Healthcare Provider Details

I. General information

NPI: 1962335679
Provider Name (Legal Business Name): ANNINA ROSE ZELKIN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 WATER ST
NORWALK CT
06854-3011
US

IV. Provider business mailing address

8496 INDIAN PAINTBRUSH WAY
LORTON VA
22079-5609
US

V. Phone/Fax

Practice location:
  • Phone: 844-677-8274
  • Fax:
Mailing address:
  • Phone: 703-965-1946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14.015416
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: