OrganizationActive
Tactical Rehabilitation, Inc.
NPI 1457089369 · Durable Medical Equipment & Medical Supplies · Box Elder, SD
Provider details
- NPI number
- 1457089369
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Tactical Rehabilitation, Inc.
- Organization subpart
- Yes
- Authorized official
- Karen Lyons, Cfo(423) 262-9720
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Orthotic Fitter225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
425 N Ellsworth Rd
Box Elder, SD 57719-2026
Phone: (423) 262-9720
Fax: (910) 210-0791
Street-level locationGet directions
Mailing address
2040 Wilmington Hwy Ste a
Jacksonville, NC 28540-3191
Registry dates
- Enumerated
- 2022-08-09
- Last updated
- 2026-03-15
- Certified
- 2026-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.