Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER RAE RUSSO, DPT
Active Sole ProprietorJENNIFER RAE RUSSO, DPT is a Physical Therapy Assistant healthcare provider located in WILMINGTON, North Carolina. NPI 1053644930 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WILMINGTON, NC
Registration Details
- NPI Number
- 1053644930
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2009 (16.949909503953 yrs)
- Last Updated
- Feb 18, 2026
- License
-
P13688 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4002 1/2 OLEANDER DR STE 102WILMINGTON, NC, 284036806Browse NC providers · Browse ZIP 28403
- Phone
- 9102164887
- Fax
- 8447040649
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINA MARIE KELLEIGH | MPT | 1770564767 |
| MRS. CHRISTINE KANE JONES | PT | 1699757179 |
| LINDA S BENNETT | MPT | 1871570077 |
| PATRICIA RODE | PT, DPT | 1811977036 |
| MR. JOHN SCOTT STEPHENS | PT | 1629038138 |
| MRS. DOLORES GERALYN REESE | BS | 1467415182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.