DR. THOMAS G GODBOUT III D.C., CCSP
NPI 1669500104
Chiropractor - Sports Physician in Glenview, IL
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
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Godbout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenview, IL 60026
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Thomas Godbout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Godbout reassigns Medicare benefits to Back To Life Chiropractic, Sc (Glenview, IL). The 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 Thomas Godbout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thomas Godbout was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Thomas G Godbout III, D.C., CCSP · NPI 1669500104
Sports Physician provider in Glenview, Illinois. Individual provider, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1669500104 (Entity type: Individual)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 038010264 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1352 PATRIOT BLVD, Glenview, IL 60026-7777
- **Phone:** (847) 657-0400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Back To Life Chiropractic, Sc (NPI 1194983650, Glenview, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - West Sunnyvale, class of 2001
## Record status
- **NPPES last updated:** August 26, 2016
- **Other identifiers:** Other K51546 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1669500104) · Data from the CMS NPPES public registry.