Buck Jack, LLC
Buck Jack, LLC is a healthcare organization registered as Speech-Language Pathologist in Fountain, CO, holding Type 2 (organization) NPI 1376425959 since 2025. The authorized official on file is Tanner Hall, Internal Operations Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376425959 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Buck Jack, LLC |
| Practice address | 901 N SANTA FE AVE, Fountain, CO, 80817 |
| Phone | 7195970822 |
| Enumeration date | 2025-07-23 |
| Last updated in NPPES | 2025-07-23 |
Authorized official
| Name | Tanner Hall |
|---|---|
| Title | Internal Operations Manager |
| Phone | 7195970822 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Secondary | — | — |
| 103K00000X | Behavior Analyst | Secondary | — | — |
| 224Z00000X | Occupational Therapy Assistant | Secondary | — | — |
| 225100000X | Physical Therapist | Secondary | — | — |
| 225200000X | Physical Therapy Assistant | Secondary | — | — |
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Primary | — | — |
Copy-ready billing details
Provider: Buck Jack, LLC NPI: 1376425959 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 901 N SANTA FE AVE, Fountain, CO, 80817
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245771989 | Nicole Losse | Individual | Physical Therapist | Fountain, CO |
| 1356860688 | Madeleine Finnern | Individual | Speech-Language Pathologist | Fountain, CO |
| 1043702657 | Jessica Mace | Individual | Speech-Language Pathologist | Fountain, CO |
| 1275010951 | Emily Hutchison | Individual | Behavior Analyst | Fountain, CO |
| 1740746148 | Jamie Budhan | Individual | Speech-Language Pathologist | Fountain, CO |
| 1417519885 | Hannah Fiser | Individual | Occupational Therapist | Fountain, CO |
| 1598312621 | Savanna Golson | Individual | Physical Therapist | Fountain, CO |
| 1225686744 | Elissa Payonk | Individual | Physical Therapist | Fountain, CO |
Verify this record
Cross-check NPI 1376425959 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
How current is this record?
Where is Buck Jack, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-23.