Kevin Paul Riley, LMT, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT3184 Issued in ME

Practice address

147 Palm St
Bangor, ME 04401-4021

Phone

(207) 356-2895

NPI assigned

Mar 20, 2007

Sex

Male

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497870703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CHURCH RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012138",
            "telephone_number": "207-356-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PALM ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014021",
            "telephone_number": "207-356-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LMT, NCTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Rife, ATC
• Bridget Riffel, LCPC
• Kimberly M Riitano, RDH
• Kerry Riker, M. D.
• James Nelson Riley Sr., DO
• Paola Rinaldi-Whitham, M.D.
• Raquelle Renae Rinfret, FNP-C
• Cheryl A. Rioux, P.T.
• Kathleen Hope Rioux
• Justin Ripley

• 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 Jul 8, 2007; 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.