Individual provider Active NPI

Alexis Keenan, DO

  • Physical Medicine & Rehabilitation Physician
  • Fort Bliss, TX
National Provider Identifier
1811514128
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
V4393 Issued in TX
Practice address
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone
(915) 742-7777
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X V4393 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X 032.0134300 VT

Addresses

Primary practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Mailing address

14545 Meadow Lawn
El Paso, TX 79938-4531
Phone (608) 287-4440

Other practice location 1

6955 N Mesa St Ste 200
El Paso, TX 79912-4424
Phone (833) 339-7246

Other identifiers 3

IdentifierTypeStateIssuer
V4393OtherTXTEXAS MEDICAL BOARD
032.0134300OtherVTVERMONT MEDICAL BOARD
DO2025-0200OtherNMNEW MEXICO MEDICAL BOARD

Other names 1

  • Alexis Hanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250327000843 TX Practitioner - Physical Medicine and Rehabilitation 3173046455 Reassigns benefits to 2 organizations
I20260205000405 VT Practitioner - Physical Medicine and Rehabilitation 3173046455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villa Pain Institute PLLCGroup PAC ID 2466826185, 2 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

6955 N Mesa St
Suite 200
El Paso, TX 79912-4442
Phone (833) 339-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
V4393TXMDPhysical Medicine & Rehabilitation Physician
032.0134300VTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Feb 18, 2026 Accepting new patients
Villa Pain Institute PLLC CurrentSince Mar 1, 2025 Accepting new patients
University of Vermont Medical Center Inc Physical Medicine & Rehabilitation CurrentSince Jan 21, 2026 Accepting new patients
Villa Pain Institute PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

6955 N Mesa St
Ste 200
El Paso, TX 79912
Phone (833) 339-7246

7812 Gateway Blvd E
Ste 230
El Paso, TX 79915
Phone (915) 219-8265

3821 Constitution Dr
Ste 100
El Paso, TX 79922

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

192 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-2663

Interoperability endpoints

  • Direct secure messaging: ahanson701948@ahs.direct-ci.com

Organizations & group practices 4

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1811514128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 MEADOW LAWN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384531",
            "telephone_number": "608-287-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799065327",
            "telephone_number": "915-742-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6955 N Mesa St Ste 200",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799124424",
            "country_code": "US",
            "telephone_number": "833-339-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "ALEXIS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "V4393",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VT",
            "license": "032.0134300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "V4393",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT MEDICAL BOARD",
            "identifier": "032.0134300",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAL BOARD",
            "identifier": "DO2025-0200",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "HANSON",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Bliss, TX

Sources for this page

Verify at the official NPI Registry.