Kristina Kokotovich, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT6343 Issued in ME

Practice address

27 State St Ste 30
Bangor, ME 04401-5141

Phone

(207) 217-4699

NPI assigned

Dec 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1154968873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 MEADOW RD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044443244",
            "telephone_number": "207-217-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 STATE ST STE 30",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015141",
            "telephone_number": "207-217-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOTOVICH",
        "first_name": "KRISTINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT6343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Knowlton
• Candice Knupp, N.P.
• Catherine E. Koczur, LCSW
• David J Koffman, M. D.
• Karen Kohlmeyer
• Rachel Eve Koransky-Matson, NP
• Guy Kositratna, M.D.
• Kelly Kossen
• Debra Bryant Kotredes, RPH
• Sydney L Kotredes, PNPC

• Massage Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.