NPI (1184188443) is active in the NPPES registry as of the last update on 2022-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.