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

Chandra Whitaker, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1902284912

Chandra Whitaker, DPT is a Physical Therapist in Private Practice in Riverside, California. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (833) 574-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5053 La Mart Dr Ste 101, Riverside, CA 92507-5993 — (951) 683-3309

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT297188 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 10766 (CA)

Record details

NPI number1902284912
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESJanuary 4, 2023
Certification dateDecember 19, 2022
Mailing address22750 Shadowridge Ln, Moreno Valley, CA 92557-2632

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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