Individual provider Active NPI

Maranda Terry, DPT

  • Physical Therapist
  • Fullerton, CA
National Provider Identifier
1568108405
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302014 Issued in CA
Practice address
704 N Harbor Blvd
Fullerton, CA 92832-1520
Phone
(949) 716-5050
NPI assigned
May 11, 2022
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302014 CA Primary

Addresses

Primary practice location

704 N Harbor Blvd
Fullerton, CA 92832-1520

Mailing address

26730 Towne Centre Dr Ste 204
Foothill Ranch, CA 92610-2842

Other names 1

  • Maranda Brady Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712001930 CA Practitioner - Physical Therapist in Private Practice 4981084647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy IncGroup PAC ID 6709078967, 8 clinicians

Practice addresses (Care Compare)

26730 Towne Centre Dr
Suite 204
Foothill Ranch, CA 92610-2842
Phone (949) 716-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Inc Physical Therapist CurrentSince Sep 5, 2025 Accepting new patients
April Lopez Chiropractic. a Professional Corporation PastSince May 6, 2022 Accepting new patients

Locations

704 N Harbor Blvd
Fullerton, CA 92832
Phone (714) 525-0225

4000 Barranca Pkwy
Ste 160
Irvine, CA 92604

24422 Avenida de la Carlota
Ste 380
Laguna Hills, CA 92653

23101 Lake Center Dr
Ste 100
Lake Forest, CA 92630
Phone (949) 297-3704

26730 Towne Centre Dr
Ste 204
Lake Forest, CA 92610
Phone (949) 398-0488

26691 Plaza
Ste 201
Mission Viejo, CA 92691

319 E Palm Dr
Ste B
Placentia, CA 92870

655 Camino de los Mares
Ste 120
San Clemente, CA 92673
Phone (949) 484-4148

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1568108405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 204",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321520",
            "telephone_number": "949-716-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "MARANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARANDA",
            "last_name": "BRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.