Buck Jack LLC
Buck Jack LLC is a healthcare organization registered as Occupational Therapist in Monument, CO, holding Type 2 (organization) NPI 1174121487 since 2020. The authorized official on file is Rebecca Newman, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174121487 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Buck Jack LLC |
| Practice address | 17230 JACKSON CREEK PKWY STE 220, Monument, CO, 80132 |
| Phone | 7195970822 |
| Fax | 7195994606 |
| Enumeration date | 2020-10-09 |
| Last updated in NPPES | 2020-10-09 |
Authorized official
| Name | Rebecca Newman |
|---|---|
| Title | Billing Manager |
| Phone | 7195970822 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | Secondary | — | — |
| 103T00000X | Psychologist | Secondary | — | — |
| 225100000X | Physical Therapist | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Primary | — | — |
Copy-ready billing details
Provider: Buck Jack LLC NPI: 1174121487 Taxonomy: 225X00000X (Occupational Therapist) Address: 17230 JACKSON CREEK PKWY STE 220, Monument, CO, 80132
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1588936280 | Debra Palko | Individual | Occupational Therapist | Monument, CO |
| 1528584315 | Lauren Woolf | Individual | Speech-Language Pathologist | Monument, CO |
| 1053892364 | Ana-Marie Nelson | Individual | Physical Therapist | Monument, CO |
| 1013472927 | Emily Morgan | Individual | Behavior Technician | Monument, CO |
| 1144782921 | Alexandria Portillo | Individual | Speech-Language Pathologist | Monument, CO |
| 1922665363 | Stephanie Goddard | Individual | Behavior Technician | Monument, CO |
| 1669033247 | Hannah Pfeifer | Individual | Pediatric Occupational Therapist | Monument, CO |
| 1336700590 | Melissa Zeidman | Individual | Behavior Analyst | Monument, CO |
Verify this record
Cross-check NPI 1174121487 against the authoritative CMS record: view Buck Jack LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Buck Jack LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-09.