Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396334017 Individual Practitioner Male Practitioner

Dr. Ethan Knisley , DC

Chiropractor • Stamford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Knisley, DC is a registered healthcare professional specializing in Chiropractor in Stamford, CT. Practice services are available at 500 SUMMER ST STE 406 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Summer St Ste 406

Stamford, CT 069011397

Telephone 2033552225
Associated Practice Facility / Clinic
🏢 Stamford Sports & Spine,pc Facility NPI 1710159736

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Stamford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Stamford, CT (937 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-17
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CT 2213

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
David Avallon

Chiropractor

NPI 1033633722
NPI 1083598106

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2021

Registered at 500 SUMMER ST STE 406, STAMFORD, CT 069011397 (Tel: 2033552225)

📍
Updated Business Mailing Address January 17, 2021

Registered at 57 KENMARE ST APT 23, NEW YORK, NY 100124670 (Tel: 6145578604)

👤
Provider Name / Credentials Updated January 17, 2021

Recorded as ETHAN KNISLEY, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2021

Chiropractor (License #2213 in CT)

🟢
Initial NPI Registration & Enumeration January 17, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396334017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2021
Last Update: January 17, 2021
Sole Proprietor: Yes

Mailing Address

57 Kenmare St Apt 23

New York, NY 100124670

Phone: 6145578604

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.