Active NPI
Tactical Rehabilitation Inc
- Customized Equipment (DME)
- Fort Walton Beach, FL
National Provider Identifier
1104484534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- TACTICAL REHABILITATION INC
- Practice address
- 1500 Freedom Self Storage Rd
Units 1 and 2
Fort Walton Beach, FL 32547-8900 - Phone
- (910) 210-0790
- NPI assigned
- May 31, 2019
- Organization subpart
- Yes
- Parent organization
- TACTICAL REHABILITATION INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen C Lyons
- Title
- Cfo
- Phone
- (423) 262-9720
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1500 Freedom Self Storage Rd
Units 1 and 2
Fort Walton Beach, FL 32547-8900
Mailing address
PO Box 1306
Jacksonville, NC 28541-1306
Phone (423) 262-9720
National Provider Directory
National Provider Directory- Part of
- Tactical Rehabilitation Inc
Locations
1500 Freedom Self Storage Rd
Unit 1
Fort Walton Beach, FL 32547
Phone (910) 210-0790
720 N Navy Blvd
#C
Pensacola, FL 32507
Phone (850) 332-0937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773532800000",
"number": "1104484534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1306",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285411306",
"telephone_number": "423-262-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FREEDOM SELF STORAGE RD",
"address_2": "UNITS 1 AND 2",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325478900",
"telephone_number": "910-210-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TACTICAL REHABILITATION INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TACTICAL REHABILITATION INC",
"enumeration_date": "2019-05-31",
"last_updated": "2026-03-15",
"certification_date": "2026-03-15",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "423-262-9720"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.