Individual provider Active NPI

Ryan Diprimo

  • Chiropractor
  • Stratford, CT
National Provider Identifier
1093693947
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002358 Issued in CT
Practice address
88 Ryders LN Ste 101
Stratford, CT 06614-1666
Phone
(203) 375-1101
NPI assigned
Aug 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002358 CT Primary

Addresses

Primary practice location

88 Ryders LN Ste 101
Stratford, CT 06614-1666

Mailing address

88 Ryders LN Ste 101
Stratford, CT 06614-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002358CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CRK Wellness Solutions LLC CurrentSince Sep 3, 2025 Accepting new patients
Mak Wellness Solutions LLC Chiropractor CurrentSince Sep 3, 2025 Accepting new patients

Locations

88 Ryders Ln
Ste 101
Stratford, CT 06614
Phone (203) 375-1101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1093693947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 RYDERS LN STE 101",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 RYDERS LN STE 101",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141666",
            "telephone_number": "203-375-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPRIMO",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.