Individual provider · Type 1 NPI

Samuel Ellestad

Orthopedic Physical Therapist · Fort Bragg, NC

NPI number 1780560243 Active

Practice location

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001

Call (910) 907-8922 Map

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800XNone listed

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1780560243

Samuel Ellestad's National Provider Identifier is 1780560243, issued on Aug 12, 2025. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Fort Bragg, NC. The record was last updated on Aug 12, 2025.