NPIMap

Organization Active NPI

Tactical Rehabilitation Inc

  • Oxygen Equipment & Supplies (DME)
  • Kingsland, GA
National Provider Identifier
1962001123
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
TACTICAL REHABILITATION INC
Practice address
1891 Hwy 40 E Ste 1108
Kingsland, GA 31548-6573
Phone
(904) 420-7365
NPI assigned
Oct 20, 2020
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
Chief Financial Officer
Phone
(423) 262-9720

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X
Customized Equipment (DME) 332BC3200X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1891 Hwy 40 E Ste 1108
Kingsland, GA 31548-6573

Mailing address

2040 Wilmington Hwy Ste a
Jacksonville, NC 28540-3191
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

Locations

6331 Roosevelt Blvd
Ste 2
Jacksonville, FL 32244

1891 Highway 40 E
Ste 1108
Kingsland, GA 31548
Phone (904) 420-7365

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1962001123",
    "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": "1891 HWY 40 E STE 1108",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486573",
            "telephone_number": "904-420-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACTICAL REHABILITATION INC",
        "enumeration_date": "2020-10-20",
        "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": "CHIEF FINANCIAL OFFICER",
        "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": "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": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

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.