Individual provider Active NPI

Yury Chorny, PT

  • Physical Therapist
  • Moraine, OH
National Provider Identifier
1275511545
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010638 Issued in OH
Practice address
3055 Kettering Blvd Ste 303
Moraine, OH 45439-1989
Phone
(937) 204-3444
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010638 OH Primary

Addresses

Primary practice location

3055 Kettering Blvd Ste 303
Moraine, OH 45439-1989

Mailing address

342 W Schantz Ave
Oakwood, OH 45409-2123
Phone (937) 543-2380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000811 OH Practitioner - Physical Therapist in Private Practice 5991751943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3055 Kettering Blvd
Suite 303
Moraine, OH 45439-1989
Phone (937) 204-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010638OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Physical Therapy Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients

Locations

3055 Kettering Blvd
Ste 303
Moraine, OH 45439
Phone (937) 204-3444

Organizations & group practices 2

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1275511545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 W SCHANTZ AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454092123",
            "telephone_number": "937-543-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 KETTERING BLVD STE 303",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391989",
            "telephone_number": "937-204-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORNY",
        "first_name": "YURY",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.