NPIMap

Organization Active NPI

Pam Squared at Beaumont, LLC

Doing business as PAM Rehabilitation Hospital of Beaumont

  • Rehabilitation Hospital
  • Beaumont, TX
National Provider Identifier
1831550680
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
PAM SQUARED AT BEAUMONT, LLC
Doing business as
PAM Rehabilitation Hospital of Beaumont
Practice address
3340 Plaza 10 Dr
Beaumont, TX 77707-2551
Phone
(409) 835-0835
NPI assigned
Mar 8, 2016
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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
Rehabilitation Hospital 283X00000X NU Primary
Special Hospital 284300000X NU

Addresses

Primary practice location

3340 Plaza 10 Dr
Beaumont, TX 77707-2551

Mailing address

1828 Good Hope Rd
Suite 102
Enola, PA 17025-1233
Phone (717) 731-9660

Other identifiers 1

IdentifierTypeStateIssuer
367514201MedicaidTX

Other names 1

  • PAM Rehabilitation Hospital of Beaumont Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728000871 TX Part A Provider - Hospital 1052604022 Practice locations: Beaumont, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831550680. Details of each certification follow.

Hospital certification: CCN 453048

Legal name
PAM SQUARED AT BEAUMONT LLC
Doing business as
PAM REHABILITATION HOSPITAL OF BEAUMONT
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Mar 28, 1991
Last certification
Feb 8, 2019
Beds
61
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2016 (1 total)
Organization structure
LLCProprietary
Incorporated
Feb 8, 2016 in PA
Enrollment address
3340 Plaza 10 Drive
Beaumont, TX 77707-2551
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Pam Rehabilitation Hospital of BeaumontCCN 453048 · All quality measures
Ownership
For profit
Certified
Mar 28, 1991
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
45D1059545Pam Rehabilitation Hospital of Beaumont3340 Plaza 10 Boulevard, Beaumont, TX 77707Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Cassie Nicole Robin Individual W-2 Managing Employee Apr 20, 2026
Karick E Stober Individual Corporate OfficerVice President/Treasurer Jun 1, 2016
Anthony F Misitano Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 65.67%
Corporate OfficerPresident Jun 1, 2016
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
Brittany Misitano Individual Corporate Officer Apr 2, 2026
Pam Squared, LLC Organization, Enola, PA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2016 100%

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1831550680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "address_2": "SUITE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-731-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PLAZA 10 DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072551",
            "telephone_number": "409-835-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM SQUARED AT BEAUMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "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": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367514201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Rehabilitation Hospital of Beaumont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Rehabilitation Hospital of Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.