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Active NPI 1548901176 Individual Practitioner Male Practitioner

Jordan Brook Mockta , ACSM-EP

Clinical Exercise Physiologist • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Jordan Mockta, ACSM-EP is a registered healthcare professional specializing in Clinical Exercise Physiologist in Flagstaff, AZ. Practice services are available at 1500 E CEDAR AVE STE 52 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Cedar Ave Ste 52

Flagstaff, AZ 860041643

Telephone 9287731245
Fax 9287739429
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Exercise Physiologist in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Flagstaff, AZ (11 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-11
Clinical Exercise Physiologist Primary Specialty

NUCC Taxonomy Code: 224Y00000X

State License AZ 1059346

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D04316506 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Hannah Bennett , LCSW

Social Worker - Clinical

NPI 1053172882

Licensed Clinical Social Worker

Dazhoni Scott , LPC, CRC

Counselor - Professional

NPI 1083264501

Licensed Professional Counselor, Certified Rehabilitation Counselor

Brenda Manthei

Counselor - Professional

NPI 1104473610
Aaron Rasband , LPC

Counselor - Professional

NPI 1316468721

Licensed Professional Counselor

Kyra Vandervere , LMSW

Social Worker - Clinical

NPI 1447081047

Licensed Master Social Worker

Monica Whicker , LAC

Counselor - Mental Health

NPI 1457181166

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2022

Registered at 1500 E CEDAR AVE STE 52, FLAGSTAFF, AZ 860041643 (Tel: 9287731245)

📍
Updated Business Mailing Address April 11, 2022

Registered at 5404 E. CORTLAND BLVD 190, FLAGSTAFF, AZ 86004 (Tel: 9282557867)

👤
Provider Name / Credentials Updated April 11, 2022

Recorded as JORDAN MOCKTA, ACSM-EP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Clinical Exercise Physiologist (License #1059346 in AZ)

🟢
Initial NPI Registration & Enumeration April 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548901176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2022
Last Update: April 11, 2022
Sole Proprietor: No

Mailing Address

5404 E. Cortland Blvd 190

Flagstaff, AZ 86004

Phone: 9282557867

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.