NPIMap

Organization Active NPI

Cobalt Rehabilitation Hospital IV

Doing business as PAM Health Rehabilitation Hospital of Surprise

  • Rehabilitation Hospital
  • Surprise, AZ
National Provider Identifier
1679954002
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
COBALT REHABILITATION HOSPITAL IV
Doing business as
PAM Health Rehabilitation Hospital of Surprise
Practice address
13060 W Bell Rd
Surprise, AZ 85378-1200
Phone
(623) 499-9100
NPI assigned
Jun 11, 2015
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Misitano
Title
President
Phone
(717) 731-9660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

13060 W Bell Rd
Surprise, AZ 85378-1200

Mailing address

1828 Good Hope Rd Ste 102
Enola, PA 17025-1203

Other names 1

  • PAM Health Rehabilitation Hospital of Surprise Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150807015621 AZ Part A Provider - Hospital 8123332863 Practice locations: Surprise, AZ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1679954002. Details of each certification follow.

Hospital certification: CCN 033039

Legal name
COBALT REHABILITATION HOSPITAL IV
Doing business as
PAM HEALTH REHABILITATION HOSPITAL OF SURPRISE
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Mar 3, 2016
Last certification
May 24, 2017
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 27, 2014 in TX
Enrollment address
13060 W Bell Rd
Surprise, AZ 85378-1200
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Hospital certification: CCN 032000

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PAM HEALTH SPECIALTY HOSPITAL OF SURPRISE
Certification status
Terminated Voluntary: merger or closure, Jan 1, 2023
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 1990
Last certification
Jul 6, 2017
Beds
116
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2016 (2 total)
Facility address
13060 West Bell
Surprise, AZ 85378

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Pam Health Rehabilitation Hospital of SurpriseCCN 033039 · All quality measures
Ownership
For profit
Certified
Mar 3, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2102587Pam Health Rehabilitation Hospital of Surprise13060 W Bell Rd, Surprise, AZ 85378Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Curahealth Rehabilitation Blocker Corp Organization, Enola, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 31, 2019 28.14%
Pam Health Blocker Purchaser Inc. Organization, Enola, PA Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Nov 15, 2021 28.14%
Karick E Stober Individual Corporate OfficerVP and Treasurer Nov 15, 2021
Anthony F Misitano Individual Corporate OfficerPresident Nov 15, 2021
Pam Cubed LLC Organization, Enola, PA LLC, Chain home office 5% Or Greater Indirect Ownership Interest Nov 15, 2021 100%
Other Apr 1, 2024
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
Curahealth Rehabilitation Holdco, LLC Organization, Garland, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 31, 2019 100%
Mozghan N Hines Individual W-2 Managing EmployeeCeo Nov 13, 2023
Brittany Misitano Individual 5% Or Greater Indirect Ownership Interest Nov 15, 2021 67.5%
Corporate OfficerVP and Secretary Nov 15, 2021

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 34

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1679954002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD STE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13060 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853781200",
            "telephone_number": "623-499-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBALT REHABILITATION HOSPITAL IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Health Rehabilitation Hospital of Surprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.