MEDICARE: TACTICAL REHABILITATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	225000000X	Orthotic Fitter
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	335E00000X	Prosthetic/Orthotic Supplier
5	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1952196214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TACTICAL REHABILITATION INC

Provider Business Mailing Address
First Line	:	2040 WILMINGTON HWY STE A
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-3191
Country	:	US
Telephone Number	:	910-210-0790
Fax Number	:	910-210-0791

Provider Business Practice Location Address
First Line	:	10420 MONTWOOD DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-2701
Country	:	US
Telephone Number	:	910-210-0790
Fax Number	:	910-210-0791

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	KATRINA GARCIA
Credential	:
Telephone Number	:	772-275-4862

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	03/15/2026

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Directions to “TACTICAL REHABILITATION INC ” Practice Location

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