Individual provider Active NPI

Kylee Allen, LMT

  • Massage Therapist
  • Bangor, ME
National Provider Identifier
1497627707
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT3031 Issued in ME
Practice address
16 Penn PLZ Ste 22
Bangor, ME 04401-3620
Phone
(207) 947-8077
Fax
(207) 947-3721
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT3031 ME Primary

Addresses

Primary practice location

16 Penn PLZ Ste 22
Bangor, ME 04401-3620

Mailing address

16 Penn PLZ Ste 22
Bangor, ME 04401-3620
Phone (207) 947-8077

Other practice location 1

150 Bucksport Rd
Ellsworth, ME 04605-2224
Phone (207) 667-4678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT3031MEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bibc, Inc Massage Therapist CurrentSince Mar 22, 2017 Accepting new patients
Active Chiropractic and Wellness Past Accepting new patients

Locations

16 Penn Plz
Ste 22
Bangor, ME 04401
Phone (207) 947-8077

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1497627707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PENN PLZ STE 22",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-947-8077",
            "fax_number": "207-947-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PENN PLZ STE 22",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-947-8077",
            "fax_number": "207-947-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bucksport Rd",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046052224",
            "country_code": "US",
            "telephone_number": "207-667-4678",
            "fax_number": "207-947-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KYLEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.