Provider Demographics
NPI:1275511545
Name:CHORNY, YURY (PT)
Entity Type:Individual
Prefix:DR
First Name:YURY
Middle Name:
Last Name:CHORNY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 W SCHANTZ AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2123
Mailing Address - Country:US
Mailing Address - Phone:937-543-2380
Mailing Address - Fax:
Practice Address - Street 1:3055 KETTERING BLVD STE 303
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1989
Practice Address - Country:US
Practice Address - Phone:937-204-3444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT010638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist