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MR. JORDAN BROOK MOCKTA ACSM-EP
NPI 1548901176
Clinical Exercise Physiologist in Flagstaff, AZ

Active since April 06, 2022
1500 E CEDAR AVE STE 52, FLAGSTAFF, AZ 86004(928) 773-1245(928) 773-9429 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Apr 6, 2022 (2 updates tracked since 2022).

About Mr. Jordan Brook Mockta Acsm-ep NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JORDAN BROOK MOCKTA ACSM-EP (NPI 1548901176) is an individual clinical exercise physiologist provider in Flagstaff, Arizona, licensed in Arizona (1059346) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1548901176
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameMR. JORDAN BROOK MOCKTACredential: ACSM-EP
Location Address1500 E CEDAR AVE STE 52Flagstaff, AZ 86004-1643
Mailing Address5404 E. Cortland Blvd 190Flagstaff, AZ 86004 · (928) 255-7867
Phone(928) 773-1245
Fax(928) 773-9429
Sole ProprietorNo
Enumeration DateApril 6, 2022
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1548901176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
License✔ Licensed in AZ · 1059346
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
1500 E CEDAR AVE STE 52, Flagstaff, AZ 86004
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Other Identifiers 1

MedicaidD04316506AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Mockta's NPI number?

The NPI number for Jordan Mockta is 1548901176. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Jordan Mockta located?

Jordan Mockta practices at 1500 E Cedar Ave Ste 52, Flagstaff, AZ 86004. The listed phone number is (928) 773-1245.

What is Jordan Mockta's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Mockta was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.