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

Mr. Jordan Brook Mockta, ACSM-EP

Individual provider Clinical Exercise Physiologist · NPI 1548901176

Mr. Jordan Brook Mockta, ACSM-EP is a Clinical Exercise Physiologist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

1500 E Cedar Ave Ste 52
Flagstaff, AZ 86004-1643
Phone: (928) 773-1245
Fax: (928) 773-9429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Exercise Physiologist (primary) Taxonomy 224Y00000X · Licence 1059346 (AZ)

Record details

NPI number1548901176
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSM-EP
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022