ALEXIS KEENEY (DPT) – Physical Therapist, NPI 1205460979

ALEXIS KEENEY (DPT) is a healthcare provider. based in Evergreen, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTL.0016799 (CO). The NPI Number for ALEXIS KEENEY (DPT) is 1205460979

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS KEENEY (DPT)
NPI
1205460979
Phone
(607) 592-5241
Address
30940 Stagecoach Blvd # 110
Enumeration Date
2 March 2020
Last Update Date
2 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036745522
Graduation Year
2019 (7 years ago)
PAC ID
4688003288
Group Practice PAC ID
1759318454
Professional Enrollment ID
I20200402001878
Address ID
CO804399778EV32003TRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for ALEXIS KEENEY (DPT)

  • 30940 Stagecoach Blvd # 110

    Evergreen, CO 804397984

    Phone: (607) 592-5241

    Type: Location

  • 1770 QUINCE ST

    DENVER, CO 802201967

    Phone: (607) 592-5241

    Type: Mailing

  • 30940 STAGECOACH BLVD # 110

    EVERGREEN, CO 804397984

    Phone: (607) 592-5241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200402001878IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54854$0
97140Therapy procedure using manual technique, each 15 minutes47842$0
97530Therapy procedure using functional activities14944$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10920$0
97116Therapy procedure for walking training, each 15 minutes5317$0
View full utilization report →

Insurance plans in this area (ZIP 80439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759318454View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
-IL
Physical Therapist In Private PracticeCO
-KS
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What number should I use to identify ALEXIS KEENEY (DPT) for billing?
Administrative and clinical systems typically use NPI 1205460979 for ALEXIS KEENEY (DPT).
Should I treat ALEXIS KEENEY (DPT) as an active provider?
Patients and plans typically see ALEXIS KEENEY (DPT) as active in the national extract.
What services align with ALEXIS KEENEY (DPT)'s listing?
ALEXIS KEENEY (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEXIS KEENEY (DPT)?
ALEXIS KEENEY (DPT) is associated with Evergreen, Colorado in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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