SCOTT KOENNECKE
NPI 1063307510
Physical Therapist - Geriatrics in Florida, NY
About Scott Koennecke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT KOENNECKE (NPI 1063307510) is an individual geriatrics provider in Florida, New York and active in the NPI registry since June 2025.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Scott Koennecke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Scott Koennecke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pomona, NY 10970
- Reassigned Medicare billing, New York enrollment
- 165 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Scott Koennecke's NPI number?
The NPI number for Scott Koennecke is 1063307510. It was assigned to this individual provider in the NPPES registry on June 12, 2025.
Where is Scott Koennecke located?
Scott Koennecke practices at 8 Twin Spring Ln, Florida, NY 10921. The listed phone number is (845) 344-7281.
What is Scott Koennecke's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.
Is Scott Koennecke enrolled in Medicare?
Yes. Scott Koennecke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Scott Koennecke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Koennecke reassigns Medicare benefits to Stern At Home Physical Therapy PC (Pomona, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Koennecke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Scott Koennecke was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Scott Koennecke · NPI 1063307510
Geriatrics provider in Florida, New York. Individual provider, active in the CMS NPPES registry since June 12, 2025.
## Identity
- **NPI:** 1063307510 (Entity type: Individual)
- **Enumerated:** June 12, 2025
- **Primary specialty:** Physical Therapist - Geriatrics · taxonomy 2251G0304X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8 TWIN SPRING LN, Florida, NY 10921-1033
- **Phone:** (845) 344-7281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Stern At Home Physical Therapy PC (NPI 1720563380, Pomona, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063307510) · Data from the CMS NPPES public registry.