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Buck Jack LLC

Occupational Therapist in Pueblo, CO · enumerated 2020 · authorized official Rebecca Newman, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912505116

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Registry record

Entity type Organization (Type 2)
Legal business name Buck Jack LLC
Practice address 1301 Fortino Blvd, Pueblo, CO, 81008
Phone (719) 597-0822
Fax (719) 599-4606
Enumeration date Oct 12, 2020
Last updated in NPPES Oct 12, 2020

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Rebecca Newman
Title Billing Manager
Phone (719) 597-0822

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.

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Frequently asked questions

Where is Buck Jack LLC located?
The practice location on file with NPPES is in Pueblo, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-12. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-12.