Jennifer Rae Russo, DPT
NPI 1053644930ActiveIndividual· Physical Therapist· Wilmington, NC
Physical Therapist (DPT) in Wilmington, North Carolina, licensed in NC, with an NPI issued in September 2009. Medicare paid $42,534 for services to 103 patients in 2024.
Overview
| NPI | 1053644930 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Sep 10, 2009 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P13688 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 1,870 across 11 procedure codes |
| Paid by Medicare | $42,534 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 327 physical therapists in Wilmington · All physical therapists in North Carolina