NPIMap

Organization Active NPI

Activstyle, LLC

  • Durable Medical Equipment & Medical Supplies
  • Marshall, TX
National Provider Identifier
1902194889
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACTIVSTYLE, LLC
Practice address
2615 E End Blvd S
Suite 235
Marshall, TX 75672-7425
Phone
(903) 923-7010
Fax
(903) 923-7011
NPI assigned
Jul 13, 2011
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAPTHEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darrell Douglas Rawlings
Title
Ceo
Phone
(612) 895-7815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU

Addresses

Primary practice location

2615 E End Blvd S
Suite 235
Marshall, TX 75672-7425

Mailing address

1055 Westgate Dr Ste 100
Saint Paul, MN 55114-1451

Other identifiers 3

IdentifierTypeStateIssuer
286522201 & 02MedicaidTX
203671716MedicaidAR
1409928MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000879 TX DME Supplier - Medical Supply Company 1951422302 Practice locations: Marshall, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Activstyle LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2615 E End Blvd S
Ste 235
Marshall, TX 75672
Phone (903) 923-7010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1902194889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTGATE DR STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E END BLVD S",
            "address_2": "SUITE 235",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727425",
            "telephone_number": "903-923-7010",
            "fax_number": "903-923-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVSTYLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAPTHEALTH LLC",
        "enumeration_date": "2011-07-13",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "RAWLINGS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-895-7815"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286522201 & 02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203671716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1409928",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.