Jennifer Rae Russo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P13688 Issued in NC

Practice address

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

Phone

(910) 216-4887

Fax

(844) 704-0649

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• JMF Wellness LLC Pure Physical Therapy

  dba Pure Physical Therapy

  • Physical Therapist
  • Wilmington, NC
  • NPI 1003700188
  Medicare reassignment NPD Authorized official
• Perfect Balance Massage

  • Rehabilitation Clinic/Center
  • Willoughby Hills, OH
  • NPI 1730466244
  NPD (past)
• PT Plus, LLC

  • Physical Therapy Clinic/Center
  • Willoughby, OH
  • NPI 1871526244
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1053644930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 1/2 OLEANDER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036806",
            "telephone_number": "910-216-4887",
            "fax_number": "844-704-0649"
        },
        {
            "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": "910-216-4887",
            "fax_number": "844-704-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Russell
• Grace Ellen Russell
• Karen M Russell, PAC
• Marissa Leigh Russell
• William A Russell III, M.D.
• Sabrina Russo, RDN
• Jerry Page Rutledge, LCSW
• Brandi Elizabeth Ryan, LMT
• Brandon Ryan, PA-C, NREMT-P
• David Michael Ryan, NP

• 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.
• 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.