The Elliot Lewis Center for Multiple Sclerosis Care LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

THE ELLIOT LEWIS CENTER FOR MULTIPLE SCLEROSIS CARE LLC

Practice address

110 Cedar St
Suite 110
Wellesley, MA 02481-3527

Phone

(781) 591-8300

NPI assigned

Dec 1, 2015

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Shackleton

Title

Executive Director

Phone

(781) 591-8300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Elliot Lewis Center for Multiple Scleros2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Elliot Lewis Center for Multiple Sclerosis Care LLC

  • Neurology Physician
  • Wellesley, MA
  • NPI 1063936730
  NPD tax ID

Locations

Practitioners 2

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.

• Andrew J. Bouley, M.D.

  • Neurology Physician
  • Wellesley, MA
  • NPI 1831539519
  Medicare reassignment Care Compare group NPD
• Joshua D Katz, MD

  • Neurology Physician
  • Wellesley, MA
  • NPI 1659367522
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1306210422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CEDAR ST STE 110",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813527",
            "telephone_number": "781-591-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CEDAR ST",
            "address_2": "SUITE 110",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813527",
            "telephone_number": "781-591-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELLIOT LEWIS CENTER FOR MULTIPLE SCLEROSIS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "SHACKLETON",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-591-8300"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendal Temple, BSN, RN
• Kelly Marie Terral, CNP
• Emma Winslow Thacher
• Julie Thayer, PSYD
• The Elliot Lewis Center for Multiple Sclerosis Care LLC
• The Postureworks LLC
• The Riverbend Group LLC
• Theraspring Physical Therapy, LLC
• Thomas a. Kiewlicz (Flynn Associates)
• Joan Thompson, DDS

• Neurology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.