DR. PATRICK RYAN REBADOW DC
NPI 1316651128
Chiropractor in Clayton, NC

Active since January 06, 2023
1540 E FRONT ST STE 103, CLAYTON, NC 27527(919) 550-1099 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2024, Jan 6, 2023 (2 updates tracked since 2023).

About Dr. Patrick Ryan Rebadow Dc NPPES

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

DR. PATRICK RYAN REBADOW DC (NPI 1316651128) is an individual chiropractor in Clayton, North Carolina, licensed in North Carolina (5572) and active in the NPI registry since January 2023. He maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1316651128
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PATRICK RYAN REBADOWCredential: DC
Location Address1540 E FRONT ST STE 103Clayton, NC 27527-6126
Mailing Address187 Garden Vine TrlRaleigh, NC 27610-8047 · (484) 529-8200
Sole ProprietorYes
Enumeration DateJanuary 6, 2023
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1316651128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 5572
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.
1540 E FRONT ST STE 103, Clayton, NC 27527

Secondary Practice Location 1

Location 1187 Garden Vine TrlRaleigh, NC 27610-8047 · Phone (484) 529-8200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Ryan Rebadow Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Patrick Rebadow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
221 NC HIGHWAY 42 E
Clayton, NC 27527
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Chiropractor
1540 E FRONT ST STE 103
CLAYTON, NC 27527
Chiropractor
1540 E FRONT ST STE 103
CLAYTON, NC 27527

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 Patrick Rebadow's NPI number?

The NPI number for Patrick Rebadow is 1316651128. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Patrick Rebadow located?

Patrick Rebadow practices at 1540 E Front St Ste 103, Clayton, NC 27527. The listed phone number is (919) 550-1099.

What is Patrick Rebadow's specialty?

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

Is Patrick Rebadow enrolled in Medicare?

Yes. Patrick Rebadow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Rebadow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Rebadow reassigns Medicare benefits to Connected Chiropractic (Clayton, NC). 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 Patrick Rebadow'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 Patrick Rebadow was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.