Tactical Rehabilitation, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TACTICAL REHABILITATION, INC.

Practice address

425 N Ellsworth Rd
Box Elder, SD 57719-2026

Phone

(423) 262-9720

Fax

(910) 210-0791

NPI assigned

Aug 9, 2022

Organization subpart

Yes

Parent organization

TACTICAL REHABILITATION, INC.As reported in NPPES

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 5

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Tactical Rehabilitation Inc

Locations

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1457089369",
    "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": "423-262-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N ELLSWORTH RD",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577192026",
            "telephone_number": "423-262-9720",
            "fax_number": "910-210-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACTICAL REHABILITATION, INC.",
        "enumeration_date": "2022-08-09",
        "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": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "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
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.