Chantylle Pradera

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT27965 Issued in CA

Practice address

9900 Indiana Ave Ste 8
Riverside, CA 92503-5498

Phone

(951) 376-1120

NPI assigned

Aug 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairbanks and Power Physical Therapy CorpGroup PAC ID 6406843481, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fairbanks & Power Physical Therapy Corp.

  dba PacificPro Physical Therapy & Sports Medicine

  • Physical Therapist
  • Irvine, CA
  • NPI 1912953936
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1225915606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W FEATHER RIVER WAY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928652021",
            "telephone_number": "714-616-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 INDIANA AVE STE 8",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035498",
            "telephone_number": "951-376-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 E Ontario Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928816663",
            "country_code": "US",
            "telephone_number": "951-407-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADERA",
        "first_name": "CHANTYLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT27965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chantylle.pacificpropt@gmail.com",
            "affiliation": "N",
            "address_1": "9900 Indiana Ave Ste 8",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925035498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryce Powell
• Lisa Powell
• Jacqueline Powers-Bowier, PA
• Brenda P Powers, RDH
• Jillian Pozo, RADT
• Alexandria Prado
• Joshua D Prager, OD
• Nathaniel Soun Prak
• Marisa S Pramono, OD
• Richard D Prather, MD

• Occupational Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.