EVOLUTION CHIROPRACTIC LLC
NPI 1366624512
Chiropractor in Keene, NH

Active since November 29, 2007
640 MARLBORO ST STE 1, KEENE, NH 03431(603) 313-0617(603) 461-3277 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2023, Feb 3, 2023 (2 updates tracked since 2023).

About Evolution Chiropractic Llc NPPES

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

EVOLUTION CHIROPRACTIC LLC (NPI 1366624512) is a healthcare organization registered as a chiropractor in Keene, New Hampshire and active in the NPI registry since November 2007. The organization lists Jeb Thurmond, Owner, as its authorized official.

NPPES Registry Identity

NPI1366624512
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEVOLUTION CHIROPRACTIC LLC
Location Address640 MARLBORO ST STE 1Keene, NH 03431-4049
Mailing Address640 Marlboro StKeene, NH 03431-4049 · (603) 338-0231 · Fax (855) 461-4277
Fax(603) 461-3277
Organization SubpartNo
Authorized OfficialJeb ThurmondOwner · (603) 313-0617
Enumeration DateNovember 29, 2007
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1366624512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NH · 180-0494
Definition
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.
640 MARLBORO ST STE 1, Keene, NH 03431

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)

Evolution 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 Evolution Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1104040799
640 MARLBORO ST STE 1
Keene, NH 03431
(603) 313-0617
✔ 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 Evolution Chiropractic LLC's NPI number?

The NPI number for Evolution Chiropractic LLC is 1366624512. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Evolution Chiropractic LLC located?

Evolution Chiropractic LLC is located at 640 Marlboro St Ste 1, Keene, NH 03431. The listed phone number is (603) 313-0617.

What is Evolution Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Evolution Chiropractic LLC enrolled in Medicare?

Yes. Evolution Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolution Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Evolution 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 Evolution Chiropractic LLC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.