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

Buck Jack, LLC

Organization Occupational Therapy Assistant · NPI 1942002654

Buck Jack, LLC is an Occupational Therapy Assistant in Fountain, Colorado. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6436 S US Highway 85-87 Ste U
Fountain, CO 80817-1007
Phone: (719) 597-0822
Fax: (719) 599-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1942002654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Hall — Internal Operations Manager · (719) 597-0822
Other names Woven Care
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

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