SCOTT KOENNECKE
NPI 1063307510
Physical Therapist - Geriatrics in Florida, NY

Active since June 12, 2025
8 TWIN SPRING LN, FLORIDA, NY 10921(845) 344-7281 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1063307510
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameSCOTT KOENNECKE
Location Address8 TWIN SPRING LNFlorida, NY 10921-1033
Mailing Address8 Twin Spring LnFlorida, NY 10921-1033
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1063307510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
8 TWIN SPRING LN, Florida, NY 10921

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Scott Koennecke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759894470
PECOS Enrollment IDI20250626003779

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
8 TWIN SPRING LN
FLORIDA, NY 10921

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.

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 13 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.