Organization Active NPI

Tactical Rehabilitation Inc

  • Customized Equipment (DME)
  • Fort Walton Beach, FL
National Provider Identifier
1104484534
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.