Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Age Rehab & Medical Fitness

Organization Physical Therapy Clinic/Center · NPI 1184188443

Age Rehab & Medical Fitness is a Physical Therapy Clinic/Center in Macomb, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1701 W Jackson St Ste C
Macomb, IL 61455-3175
Phone: (309) 331-3590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1184188443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Lidaywa — Owner / Physical Therapist · (309) 833-1004
Other names Age Rehab; Age Rehab
NPI enumeratedJanuary 30, 2019
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022
Mailing address1701 W Jackson St Ste C, Macomb, IL 61455-3175