SUMMIT CHIROPRACTIC LLC
NPI 1184503625
Chiropractor in Johnston, RI
About Summit Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT CHIROPRACTIC LLC (NPI 1184503625) is a healthcare organization registered as a chiropractor in Johnston, Rhode Island and active in the NPI registry since August 2025. The organization lists John Michael Thibodeau, Principal Creator/owner Of Llc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Summit Chiropractic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Summit Chiropractic LLC's NPI number?
The NPI number for Summit Chiropractic LLC is 1184503625. It was assigned to this organization in the NPPES registry on August 28, 2025.
Where is Summit Chiropractic LLC located?
Summit Chiropractic LLC is located at 168 Morgan Ave, Johnston, RI 02919. The listed phone number is (401) 575-1771.
What is Summit Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Summit Chiropractic LLC enrolled in Medicare?
Yes. Summit Chiropractic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Summit Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Summit Chiropractic LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summit Chiropractic Llc · NPI 1184503625
Chiropractor organization in Johnston, Rhode Island. Organization record, active in the CMS NPPES registry since August 28, 2025.
## Identity
- **NPI:** 1184503625 (Entity type: Organization)
- **Enumerated:** August 28, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** John Thibodeau, PRINCIPAL CREATOR/OWNER OF LLC
## Practice location
- **Address:** 168 MORGAN AVE, Johnston, RI 02919-6519
- **Phone:** (401) 575-1771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184503625) · Data from the CMS NPPES public registry.