Active NPI
Patrick James Edwards, DC
- Chiropractor
- Grafton, WI
National Provider Identifier
1134200413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3417
- Practice address
- 1664 7TH Ave
Grafton, WI 53024-2333 - Phone
- (262) 377-2400
- Fax
- (262) 377-2388
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3417 | WI | Primary |
Addresses
Primary practice location
1664 7TH Ave
Grafton, WI 53024-2333
Mailing address
1664 7TH Ave
Grafton, WI 53024-2333
Phone (262) 377-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38900700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1664 7TH Ave
Grafton, WI 53024-2333
Phone (262) 377-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Company - Grafton LLP | Chiropractor | Current | Accepting new patients |
| Mike Meske Acupuncture and Wellness | Past | Accepting new patients | |
| Back & Body Therapeutic Touch, LLC | Past | Accepting new patients |
Locations
1664 7th Ave
Grafton, WI 53024
Phone (262) 377-2400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Back & Body Rehabilitation
- Specialist
- Berlin, WI
- NPI 1831289107
-
- Acupuncturist
- Grafton, WI
- NPI 1023555349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1134200413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 7TH AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242333",
"telephone_number": "262-377-2400",
"fax_number": "262-377-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 7TH AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242333",
"telephone_number": "262-377-2400",
"fax_number": "262-377-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38900700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.