Individual provider Active NPI

Ryan Knoll, D.C.

  • Chiropractor
  • Alexandria, LA
National Provider Identifier
1669929188
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1750 Issued in LA
Practice address
5419 Jackson St. Ext. Suite B
Alexandria, LA 71303
Phone
(318) 787-2716
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1750 LA Primary

Addresses

Primary practice location

5419 Jackson St. Ext. Suite B
Alexandria, LA 71303

Mailing address

5419 Jackson St Ext
Ste B
Alexandria, LA 71303-2322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110002453 LA Practitioner - Chiropractic 0042599276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Integrated Medical Clinics LLCGroup PAC ID 8022372598, 12 clinicians

Practice addresses (Care Compare)

1135 Expressway Dr
Suite 100B
Pineville, LA 71360-6666
Phone (318) 793-7910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theriot Family Chiropractic Center Chiropractor CurrentSince May 24, 2021 Accepting new patients
Louisiana Brain Injury Specialists, LLC CurrentSince Sep 28, 2025 Accepting new patients
Clark Integrated Medical Clinics LLC Chiropractor CurrentSince Apr 8, 2025 Accepting new patients
Louisiana Physical Therapy Centers of Pineville LLC PastSince Apr 8, 2025 Accepting new patients

Locations

401 E Verot School Rd
Lafayette, LA 70508
Phone (337) 232-3353

612 Rue de Onetta
New Iberia, LA 70563
Phone (337) 367-6649

1833 E Main St
New Iberia, LA 70560
Phone (337) 367-7463

1135 Expressway Dr
Ste 100B
Pineville, LA 71360
Phone (318) 487-6525

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1669929188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 JACKSON ST EXT",
            "address_2": "STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 JACKSON ST. EXT. SUITE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-787-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.