TACTICAL REHABILITATION INC (NPI# 1962001123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962001123 |
| Entity Type | Organization |
| Organization Name | TACTICAL REHABILITATION INC |
| Practice Address |
2710 Clear Creek Rd Apt 110 Killeen TX 76549-6685 |
| Mailing Address |
86 43rd Ct Vero Beach FL 32968-2372 |
| Practice Telephone | 8582547395 |
| Mailing Telephone | 8582547395 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | DAVID JAMES MARR (PRESIDENT) |
| Authorized Official Telephone | 8582547395 |
| Is Organization Subpart | Y |
| Parent Organization Name | TACTICAL REHABILITATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6331 Roosevelt Blvd Ste 2, Jacksonville, FL 322443308 | 8582547395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1619502853 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 231 Potomac Ave, Quantico, VA 22134-3458 | 2020-03-09 |
| 1235764473 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 15110 Union Ave Sw, Lakewood, WA 98498-2093 | 2020-03-09 |
| 1104484534 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 720 N Navy Blvd Unit C, Pensacola, FL 32507-1244 | 2019-05-31 |
| 1194201327 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 1911 N New Braunfels Ave, San Antonio, TX 78208-1419 | 2018-07-11 |
| 1366964314 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 86 43rd Ct, Vero Beach, FL 32968-2372 | 2017-07-12 |
| 1740718139 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 7724 Hampton Blvd, Norfolk, VA 23505-1738 | 2017-05-30 |
| 1063820611 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 6829 Fillyaw Rd, Suite 102, Fayetteville, NC 28303-2078 | 2014-07-28 |
| 1023451291 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 5303 Plaza Dr Ste 104, Hopewell, VA 23860 | 2013-04-08 |
| 1568869766 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 2040 Wilmington Hwy, Suite 3, Jacksonville, NC 28540-3121 | 2014-12-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Tactical Rehabilitation Inc | 86 43rd Ct, Vero Beach, FL 32968 |
| Washington State Corporations | TACTICAL REHABILITATION INC | 86 43rd Ct, Vero Beach, FL 32968-2372 |
| Virginia Business Entities | TACTICAL REHABILITATION INC. | 86 43rd Ct, Vero Beach, Florida 32960 |
| Street Address |
2710 CLEAR CREEK RD APT 110 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780869057 | Temple Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 1300 W Stan Schlueter Loop, Suite 300, Killeen, TX 76549-7641 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897735 | Extraordinary Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 754 Bateswood Dr Apt 4, Houston, TX 77079-5711 | 2020-09-24 |
| 1013527290 | Riptide Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2408 Lexington Pl, Brownsville, TX 78520-3914 | 2020-08-03 |
| 1790300457 | United Wellness Dme LLC | Durable Medical Equipment & Medical Supplies | 2611 N Texas Blvd Ste 3, Weslaco, TX 78599-4062 | 2020-06-09 |
| 1831711969 | Brightstar Medical Supply | Durable Medical Equipment & Medical Supplies | 1006 N Sylvania Ave, Fort Worth, TX 76111-2516 | 2020-05-12 |
| 1568099232 | Manuel F Huaman | Durable Medical Equipment & Medical Supplies | 19842 Portlick Ct, Katy, TX 77449-5737 | 2020-03-24 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1649823550 | Thomas Edward Potter | Durable Medical Equipment & Medical Supplies | 135 Bonner Ave, Corsicana, TX 75110-9252 | 2019-07-19 |
| 1114587912 | Curtis Downey | Durable Medical Equipment & Medical Supplies | 4914 Winnetka St, Houston, TX 77021-2932 | 2019-06-14 |
| 1700443330 | Leticia Garcia | Durable Medical Equipment & Medical Supplies | 12077 Briargrove Ln, Forney, TX 75126-4132 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TACTICAL REHABILITATION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.