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.

OrganizationActive

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

Practice location

1701 W Jackson St Ste C

Macomb, IL 61455-3175

Phone: (309) 331-3590

Street-level locationGet directions

More IL providers

Mailing address

1701 W Jackson St Ste C

Macomb, IL 61455-3175

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Age Rehab
Doing business as: Age Rehab

Profile Score

Established profile(67/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions