NPIMap

Organization Active NPI

Tactical Rehabilitation, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1336072867
Registry record updated Jun 4, 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
2305 Historic Decatur Rd Ste 100
San Diego, CA 92106-6071
Phone
(423) 278-9023
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Nursing Facility Supplies (DME) 332BN1400X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

2305 Historic Decatur Rd Ste 100
San Diego, CA 92106-6071

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

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1336072867",
    "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": "2305 HISTORIC DECATUR RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066071",
            "telephone_number": "423-278-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "MULLINAX",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "423-278-9023",
        "authorized_official_name_suffix": "Jr."
    },
    "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": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.