Active NPI
Kelsey Mazzocca, DC
- Chiropractor
- Mesa, AZ
National Provider Identifier
1174483051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9467
- Practice address
- 4852 E Baseline Rd Ste 109
Mesa, AZ 85206-4628 - Phone
- (480) 656-1233
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9467 | AZ | Primary |
Addresses
Primary practice location
4852 E Baseline Rd Ste 109
Mesa, AZ 85206-4628
Mailing address
4852 E Baseline Rd Ste 109
Mesa, AZ 85206-4628
Phone (480) 656-1233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9467 | AZ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1174483051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4852 E BASELINE RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852064628",
"telephone_number": "480-656-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4852 E BASELINE RD STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852064628",
"telephone_number": "480-656-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZOCCA",
"first_name": "KELSEY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "9467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Elizabeth P Mazhuvencherry, PMHNP
- Thomas Mazur, PHARMD
- Mary L. Mazza, D.O.
- Shelley Mazza, PT
- Anthony Frank Mazzitello
- Gina Mazzucco
- MB Anesthesiology LLC
- MB Behavioral Recovery & Empowerment LLC (MB Empowerment)
- Linah Wanjiku Mbaru, MSN, APRN, FNP-BC
- MBR Hearing AIDS, Inc., Dba Beltone Hearing Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.