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Characteristics of neighbourhoods, streets, and public open spaces can hinder or facilitate physical activity (PA) among older adults. This chapter aims to critically review key conceptual and theoretical frameworks and the empirical evidence about the relationships between aspects of the physical environment and older adults’ PA. Access to local shops, services, public transport, public open spaces (e.g., parks), and recreational facilities within walking distance along well-maintained and aesthetically pleasing streets with high-quality pedestrian infrastructure appeared to be key determinants of PA among older adults. Therefore, policies underpinning the implementation of such environments should be evaluated to further strengthen the evidence base.