Tactical Rehabilitation Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TACTICAL REHABILITATION INC

Practice address

5303 Plaza Dr Ste 104
Hopewell, VA 23860

Phone

(858) 254-7395

Fax

(772) 217-4137

NPI assigned

Apr 8, 2013

Organization subpart

Yes

Parent organization

TACTICAL REHABILITATION INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Marr

Title

President

Phone

(858) 254-7395

Specialties & licenses 1

Addresses

Part of

Tactical Rehabilitation Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1023451291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 43RD CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682372",
            "telephone_number": "858-254-7395",
            "fax_number": "772-978-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 PLAZA DR STE 104",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "23860",
            "telephone_number": "858-254-7395",
            "fax_number": "772-217-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACTICAL REHABILITATION INC",
        "enumeration_date": "2013-04-08",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-254-7395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Stiles, PNP
• Arthur Daniel Strunk, PHARMD
• Abigail Hunter Swanson
• Swoop Down Medical Transportation LLC
• Ali Sylvester
• Shantaram Talegaonkar, M.D.
• Jessica Taylor, CCC-SLP
• Loretta Joann Taylor, NURSE
• Nilda Jo Tensen, M.D.
• Amanda Lynn Tharaldson, OTA

• Durable Medical Equipment & Medical Supplies in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.