OrganizationActive
Tactical Rehabilitation Inc
NPI 1962001123 · Oxygen Equipment & Supplies (DME) · Kingsland, GA
Provider details
- NPI number
- 1962001123
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Parent organization
- Tactical Rehabilitation Inc
- Organization subpart
- Yes
- Authorized official
- Karen Lyons, Chief Financial Officer(423) 262-9720
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Orthotic Fitter225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1891 Hwy 40 E Ste 1108
Kingsland, GA 31548-6573
Phone: (904) 420-7365
Approximate (ZIP-level) locationGet directions
Mailing address
2040 Wilmington Hwy Ste a
Jacksonville, NC 28540-3191
Registry dates
- Enumerated
- 2020-10-20
- 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.