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DR. THOMAS G GODBOUT III D.C., CCSP
NPI 1669500104
Chiropractor - Sports Physician in Glenview, IL

Active since February 28, 2007Accepts Medicare Assignment
1352 PATRIOT BLVD, GLENVIEW, IL 60026(847) 657-0400 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas G Godbout Iii D.c., Ccsp NPPES

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

DR. THOMAS G GODBOUT III D.C., CCSP (NPI 1669500104) is an individual sports physician in Glenview, Illinois, licensed in Illinois (038010264) and active in the NPI registry since February 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2001).

NPPES Registry Identity

NPI1669500104
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. THOMAS G GODBOUT IIICredential: D.C., CCSP
Location Address1352 PATRIOT BLVDGlenview, IL 60026-7777
Mailing Address1352 Patriot BlvdGlenview, IL 60026-7777
Phone(847) 657-0400
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2001
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 26, 2016
✔ NPI 1669500104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedChiropractorTaxonomy 111N00000X · License 038010264 (IL)
1352 PATRIOT BLVD, Glenview, IL 60026
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Other Identifiers 1

OtherK51546IL · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas G Godbout Iii D.c., Ccsp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880638246
PECOS Enrollment IDI20050616000162

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
659 services64 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
381 services61 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BACK TO LIFE CHIROPRACTIC, SC
Chiropractor (Sports Physician)
1352 PATRIOT BLVD
GLENVIEW, IL 60026
Cook County (847) 917-3097
CLAIRE GYLLENHAAL DAVIS LMT
Massage Therapist
1352 PATRIOT BLVD
GLENVIEW, IL 60026
Cook County (773) 230-2144
STEVEN LISKA PT, DPT, ATC, CSCS
Physical Therapist
1352 PATRIOT BLVD
GLENVIEW, IL 60026
Cook County (847) 581-6300

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 Thomas Godbout's NPI number?

The NPI number for Thomas Godbout is 1669500104. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Thomas Godbout located?

Thomas Godbout practices at 1352 Patriot Blvd, Glenview, IL 60026. The listed phone number is (847) 657-0400.

What is Thomas Godbout's specialty?

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

Is Thomas Godbout enrolled in Medicare?

Yes. Thomas Godbout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thomas Godbout was last updated on August 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.