Organization Active NPI

Tactical Rehabilitation Inc

  • Durable Medical Equipment & Medical Supplies
  • Vero Beach, FL
National Provider Identifier
1366964314
Registry record updated Jun 19, 2024
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
86 43Rd CT
Vero Beach, FL 32968-2372
Phone
(423) 262-9720
NPI assigned
Jul 12, 2017
Organization subpart
Yes
Parent organization
TACTICAL REHABILITATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 1

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

Addresses

Primary practice location

86 43Rd CT
Vero Beach, FL 32968-2372

Mailing address

PO Box 1306
Jacksonville, NC 28541-1306
Phone (423) 262-9720

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

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1366964314",
    "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": "86 43RD CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682372",
            "telephone_number": "423-262-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACTICAL REHABILITATION INC",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.