Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantylle Pradera

Individual provider Occupational Therapist · NPI 1225915606

Chantylle Pradera is an Occupational Therapist in Private Practice in Riverside, California. Qualified in 2024, 2 years ago. Practices with Fairbanks and Power Physical Therapy Corp, a 54-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

9900 Indiana Ave Ste 8
Riverside, CA 92503-5498
Phone: (951) 376-1120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1561 E Ontario Ave Ste 101, Corona, CA 92881-6663 — (951) 407-9233

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT27965 (CA)

Record details

NPI number1225915606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fairbanks And Power Physical Therapy Corp — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverside