Provider Demographics
NPI:1518170588
Name:ROKISKY, KERRI DENISE (PT)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:DENISE
Last Name:ROKISKY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5538 WICOMICO DR
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6270
Mailing Address - Country:US
Mailing Address - Phone:301-865-8267
Mailing Address - Fax:301-865-8267
Practice Address - Street 1:8965 GUILFORD RD
Practice Address - Street 2:STE 160
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2384
Practice Address - Country:US
Practice Address - Phone:410-796-8499
Practice Address - Fax:443-270-8260
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD200702251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics