NPIMap

Organization Active NPI

Post Acute Medical Rehabilitation Hospital of Tulsa, LLC

Doing business as PAM Rehabilitation Hospital of Tulsa

  • Rehabilitation Hospital
  • Tulsa, OK
National Provider Identifier
1730635301
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
POST ACUTE MEDICAL REHABILITATION HOSPITAL OF TULSA, LLC
Doing business as
PAM Rehabilitation Hospital of Tulsa
Practice address
10020 E 91St St
Tulsa, OK 74133-5835
Phone
(918) 940-8801
Fax
(918) 940-8802
NPI assigned
Sep 1, 2016
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
General Acute Care Hospital 282N00000X NU
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

10020 E 91St St
Tulsa, OK 74133-5835

Mailing address

1828 Good Hope Rd Ste 102
Enola, PA 17025-1203
Phone (717) 731-9660

Other identifiers 1

IdentifierTypeStateIssuer
200707260AMedicaidOK

Other names 1

  • PAM Rehabilitation Hospital of Tulsa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170221002111 OK Part A Provider - Hospital 8527342468 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730635301. Details of each certification follow.

Hospital certification: CCN 373035

Legal name
POST ACUTE MEDICAL REHABILITATION HOSPITAL OF TULSA LLC
Doing business as
PAM REHABILITATION HOSPITAL OF TULSA
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Mar 31, 2017
Last certification
Jul 11, 2023
Beds
55
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Apr 9, 2015 in PA
Enrollment address
10020 E 91St St
Tulsa, OK 74133-5835
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Pam Rehabilitation Hospital of TulsaCCN 373035 · All quality measures
Ownership
For profit
Certified
Mar 31, 2017
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
37D2124627Pam Rehabilitation Hospital of Tulsa10020 E 91St St, Tulsa, OK 74133AccreditationApr 19, 2028

National Provider Directory

National Provider Directory

Locations

10505 E 91st St
Ste 205
Tulsa, OK 74133
Phone (708) 724-8599

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Karick E Stober Individual Corporate OfficerVice President/Treasurer Jul 1, 2015
Anthony F Misitano Individual 5% Or Greater Indirect Ownership Interest May 1, 2022 65.67%
Corporate OfficerPresident Jul 1, 2015
Pam Cubed LLC Organization, Enola, PA Chain home office Other Apr 1, 2024
Melissa Walker Individual W-2 Managing EmployeeAd; Jan 28, 2025
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
Pam Squared at Tulsa LLC Organization, Enola, PA LLC, For-profit 5% Or Greater Direct Ownership Interest May 1, 2022 100%
Brittany Misitano Individual Corporate Officer May 1, 2022
Pam Squared, LLC Organization, Enola, PA LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2015

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 5

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1730635301",
    "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",
            "telephone_number": "717-731-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335835",
            "telephone_number": "918-940-8801",
            "fax_number": "918-940-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE MEDICAL REHABILITATION HOSPITAL OF TULSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200707260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Rehabilitation Hospital of Tulsa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Rehabilitation Hospital of Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.