Healthcare Provider Details

I. General information

NPI: 1427506385
Provider Name (Legal Business Name): PAM REHABILITATION HOSPITAL OF ROUND ROCK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 SETON PARKWAY
ROUND ROCK TX
78665
US

IV. Provider business mailing address

1828 GOOD HOPE RD STE 102
ENOLA PA
17025-1203
US

V. Phone/Fax

Practice location:
  • Phone: 737-708-9800
  • Fax:
Mailing address:
  • Phone: 717-731-9660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY F MISTIANO
Title or Position: PRESIDENT
Credential:
Phone: 717-731-9660