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
Mailing address1026 W Feather River Way, Orange, CA 92865-2021

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