BACK TO LIFE CHIROPRACTIC, SC
NPI 1194983650
Chiropractor - Sports Physician in Glenview, IL

Q: What is Back To Life Chiropractic, Sc's NPI number?

The NPI number for Back To Life Chiropractic, Sc is 1194983650. It was assigned to this organization in the NPPES registry on May 30, 2008.

Q: What is Back To Life Chiropractic, Sc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since May 30, 2008

1352 PATRIOT BLVD, GLENVIEW, IL 60026(847) 917-3097 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Back To Life Chiropractic, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK TO LIFE CHIROPRACTIC, SC (NPI 1194983650) is a healthcare organization registered as a sports physician in Glenview, Illinois and active in the NPI registry since May 2008. The organization lists Thomas Godbout, President, as its authorized official.

NPPES Registry Identity

NPI1194983650

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameBACK TO LIFE CHIROPRACTIC, SC

Location Address1352 PATRIOT BLVDGlenview, IL 60026-7777

Mailing Address454 N Ida LnElmhurst, IL 60126-2210

Phone(847) 917-3097

Organization SubpartNo

Authorized OfficialThomas GodboutPresident · (847) 917-3097

Enumeration DateMay 30, 2008

Last NPPES UpdateSeptember 4, 2008

✔ NPI 1194983650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in IL · 038010264

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

1352 PATRIOT BLVD, Glenview, IL 60026

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Other Identifiers 1

Other216661IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Back To Life Chiropractic, Sc 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 Back To Life Chiropractic, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Godbout, D.C., CCSP

Chiropractic

NPI 1669500104

1352 PATRIOT BLVD
Glenview, IL 60026

(847) 657-0400

✔ Accepts MedicareSame address

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 Back To Life Chiropractic, Sc's NPI number?

The NPI number for Back To Life Chiropractic, Sc is 1194983650. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Back To Life Chiropractic, Sc located?

Back To Life Chiropractic, Sc is located at 1352 Patriot Blvd, Glenview, IL 60026. The listed phone number is (847) 917-3097.

What is Back To Life Chiropractic, Sc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Back To Life Chiropractic, Sc enrolled in Medicare?

Yes. Back To Life Chiropractic, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Back To Life Chiropractic, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Back To Life Chiropractic, Sc. 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 Back To Life Chiropractic, Sc was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.