Buck Jack, LLC
NPI 1073491429 · Occupational Therapist · Pueblo, CO
Buck Jack, LLC is a Occupational Therapist organization in Pueblo, CO (NPI 1073491429).
Provider details
- NPI number
- 1073491429
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tanner Hall, Internal Operations Manager(719) 597-0822
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Woven Care
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Buck Jack, LLC's NPI number?
- Buck Jack, LLC's National Provider Identifier (NPI) is 1073491429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Buck Jack, LLC?
- Buck Jack, LLC is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Buck Jack, LLC located?
- Buck Jack, LLC's practice location on file with NPPES is 4025 Club Manor Dr, Pueblo, CO 81008-2004.
- What is Buck Jack, LLC's phone number?
- The practice phone number listed in the NPPES registry for Buck Jack, LLC is (719) 597-0822.
- Who is the authorized official for Buck Jack, LLC?
- The authorized official listed on Buck Jack, LLC's NPPES record is Tanner Hall, Internal Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Buck Jack, LLC's NPI active?
- Yes — Buck Jack, LLC's NPI (1073491429) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.