Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Ellestad

Individual provider Orthopedic Physical Therapist · NPI 1780560243

Samuel Ellestad is an Orthopedic Physical Therapist in Fort Bragg, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2817 Rock Merritt Ave Womack Army Medical Ctr
Fort Bragg, NC 28310-0001
Phone: (910) 907-8922
Fax: (910) 907-6069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1780560243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001

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