Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Lifestyle Medical, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1902370885

Active Lifestyle Medical, LLC is a Durable Medical Equipment & Medical Supplies in Tulsa, Oklahoma. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5455 S Mingo Rd Ste E
Tulsa, OK 74146-5724
Phone: (918) 576-6765
Fax: (888) 605-4113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8740 E 11th St Ste D, Tulsa, OK 74112-7957 — (918) 520-8008

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1902370885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robbie Ely — President · (918) 520-8008
NPI enumeratedJanuary 14, 2019
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address5455 S Mingo Rd Ste E, Tulsa, OK 74146-5724

Other providers in Tulsa