TACTICAL REHABILITATION INC
NPI 1104484534
Durable Medical Equipment & Medical Supplies - Customized Equipment in Fort Walton Beach, FL
NPI Status: Active since May 31, 2019
Contact Information
1500 FREEDOM SELF STORAGE RD
UNITS 1 AND 2
FORT WALTON BEACH, FL
ZIP 32547
Phone: (910) 210-0790
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
- Medicare Supplier
- Accepts Medicare Approved Payment
About TACTICAL REHABILITATION INC
This page provides the complete NPI Profile along with additional information for Tactical Rehabilitation Inc, a provider established in Fort Walton Beach, Florida operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1104484534 assigned on May 2019. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Karen C Lyons (Cfo)
- NPI
- 1104484534
- Provider Name
- TACTICAL REHABILITATION INC
- Entity Type
- Organization
- Location Address
- 1500 FREEDOM SELF STORAGE RD UNITS 1 AND 2 FORT WALTON BEACH, FL 32547
- Location Phone
- (910) 210-0790
- Mailing Address
- PO BOX 1306 JACKSONVILLE, NC 28541
- Mailing Phone
- (423) 262-9720
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-31-2019
- Last Update Date
- 03-15-2026
- Code Navigator
Tactical Rehabilitation Inc is a medicare supplier with PTAN 20683091 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Neuromuscular Elect Stimulators (NMES)/Supplies or Osteogenesis Stimulators or Pneumatic Compression Devices and/or Supplies or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotic Fitter | |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 3 | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20683091
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other.
- Provider Type List
- CERTIFIED ORTH/PROS/PEDORTHIST.
- Competitive Bidding
- NO
Supplies List
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
- Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
- Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104484534, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104484534, enumerated as an "organization" on May 31, 2019.
The provider is located at 1500 FREEDOM SELF STORAGE RD UNITS 1 AND 2 FORT WALTON BEACH, FL 32547 and the phone number is (910) 210-0790.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.
