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Dr. John Michael Thibodeau , DC

Chiropractor β€’ Johnston, RI

Active NPI 1366262743 Individual Practitioner Male Practitioner
Practice location in NPPES

168 Morgan Ave
Johnston, RI 029196519

Call 4015751771 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

168 Morgan Ave

Johnston, RI 029196519

Telephone 4015751771
Organization at the Same NPPES Address or Phone
Summit Chiropractic Llc Facility NPI 1184503625

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Warwick, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Life Chiropractic College

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Thibodeau has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Johnston and Rhode Island

8 active clinicians are listed under Chiropractor with a practice address in Johnston, RI (228 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-28
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES RI DCP00711

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MA CHI3652

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20251002004281

Enrollment State Jurisdiction

RI

PECOS Control ID

6103322649

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2525 Post Rd

Warwick, RI 028862214

Phone: 4017389611

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 28, 2025

Registered at 168 MORGAN AVE, JOHNSTON, RI 029196519 (Tel: 4015751771)

πŸ‘€
Provider Name / Credentials Updated August 28, 2025

Recorded as JOHN THIBODEAU, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2025

Chiropractor (license number reported to NPPES: MA CHI3652)

βœ…
NPI Profile Active October 11, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 11, 2024

Registered at 2525 POST RD, WARWICK, RI 028862214 (Tel: 4017389611)

πŸ“
Business Mailing Address (Initial Record) October 11, 2024

Registered at 168 MORGAN AVE, JOHNSTON, RI 029196519 (Tel: 4015751771)

πŸ‘€
Provider Name / Credentials (Initial Record) October 11, 2024

Recorded as JOHN-MICHAEL THIBODEAU, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2024

Chiropractor (license number reported to NPPES: RI DCP00711)

🟒
Initial NPI Registration & Enumeration October 11, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366262743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2024
Last Update: August 28, 2025
Sole Proprietor: No

Other Chiropractors in Johnston

Healthcare providers in Johnston

Mailing Address

168 Morgan Ave

Johnston, RI 029196519

Phone: 4015751771

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.