JMF Wellness LLC Pure Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JMF WELLNESS LLC PURE PHYSICAL THERAPY

Practice address

4002 1/2 Oleander Dr Ste 102
Wilmington, NC 28403-6806

Phone

(330) 518-7219

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Rae Russo, DPTNPI 1053644930

Title

Owner/PT

Phone

(910) 216-4887

Specialties & licenses 1

Addresses

Other names 1

• Pure Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rae Russo, DPT

  • Physical Therapist
  • Wilmington, NC
  • NPI 1053644930
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1003700188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 HALIFAX RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035448",
            "telephone_number": "910-216-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 1/2 OLEANDER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036806",
            "telephone_number": "330-518-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMF WELLNESS LLC PURE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "910-216-4887",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Smith Jewell, D.D.S.
• Wilson O'Kelly Jewell, D.D.S.
• Jill N Baillio
• Amber Renee Jimenez, MD
• Ling Jin, LCMHCA
• Charles L Joachim, MD
• James Golden Joachim, MD
• John a Overton II DDS PA
• John D Lanthier, DPM, Facfas
• John E Hoggard DMD PLLC

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.