NPIMap

Organization Active NPI

Multiple Sclerosis Specialty Center, LLC

  • Neurology Physical Therapist
  • Waltham, MA
National Provider Identifier
1831594282
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Legal business name
MULTIPLE SCLEROSIS SPECIALTY CENTER, LLC
Practice address
179 Bear Hill Rd
Suite 105
Waltham, MA 02451-1063
Phone
(781) 895-9500
Fax
(781) 895-4800
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Dr. John Marmarou, DPTNPI 1598954679
Title
Executive Director
Phone
(781) 895-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X Primary
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

179 Bear Hill Rd
Suite 105
Waltham, MA 02451-1063

Mailing address

179 Bear Hill Rd
Suite 105
Waltham, MA 02451-1063
Phone (781) 895-9500

Other practice location 1

44 Bearfoot Rd Ste 150
Northborough, MA 01532-1562
Phone (609) 202-5353

Other names 1

  • 810 MS Specialty Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205001863 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244555647 Receives reassigned benefits from 22 practitioners
Practice locations: Waltham, MA; Quincy, MA; Northborough, MA

National Provider Directory

National Provider Directory
Tax ID family
Multiple Sclerosis Specialty Center LLC2 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.

Locations

44 Bearfoot Rd
Ste 150
Northborough, MA 01532
Phone (508) 434-7444

179 Bear Hill Rd
Ste 105
Waltham, MA 02451
Phone (781) 895-9500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1831594282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BEAR HILL RD",
            "address_2": "SUITE 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511063",
            "telephone_number": "781-895-9500",
            "fax_number": "781-895-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BEAR HILL RD",
            "address_2": "SUITE 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511063",
            "telephone_number": "781-895-9500",
            "fax_number": "781-895-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Bearfoot Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015321562",
            "country_code": "US",
            "telephone_number": "609-202-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MULTIPLE SCLEROSIS SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "MARMAROU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-895-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "810 MS Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.