NPIMap

Organization Active NPI

Tactical Rehabilitation, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange Park, FL
National Provider Identifier
1124975438
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TACTICAL REHABILITATION, INC.
Practice address
330 Crossing Blvd
Orange Park, FL 32073-6204
Phone
(757) 879-2398
NPI assigned
Mar 16, 2026
Organization subpart
Yes
Parent organization
TACTICAL REHABILITATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Mr. Oscar Mullinax Jr.
Title
Corporate Compliance Officer
Phone
(423) 278-9023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

330 Crossing Blvd
Orange Park, FL 32073-6204

Mailing address

2040 Wilmington Hwy Ste a
Jacksonville, NC 28540-3191
Phone (423) 278-9023

National Provider Directory

National Provider Directory
Tax ID family
Tactical Rehabilitation Inc14 organizations share this tax ID, including this one
Part of
Tactical Rehabilitation Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

330 Crossing Blvd
Orange Park, FL 32073
Phone (757) 879-2398

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1124975438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WILMINGTON HWY STE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403191",
            "telephone_number": "423-278-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CROSSING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736204",
            "telephone_number": "757-879-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACTICAL REHABILITATION, INC.",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "MULLINAX",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "423-278-9023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.